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Diabetes Solution Richard K. Bernstein, MD, FACE, FACN, FACCWS Part 6 Chapter 22 Gastroparesis   Erythromycin ethylsuccinate is an antibiotic that has been used to treat infections for many years. It has a chemical composition that resembles the hormone motolin, which stimulates muscular activity in the stomach. Apparently, when stimulation …

Diabetes Solution Richard K. Bernstein, MD, FACE, FACN, FACCWS Part 7 Chapter 22 Gastroparesis Exercises That Facilitate Stomach-Emptying The paretic stomach may be described as a flaccid bag, deprived of the rhythmic muscular squeezing present in a stomach that has a properly functioning vagus nerve. Any activity that rhythmically compresses …

Diabetes Solution Richard K. Bernstein, MD, FACE, FACN, FACCWS Part 8 Chapter 22 Gastroparesis Other tools in controlling Gastroparesis – Part 8 Semiliquid or Liquid Meals A last resort for gastroparesis is the use of semiliquid or liquid meals. I say “last resort”because such a restriction takes much of the …

Diabetes Solution Richard K. Bernstein, MD, FACE, FACN, FACCWS Part 10 Chapter 22 Gastroparesis Modifications of Preprandial or ISA Regimens to Accommodate Gastroparesis It takes a while for your physician to select and fine-tune a program to improve stomach-emptying. In the meantime, it’s possible to reduce the frequency and severity …

Risk warning, precaution added to labels of all drugs in this class…   FDA warned recently that DPP-4 inhibitors could cause severe and disabling joint pain. The agency has added a new warning and precaution about this risk to the labels of all drugs in this class. If patients experience …

Study cites vascular, nonvascular causes…. The purpose of this study was to assess the odds of all-cause mortality in individuals with diabetic foot ulceration (DFU) compared with those with diabetes and no history of DFU. In addition, we sought to determine the strength of association of DFU with cardiovascular and …

New evidence suggests surgery has glucose benefits beyond weight reduction effects… A decrease in blood sugar values after gastric bypass surgery is associated with weight reduction. In addition to that, evidence suggests that gastric bypass surgery has affected glucose metabolism as well. The Morbid Obesity treatment, Bariatric surgery versus Intensive …

Researchers seek explanation for sustained weight loss after procedure… The mechanism that causes long-term weight loss with gastric bypass surgery is currently unclear. Reduced caloric intake does not provide the entire explanation for why gastric bypass patients maintain long-term weight loss. Previous studies suggests that enhanced energy expenditure might play …

Proper diabetes education at a young age can reduce amount of common errors… The primary clinical objective to be achieved with insulin therapy initiation is the elimination of ketosis and hyperglycemic events with prevention of chronic problems. Insulin therapy is the primary management of type 1 diabetes, which should be …

Two weeks ago, a patient came in to the pharmacy complaining that his feet were burning and sore, and he was developing blisters on the top of his left foot. The patient had diabetes for about 13 years and had recently been running an A1c of 7.9. He was also …