Clinical Gems

Clinical Management Treatment consists of rehydration with intravenous fluids, the administration of insulin, and replacement of electrolytes.

Amy P. Campbell, MS, RD, CDE, and Richard S. Beaser, M.D. The weeks excerpt answers the following questions: Do sugar alcohols have any caloric value? Should non-nutritive sweeteners be included in daily carbohydrate allotments? How many calories do sugar alcohols have per gram?  Why sugar alcohols can result in an …

Hyperglycemia Hyperglycemia in DKA is the result of reduced glucose uptake and utilization from the liver, muscle, and fat tissue and increased gluconeogenesis as well as glycogenolysis. The lack of insulin results in an increase in gluconeogenesis, primarily in the liver but also in the kidney, and increased glycogenolysis in …

Amy P. Campbell, MS, RD, CDE, and Richard S. Beaser, M.D. The weeks excerpt answers the following questions Does fiber have any caloric value? The current recommendation for fiber intake is? The recommended daily allowance (RDA) for protein is? What percentage of calories should protein constitute? The different pathways fat …

      Diabetic ketoacidosis (DKA) is an acute complication of diabetes mellitus. It is characterized by the triad of hyperglycemia, ketosis, and metabolic acidosis.1

Amy P. Campbell, MS, RD, CDE, and Richard S. Beaser, M.D. The week’s excerpt answers the following questions Does using the "glycemic index" work? Is the type of carbohydrate important? Carbohydrate counting vs. the glycemic index and glycemic load How much carbohydrate do we really need? What percentage of consumed …

Dinesh Nagi       The prevalence of diabetes is rising rapidly worldwide, and certain developing nations are currently going through an upsurge of type 2 diabetes of epidemic proportions.1

The Challenge Amy P. Campbell, MS, RD, CDE, and Richard S. Beaser, M.D.     One of Dr. Elliott P. Joslin’s greatest contributions to the treatment of people with diabetes was his belief in empowering patients to manage their own care and his advocacy of comprehensive patient education that makes …

Elaine Hibbert-Jones and Gill Regan         The following excerpt covers fluid replacement before, during and after energy expenditure while exercising.

"The Facts on CGMS" By Richard S. Beaser, M.D., and Richard Jackson, MD   Continuous Glucose Monitoring