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ADA Recommendations

Which of the following ADA statements about recommended treatment algorithms for type 2 diabetes is true?

A. The ADA algorithm includes a specific hierarchy of recommended therapies while the AACE algorithm does not.
B. The ADA’s algorithm specifies agents to be considered for cardiovascular risk reduction.
C. Both AACE and the ADA stratify the choice of initial therapy according to baseline HbA1C less than 7.5% or greater than/equal to 7.5%.
D. The risk-benefit profiles of antihyperglycemic classes are not reflected in the AACE or ADA algorithm.

Follow the link for the answer.

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Glucagon Prescription

Have you provided all your new patients who take insulin with a prescription for Glucagon or similar product? Follow the link to see how you and your colleagues compare.

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Talk About Leftovers!

As we know, the holidays are very tough for many of our patients who have diabetes and/or obesity. They may have made some changes -- big changes -- in their eating habits, only to get in trouble over the long holiday season, then have a very difficult time getting back on track. The long holiday season can be a disaster to their health. I have found that for most, having leftovers at home wreaks havoc.

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International Textbook of Diabetes Mellitus, 4th Ed., Excerpt #156: Monogenic Disorders of the Beta Cell Part 6

Renal cysts and diabetes (RCAD) syndrome: HNF1B-MODY
Molecular genetics of RCAD
HNF1B is a transcription factor with a role in regulating gene expression in a number of tissues. HNF1B forms homo and heterodimers with HNF1A, is present in similar tissues although at different levels, and binds to the same DNA consensus sequence. Despite these similarities HNF1B mutations cause diabetes by a different mechanism and have a distinct phenotype. There is autosomal dominant inheritance, although up to 50% of cases arise from de novo mutations or deletions.

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