DISASTERS AVERTED — Near Miss Case Studies
Make the Goal Personal to Motivate
EXCLUSIVE INTERVIEW — Candid Video Interviews with Top Practitioners
Eran Bashan Part 2, A d-Nav Demo in the UK
HOMERUN SLIDES — Great Clinical Presentation Highlights
Diagnosing Diabetes Mellitus in Adults Part 2
CLINICAL GEMS — The Best from Diabetes Texts
MOST POPULAR ARTICLES OF THE MONTH
#1 Prediabetes: How Often is the Opportunity to Intervene Missed?
#2 FDA Warns of Increased Heart-Failure Risk With Two New Diabetes Drugs
#3 Most Effective Hypertensive Medications that Prevent Nephropathy in Diabetic Patients
Editor's Note
This week I was involved in a new sales representative training. There was a segment on how to challenge a prescriber when they don’t seem to really be expressing their true feelings about the use of a certain drug. It wasn’t the kind of challenge we think of where the sales person quizzes the prescriber on the drug and the reasons he would or would not use it, and then tries to bully the company line on the doctor.
It was a totally different kind of challenge where the sales person actually asked the doctor what was the important outcome for the patient and how they were going to get them there. The whole purpose was to find out what was important to the doctor and then focus on that.
We are often encouraged to do this with our patients except we call it motivational interviewing, and if you need a good example of how that can work for your patients, be sure to read this week’s Disaster Avoided.
Your partner in diabetes care,
Dave Joffe
Editor-in-chief
DISASTERS AVERTED — Near Miss Case Studies
Male, 66 years of age, type 2 diabetes, class III obesity, peripheral neuropathy, multiple toe amputations, hypertension, hyperlipidemia and, most importantly, a 2-year-old granddaughter. Patient taking 100 units long-acting insulin, sulfonylurea, metformin, beta blocker, and statin. Checks glucose once in a while; in the 200 to 270 range when checks. A1C 9.3%.
EXCLUSIVE INTERVIEW — Candid Video Interviews with Top Practitioners
In part 2 of this Exclusive Interview, Steve Freed, DIC publisher, learns about the results of a d-Nav demonstration in the UK where they saw a 2-point drop in A1C.
HOMERUN SLIDES — Great Clinical Presentation Highlights
In this week’s Homerun Slides, explaining the beta-centric classification of diabetes mellitus.
CLINICAL GEMS — The Best from Diabetes Texts
Islet vasculature: The islet is richly vascularized; while islets comprise only ∼2% of pancreas volume, they receive approximately 15% of the blood flow. Arterioles enter the islet and branch into tortuous capillaries, which have been suggested to contact almost every endocrine cell in the islet. These then converge on collecting venules outside the islet.
MOST POPULAR ARTICLES OF THE MONTH
Study finds less than one quarter of patients categorized as prediabetic received prediabetes treatment from their healthcare provider.
New alert issued for type 2 patients taking saxagliptin (Onglyza, AstraZeneca) and alogliptin (Nesina, Takeda).
25-40% of hypertension patients require only monotherapy to control BP, so choice of right single therapeutic agent is critical.
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