Resources

The discovery of insulin by Banting and Best in the early 1920s marked the beginning of a new era of diabetes research that focused on the study of insulin and the biology of the hormone-producing cells of the pancreas. In the ensuing decades, although much was learned regarding the synthesis, structure, and action of insulin, the developmental origins of insulin-producing β cells remained ambiguous.

In part 2 of this exclusive video, DIC publisher Steve Freed once again visits with Dr. George Bakris to discuss causes of microalbuminuria (small amounts of albumin in the urine) and blood pressure recommendations for patients with microalbuminuria.

How much effect does healthcare team cohesiveness have on EHR-associated treatment in diabetics?

Study finds high sodium intake common in both adults and children.

Is there a difference when children consume carbs as part of a meal?

Statins are a mainstay in diabetes therapy, but connections have been made between memory impairment and their use.

Can high uric acid levels be an indicator of changes in kidney function?

It’s generally thought that most U.S. healthcare is funded by private insurance; however, the majority of costs may actually be funded by the government.

If you could have any A1c result regardless of your health, even if you don’t have diabetes, what A1c number would you like to have? Follow the link to respond and see what others think.

Mr. Carlson is a 52-year-old Caucasian grocery store manager you saw last week for a new patient visit. His labs from that visit were significant for elevated random plasma glucose 166 mg/dL, A1C 7.4% and elevated lipids (TG=175 mg/dL, LDL 148 mg/dL, HDL 38 mg/dL, total cholesterol 221 mg/dL). He has returned to your clinic for a follow-up appointment. His physical exam is notable for central abdominal obesity (waist circumference 42”), left eyelid xanthelasma, BP 147/91, HR 72, RR 18, BMI 36 kg/m2, but otherwise normal. A repeat A1C test shows A1C 7.6%. Mr. Carlson smokes between 1 and 1.5 packs of cigarettes daily. After discussing the labs and your findings with Mr. Carlson, you begin collaborating on a management plan. You write prescriptions for metformin, a statin and ACE inhibitor. Mr. Carlson doesn’t think “taking medication will be too tough,” but expresses skepticism about your recommendations for a change in his diet, exercise and smoking programs because he has tried them, without success, in the past. What is considered the starting BMI for consideration of bariatric surgery? Select one answer: A. BMI greater than 28 kg/m2 B. BMI greater than 30 kg/m2 C. BMI greater than 35 kg/m2 D. BMI greater than 37 kg/m2 Are you right? Follow the link to find out!