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International Textbook of Diabetes Mellitus, 4th Ed., Excerpt #44: Neuropeptides and Islet Hormone Secretion Part 3 of 5

Islet sympathetic nerves: Islets are densely innervated by sympathetic nerves, as demonstrated by fluorescence microscopy, electron microscopy, and immunocytochemistry. The islet sympathetic nerves are postganglionic nerve fibers with most nerve cell bodies located in the celiac ganglion and some in the paravertebral sympathetic ganglia. Electrical activation of the sympathetic nerves inhibits insulin secretion and stimulates glucagon secretion.

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When a Bike Is Not a Bike…But Rather a Health Device

Dr. Sheri Colberg on Avoid Weight Gain from Insulin Use and Treating Lows

Why are people inactive, especially when they have diabetes and know how much physical activity could benefit them? If they’re older, overweight or obese, arthritic, or dealing with other physical or joint limitations, they may not feel capable of walking for exercise, and they may not have easy access to other types of activities. This may be particularly true of adults with nerve damage in their feet or arthritic knees for whom walking for exercise is just not feasible. Enter the Corratec Life Bike, particularly designed with adults with diabetes in mind.

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Insulin/GLP-1 Combo

Will you use the combination of insulin and a GLP-1 (when it becomes available) sooner than you would recommend insulin alone for people with type 2 diabetes? Follow the link to share your opinion!

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Question #853

Test Your Knowledge

The development of type 2 diabetes is multifactorial. All of the following are thought to play a role in the development EXCEPT: 1. Genetics 2. Environmental factors 3. Elevated circulating free fatty acid levels 4. Pancreatic α-cell defects 5. Increased skeletal GLUT4 glucose transporters translocation capacity Did you get it right? Follow the link to find out!

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A Lot to Learn from Your Patients

I am a diabetes educator and certified foot care nurse. Through the years, I’ve learned that most topics we teach people who have diabetes are really topics every person should know about. I teach patients how to care for their feet, how to prevent foot problems, and how to treat them if they should have problems.

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