May 8, 2018 : DCMS #396

DISASTERS AVERTED — Near Miss Case Studies

Weight Loss After Travel: When Should We Be Concerned?

EXCLUSIVE INTERVIEW — Candid Video Interviews with Top Practitioners

George Bakris Part 3, Increase of Kidney Disease in People with Diabetes

HOMERUN SLIDES — Great Clinical Presentation Highlights

Hypertension Update 2018 Part 9

CLINICAL GEMS — The Best from Diabetes Texts

International Textbook of Diabetes Mellitus, 4th Ed., Excerpt #124: The Insulin Resistance Syndrome Part 5

MOST POPULAR ARTICLES OF THE MONTH

#1 New Way to Screen for Diabetes and Prediabetes
#2 A Summary of ADA’s New 2018 Standards of Medical Care in Diabetes
#3 Know the Difference When Choosing Between CGMs

About a month ago, I got an email from 23&Me asking if I would participate in a food trial. They were looking to link genetics to the best way to lose weight. I had three choices to follow. I could eat low fat and exercise, eat low carb and exercise, or just exercise and continue to eat the way I was.

They sent this out to over 6 million people who have had their genetic testing and hopefully when these results are analyzed and compared amongst similar genetic backgrounds, they will be able to identify what works best for specific people.

We already have some of this genetic profiling available for our patients. This occurs when we look at the ApoE Genotype. This week in our Homerun Slides, we look at how Medical Nutritional Therapy can be used to help patients with specific ApoE Genotypes to improve outcomes and decrease mortality.

Dave Joffe

Editor-in-chief

Since I am a diabetes educator who also specializes in obesity medicine, I see a lot of different responses to travel. For all, I see both weight loss and weight gain after travel.

The interesting thing is for people with obesity, I see both. What I also find interesting is a lot of my patients who go to Europe tell me they eat pasta, more bread and other carbs, but when they lose weight, glucose levels improve. Why? Usually because they also tell me they are more active.

Dr. George Bakris talks with Diabetes in Control Publisher Steve Freed during the ADA 77th Scientific Session in San Diego about the increase of people on dialysis due to increase in kidney disease but decrease in cardiovascular mortality.

In this week’s Homerun Slides, medical nutrition therapy for treatment of hypertension.

When designing any risk scoring system, those proposing such a score must weigh up various competing factors. Metabolic syndrome benefits from the inclusion of clear (and now unambiguous, with the exception of waist circumference) criteria. However equal weighting is given to the five criteria while it is known that they do not contribute equally to the development of cardiometabolic disease. As noted above, two of the five criteria are strongly linked to cardiovascular disease but only weakly to risk of developing diabetes.

Dental exams may be earlier predictor of disease than even blood tests.

Comprehensive recommendations feature notable new recommendations for people with cardiovascular disease and diabetes.

You may wonder which CGM monitor is best for your patients. I know I do.

Learn from Dr. Stephen W. Ponder, MD, FAAP, CDE-AADE Educator of the Year, Board Certified Pediatric Endocrinologist, Pediatric Residency Program Director at Baylor Scott & White McLane Children’s Hospital and 50 year Joslin Medalist. He also helps people with diabetes through the “sugar surfing” method to empower individuals who have diabetes to live fuller and more satisfying lives.