June 20, 2017 : DCMS #350

DISASTERS AVERTED — Near Miss Case Studies

What is the Most Ineffective Medication?

EXCLUSIVE INTERVIEW — Candid Video Interviews with Top Practitioners

Dr. Fernando Guerrero: Magnesium in Diabetes Treatment

View Video | Read Transcript

HOMERUN SLIDES — Great Clinical Presentation Highlights

Insulin & Vascular Function Part 9

CLINICAL GEMS — The Best from Diabetes Texts

International Textbook of Diabetes Mellitus, 4th Ed., Excerpt #79: Insulin actions in vivo: glucose metabolism Part 5 of 9

MOST POPULAR ARTICLES OF THE MONTH

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#3 Breastfeeding Helps to Prevent Type 1 Diabetes

Now that the hot weather is upon all of us, the loss of minerals while perspiring is higher than any time during the year. As cyclists, both Steve and I know the importance of keeping certain minerals in the body to keep from cramping and to reduce pain while increasing performance. Two of the most important minerals are potassium and magnesium, and regardless of how much potassium you try to consume, the absorption will not occur without magnesium. Many of us who ride consume 800mg of Magnesium Oxide each day to keep our levels up.

When Steve was at AACE, he caught up with Dr. Fernando Guerrero from the Mexican Social Security Research Department to discuss his research and presentation on the use of magnesium to improve glucose levels and prevent type 2 diabetes, and even got a couple of pointers on how to improve performance. Click here to see what he has to say.

Dave Joffe

Editor-in-chief

As we know, the most ineffective medication is the one needed but never taken. There are many reasons our patients don’t take prescription medicines, but a biggy is the cost. If a medicine is too expensive, the patient will not fill the prescription, therefore won’t take it. For example, when ordering an SGLT-2 and/or GLP-1, each can cost hundreds or more for a month’s prescription. Some are covered for both. Some are covered for one brand, but not the other.

Dr. Guerrero discusses his work in magnesium research and the relationship between magnesium and diabetes and glucose metabolic disorders in diabetes.

In this week’s Homerun Slides, the current therapy for type 2 diabetes.

The fed state is the absorptive period between meals. Carbohydrates are normally mixed with lipids and protein in the diet and make up 40 – 60% of the caloric content. Absorption of dietary carbohydrates is influenced by their chemical form (refined sugars or complex carbohydrates) and by other components of food. Furthermore, disposition of dietary carbohydrate is indirectly affected by fats and protein to the extent that these latter (i) compete with glucose as substrates, and (ii) interfere with glucoregulatory hormones by altering insulin secretion.

Ralph DeFronzo and his researchers at UT Health at San Antonio announced that they have cured type 1 diabetes.

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

Youths who received any breastfeeding for at least 12 months or full breastfeeding for at least six months had lower odds of developing type 1 diabetes.