One of the most frustrating things about diabetes is the myriad of ways it can hurt you. Regular readers of this Viewpoint know that patients with diabetes are more prone to heart attacks, stroke, and peripheral vascular disease, as well as damage to the eyes, nerves, and kidney. As if …
Read More »Therapeutic Implications Potentially Effective
As an adjunct to manipulating macronutrient ratios, potential benefits have been associated with the following non-pharmaceutical interventions as part of an overall, sound dietary approach to improve diabetes and endothelial dysfunction. These include but are not limited to: anti-oxidants200 such as vitamins E 97, 305-308 , and C, 112, 309-311 …
Read More »After-Meal Glucose Monitoring: Something to Chew On
Regular readers of this column in Diabetes In Control know that I’m pretty much a one-trick pony when it comes to diabetes. “Control is King” is my motto, and helping you to get there quickly and safely is what this is all about. Several studies performed in both type 1 …
Read More »Supplementation with Chromium Picolinate: Therapeutic for Diabetes and Pre-Diabetes
Supplementation with a form of the trace mineral chromium called chromium picolinate is prudent nutritional therapy for your patients with diabetes and pre-diabetes. To give you an overview of why I say this, most of the studies involving supplemental chromium for type II diabetes have shown positive results of one …
Read More »Immunomodulation of Type 1 Diabetes: Raising the Bar
In the past several months I’ve written a few pieces about immunomodulation of type 1 diabetes, or attempts to suppress the immune attack on insulin-producing beta cells. These studies have involved compounds that rein in the immune system in a more or less specific way, and all have been tested …
Read More »The Diabetic Insensitive Foot “From Callus to Amputation”
Diabetes and its complications are the leading cause of non-traumatic lower extremity amputations in the United States. Neuropathy, a common complication of diabetes, is a major contributing force leading to lower extremity amputation. Neuropathy leads to an anesthetic foot with increased pressure on the sole of the foot. This increased …
Read More »Current Drug Practices Lipid Lowering Agents – Not all that benign
Similar issues arise with the approach toward dyslipidemia. Niacin is effective in reducing TGs and raising HDL but it can increase insulin resistance and deteriorate glycemic control 254, 255 . Nicotinic acid, cholestyramine, fenofibrate and possibly clofibrate increase the concentrations of homocysteine, an independent risk factor for CHD 256, 257 …
Read More »Absolute Nonsense The Quest for Absolute Guidelines in Medicine
Some people just can’t catch a break. For years now, physicians have been telling patients that normal blood pressure is anything below 140/90, and if you fell below this number you were A-OK in the blood pressure department. Well, some of these folks probably got a rude surprise if they …
Read More »High Blood Sugar Linked To Aging And Disease
Advanced glycation end products And Antioxidants Is it possible that by eating too many metabolically active dense carbohydrates, you are much more likely to accelerate aging and disease?
Read More »“An Ace in the Hole” From HOPE to DREAM with Less Diabetes at the End of the Ra
ACE inhibitors, are used to reduce blood pressure in patients with hypertension. ACE inhibitors are also known to reduce the likelihood of developing diabetic kidney disease, and it is for this reason that many physicians (myself included) use ACE inhibitors liberally in people with both diabetes and high blood pressure. …
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