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Diabetes In Control News 11/18/2019 19:10
Have you ever heard the phrase “If I only had a dollar for every time….”? There is nowhere that this seems to be the comment more often than when the FDA adds a side effect and later there are enough challenges to get them to change it. My favorite one was the whole debacle with …. .
Diabetes In Control News 11/15/2019 19:10
Whenever you look at the slide from the international diabetes center that shows the progression to diabetes, there is always an arrow pointing to the decline in insulin production as resistance increases. Supposedly fixing this problem was the target of the first oral diabetes medication, chlorpropamide, which became available in 1958. Over the years we …. .
Diabetes In Control News 11/11/2019 19:10
Many times our patients survive their diabetes by finding substitutions for foods they just can’t live without. They will find breads made of cauliflower, candies made from nuts and syrups that replace sugar with non-caloric artificial sweeteners. Just a quick look at YouTube will show thousands of these tricks. However the biggest trick of all …. .
Diabetes In Control News 11/11/2019 19:09
One of my long term patients called my office because she could not figure out what was happening with her post breakfast glucose readings. She counted carbs and would typically have a 2 hour ppg of no more than 145 mg/dl but even though her pre-breakfast readings were around 110 mg/dl she was experiencing glucose levels near 200 mg/dl. I had her do a morning food diary for 7 days and we identified 3 days when she was eating French toast when her readings were going over 200 mg/dl. This meal had never been a problem in the past. .
Diabetes In Control News 11/08/2019 19:10
Medication persistence gets a lot of attention these days, as we all have seen patients discontinue or miss doses of chronic medications. Sometimes it is the pill burden, and for others it is the multiple copays for all the medications they get from the pharmacy. If you add the burden of different refills due on …. .
Diabetes In Control News 11/04/2019 19:10
Last week I was watching an episode of the show New Amsterdam and they had an ER patient who was in DKA because they couldn’t afford their insulin. The medical director made a big deal and said they would make their own. The first thing that came to my mind was a $25 bottle of …. .

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