Clinical Gems

Diet and Nutritional Strategies During Sport and Exercise in Type 1 Diabetes Elaine Hibbert-Jones and Gill Regan   What should the target level of blood glucose be before exercise?

By Richard S. Beaser, M.D., and Richard Jackson, MD     The changes that have occurred in the treatment of diabetes since the first general use of insulin in 1922 have constituted one of the most exciting chapters in the history of medicine.

Diet and Nutritional Strategies During Sport and Exercise in Type 1 Diabetes Elaine Hibbert-Jones and Gill Regan             Exercise means different things to different people and for competitive sport involves many hours of training.

By Richard S. Beaser, M.D., and Richard Jackson, MD What are the goals of therapy? Most people today use the A1C as the primary yardstick of control, using a methodology whereby the range in people who do not have diabetes is 4% to 6%. Glucose goals are theoretically “normal” or …

2.9 Insulin Dose Adjustment       The following is an excerpt that answers questions regarding the insulin dosing for exercise.  

By Richard S. Beaser, M.D., and Richard Jackson, MD     Do you know how to close the gap and meet your patients’ goals? 

By Richard S. Beaser, M.D., and Richard Jackson, MD       Can you name 7 symptoms of diabetes besides the classic symptoms of polyuria, polydipsia, and polyphagia as well as weight loss?….

Management of Glycemia During Hospitalization and Surgery    Do you have three minutes to improve your patients’ care? In this week’s Clinical Text excerpt, we begin a new series with The Diabetes Ready Reference for Nurse Practitioners. Please take a few minutes to check out our first selection which provides …

By Richard S. Beaser, M.D., and Richard Jackson, MD   If an oral glucose tolerance test (OGTT) is done and a diagnosis of diabetes is confirmed, do you need to perform another test? Do you know the procedures to perform an OGTT?….  

2.7 Evaluation of the Intensity and Duration of the Effort The following is an excerpt that answers the questions regarding the evaluation of the intensity and duration of the effect of exercise.   Intensity Effort intensity is well correlated with heart rate (HR) in the absence of heart rhythm abnormalities …