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A study published in Diabetologia in October 2016 discussed whether exercise training is more important than other lifestyle changes in preventing type 2 diabetes (and possibly reversing prediabetes). Honestly, I was very heartened by its findings.

New study finds adults with diabetes who have either high or low vitamin D levels could have an increased risk of cardiovascular autonomic neuropathy (CAN).

Using data from more than 1 million participants across four continents, researchers measured the precise benefits of exercise.

Every minute of high intensity physical activity counts in the war against weight gain.

Regular physical activity is a cornerstone of diabetes management and can drop blood sugars by 12% if done after dinner.

Do you follow the ADA Guidelines and exercise at least 150 minutes a week or 75 minutes of vigorous activity per week? Follow the link to see how you and your colleagues compare!

This drug class is infrequently used in the U.S. and Europe. Studies suggest this class may modulate FXR- and TGR5-mediated pathways involved in glucose homeostasis. This drug class has the disadvantage that it may decrease the absorption of other medications. 1. DPP-4 inhibitors 2. Bile Acid sequestrants 3. Dopamine-2 Agonists 4. Alpha-glucosidase inhibitors Did you get the right answer? Follow the link to find out!

Many of our patients have intolerable GI side effects from metformin. We use ER to try to decrease these, but that doesn’t always work. If they have these symptoms, I recommend they take it slow and take it after they eat. If they still have problems, I recommend they break the tablet to 250mg, even though the label may say one shouldn’t break the tablet.

In part 1 of this Exclusive Interview meet Dr. Mechanick, current president of American College of Endocrinology, who has a focus on nutrition and lifestyle.

In this week's Homerun Slides, the conclusion of type 2 diabetes management strategies. Two case studies show the role of DPP-4 and SGLT-2/DPP-4 combo treatments.