August 5, 2017 : Issue #897

• …And Stay Active: A Profile in Living Successfully with Diabetes
  • by Sheri R. Colberg, PhD
• Cause of Low Mortality Rate from Coronary Heart Disease
• Prediabetes Risk Unrecognized by Most PCPs
• Diabetic Peripheral Neuropathy In Young Adults
• Current Interview: Elizabeth Buschur on Prediabetes and Pregnancy

Many of us know diabetes professionals who have diabetes and that was a driving force in choosing their profession. If you look on our board of adv isors you will find some of those very professionals. One of them is Dr. Sheri Colberg, who has been working with us for the past decade and is nearing 50 years with diabetes. This week she shifts gears to share her personal experiences and how activity plays into her everyday life. There are also those we have a working relationship with, such as Steve Edelman. What you may not know about Dr. Steve is that he is an avid cyclist and has type 1 diabetes, which  gives him a unique insight on how athletes can succeed with diabetes.

Over the past few weeks we have had some interesting articles about Team NOVO-NORDISK (see here and here), a professional cycling team that is made up entirely of riders that have type one diabetes. This week they are competing in both the Tour of Utah and the Tour of Poland.  Our colleagues attending the race sent over a short update on both races for you.

Poland:

The Tour de Pologne is the biggest one-week race of the summer, and Team Novo Nordisk kicked it off with a bang, in front of tens of thousands of roadside fans with Charles Planet and Joonas Henttala active in breakaways during the first two stages. Old friends from the Polish diabetes community came to visit in Krakow and Katowice at the big blue and white bus, to say hello and wish the riders luck in the bike race as they continue to inspire, educate and empower the nearly 3 million people in Poland affected by diabetes.

Utah:

The Larry H. Miller Tour of Utah, America’s Toughest Stage Race, kicked off Monday in Logan, Utah and Team Novo Nordisk’s Stephen Clancy scored the day’s America First Credit Union’s fan favorite jersey. The general public voted on the jersey, which was based on the rider with the best ideals and professionalism in cycling, community or a charity. Stephen is currently wearing the jersey during Stage 2, which started in Brigham City and has a challenging summit finish at Snowbasin Resort.

We are also happy to announce that  Derek LeRoith, MD, PhD, Professor of Medicine (Endocrinology, Diabetes and Bone Diseases) and Interim Chief of the Hilda & J. Lester Gabrilove Division of Endocrinology, Diabetes and Bones Diseases at Mount Sinai Hospital in NYC, has joined our advisory board. Click here to learn more about him and his research.

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We can make a difference!

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Dave Joffe

Editor-in-chief

Do you know the 13 risk factors for prediabetes?
1) Yes
2) No
3) Not sure (See article #3)

Dr. Elizabeth Buschur, MD is an assistant professor at The Ohio State University in Columbus, Ohio. She has implemented and is the director of the Diabetes Transition Clinic at the Nationwide Children’s Hospital as well as the Endocrine Disorders in Pregnancy Clinic at The Ohio State University. She presents CGM Use in Pregnancy and Special Populations at the AACE meeting.

This is an easy-to-use app that auto-logs daily blood sugars, insulin use, diet and activity data via connected devices. This app version allows patients to share Excel docs and PDFs of glucose history and other data to help providers make decisions about titrating insulin and advising on dietary modifications to tighten glycemic control.

A 72-year-old patient arrives in your office complaining of shakiness and sweating before he went to bed the previous night. He doesn’t recall checking his blood glucose level at the time, however he felt better after a glass of milk and a few graham crackers. His current medications are metformin, pioglitazone, and glyburide. Which one of the following medications is the most likely cause of his symptoms?
1) Metformin
2) Pioglitazone
3) Glyburide

Follow the link to see the right answer.

Scientists in Australia have found a new type of the insulin-regulating hormone GLP-1 in a surprising source – the venom of platypuses and echidnas. In humans, the hormone breaks down really quickly, leading some people with type 2 diabetes to develop a dependence on medication.  The platypus – along with its compatriot, the echidna – are the world’s only surviving monotremes, which means they’re egg-laying mammals. But what also sets these animals apart is they’ve evolved to produce a hormone variant, and it’s one that could help us to control blood sugar levels more effectively.  But the GLP-1 produced by these animals is a lot more stable, providing clues for new diabetes treatments.

I have been writing columns—mostly about physical activity and exercise—for this enewsletter for more than a decade, and I am grateful to DIC for allowing me to educate everyone on topics that I feel so strongly about. This month, I would like to switch gears a bit and share some of my personal story about why physical activity matters to me and how I have lived successfully with type 1 diabetes for almost 50 years to date.

Increase in BMI and A1c leads to coronary issues.

Only 6% of PCP’s were able to identify 11 prediabetes risk factors (there are actually 13) that would prompt them to screen patients under the ADA guidelines according to a new study. Are you any better?

Long-term uncontrolled glycemic levels primary cause of complication.

Quote of the Week!

“Nothing can stop the man with the right mental attitude from achieving his goal; nothing on earth can help the man with the wrong mental attitude.”

…Thomas Jefferson

Diabetes in Control gratefully acknowledges the assistance of the following pharmacy doctoral candidates in the preparation of this week’s newsletter:

Josephat Macharia, Doctor of Pharmacy Candidate: Class of 2018; LECOM College of Pharmacy

Your Friends in Diabetes Care
Steve and Dave
Diabetes In Control
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Ewing, NJ, 08628
USA
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