May 9, 2017 : DCMS #344

DISASTERS AVERTED — Near Miss Case Studies

When Losing Weight, Warn ’em!

EXCLUSIVE INTERVIEW — Candid Video Interviews with Top Practitioners

Michael Hill Part 7, Educating Consumers

HOMERUN SLIDES — Great Clinical Presentation Highlights

Insulin & Vascular Function Part 3

CLINICAL GEMS — The Best from Diabetes Texts

International Textbook of Diabetes Mellitus, 4th Ed., Excerpt #74: Regulation of Glucose Metabolism in Liver Part 10 of 11

MOST POPULAR ARTICLES OF THE MONTH

#1 Sweetening with Stevia
#2 A Major Shift in Diabetes Treatment Targets and Goals
#3 New ADA 2017 Standards of Medical Care in Diabetes

We have spent the better part of the last two months delving deep into the subject of Glucose metabolism in our Clinical Text. As we come to nearly the close of the author’s focus on Glycolysis, take a look to see how there may be new targets for diabetes and lipid control in the mechanism.

Dave Joffe

Editor-in-chief

I work in obesity medicine. As many of us know, losing weight isn’t the problem for most, but weight regain is.

As the saying goes for many, you can’t be rich enough or thin enough. Many of our patients come in with unrealistic goals regarding their weight loss, and don’t give themselves enough credit for the weight they have lost. Many, for many reasons, regain.

In part 7 of this Exclusive Interview, Michael Hill explains the education required to use the system.

In this week’s Homerun Slides, a continued explanation of insulin resistance and its causes, as well as its impact on hyperinsulinemia.

Glycolysis: Glucose-6-phosphate not used for direct glycogen synthesis can be metabolized in the glycolytic pathway. About half of the glucose taken up by liver during duodenal glucose absorption will undergo glycolysis to pyruvate. The resulting pyruvate can be used for lipogenesis and amino acid synthesis, lactate production, or cycled back to glucose-6-phosphate for indirect glycogen synthesis.

This sweet treat may be future aid in diabetes treatment.

Out with the old, in with the old and new?

Psychological health, access to care, expanded and personalized treatment options and the tracking of hypoglycemia emphasized.