Management Of Hyperglycemia In Type 2 Diabetes 2017

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New Ada-easd Position Statement On Managing Hyperglycemia In Type 2 Diabetes Favors Individualized Approach

New ADA-EASD Position Statement on Managing Hyperglycemia in Type 2 Diabetes favors Individualized Approach Patient-centered care is the guiding principle of the management of hyperglycemia in patients with type 2 diabetes, according to a joint position statement released by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD). Compared with 2008 ADA-EASD treatment algorithm, the new position statement is not as prescriptive and calibrates treatment targets to patient needs while individualizing the treatment options. It also acknowledges the role of lifestyle changes prior to initiating metformin therapy. The features of the new statement were reviewed by Silvio E. Inzucchi, MD, a co-author of the position statement, at the 72nd scientific sessions of the American Diabetes Association. The statement is published in Diabetes Care (2012;35:1364-1379) and Diabetologia (2012;55:1577-1596). The position statement covers the array of antihyperglycemic agents available, the risks and benefits of tight glycemic control in various patient populations, drug safety, and patient-centered care. A patient-centered approach is one that provides c Continue reading >>

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Popular Questions

  1. Sarge Jones

    Does Keto increase or decrease insulin resistance?

    I've heard both. Dr. John Berardi says that people coming off a Ketogenic diet show symptoms similar to type 2 diabetes patients. I've also read another study (forgot by who) in which Ketogenic diets actually increased cell sensitivity to insulin.
    Also, does anyone here know of the negative side effects of keto, like low Testosterone, erectile dysfunction? I know some of you here do keto year-round as a lifestyle, not as some cutting or bulking diet, so I'd be curious. I've been reading many negative things lately about Keto and was wondering if I should continue or transition slowly back into eating carbs (slowly)?
    If anyone has studies, I'd appreciate them.

  2. startrek

    Really good questions! I hope someone has studies.

  3. johnnyironboard

    beef,eggs,chicken,celery,and romaine lettuce will give you ed and lower test. who knew a donut would increase test and give you an erection. no wonder cops eat them all day long.

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FULL VERSION: https://goo.gl/APNPrA?10411

Pharmacological Management Of Type 2 Diabetes: What's New In 2017?

Expert Rev Clin Pharmacol. 2017 Dec;10(12):1383-1394. doi: 10.1080/17512433.2017.1376652. Epub 2017 Sep 11. Pharmacological management of type 2 diabetes: what's new in 2017? a Division of Diabetes, Nutrition and Metabolic Disorders, Department of Medicine , CHU Lige , Lige , Belgium. b Division of Clinical Pharmacology, Center for Interdisciplinary Research on Medicines (CIRM) , University of Lige , Lige , Belgium. Novelties in the management of type 2 diabetes are dominated by the commercialisation of new glucose-lowering agents, which offer alternatives to older antidiabetic medications, and by the publication of several prospective placebo-controlled outcome trials, which demonstrated not only cardiovascular safety but also cardiovascular and renal protection with some new medications. Areas covered: Updates regarding the use of glucose-lowering agents are discussed from a clinical point of view. Some new viewpoints concern older antidiabetic agents such as metformin, sulfonylureas and glitazones whose benefit-risk balance has been revisited, especially in high risk patients. The recent data regarding DPP-4 inhibitors (gliptins) focused on the safety profile of this pharmacolo Continue reading >>

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Popular Questions

  1. connie7

    I used to use the ketostix every morning -- was in moderate zone most days. After a while I stopped checking. That was about 2 months ago. Last week, I took my daughter to college orientation session, and had some chicken nuggets at Chik-Fil-A (my only cheat in about 6 months), so when I got home I decided to check. The result was negative ketones, so I tried to go back to induction levels for a few days. It's been a week, and they still register negative every morning. Could the sticks have "gone bad"? The scale is not changing too much -- the normal fluctuations, but nothing dramatic. Should I go out and get some more ketostix, or just stick with it and not worry so much?

  2. hayes

    The sticks have a 6month shelf life after opening. The least little moisture inside the bottle can effect the reading also as can other conditions.
    If your very curious, get a new bottle.
    Remember that some people never make the sticks change color.

  3. omgtwins

    Because Ketosis stix don't really do much when it comes to encouragment - I don't use them. There are way too many variables - you could be in ketosis and it may not show, you are'nt in ketosis but loosing weight...IMNSHO I stick to the scale once a week and the measurements every month - the clothes in the back of the closet that are slowly moving up are also better indicators. You know what you're eating - good or bad, so save some money and get rid of those sticks!

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Date : 9 March 2013 Speaker : Dr.Roy Panusunan Sibarani, SpPD-KEMD Venue : GP Update - Hotel Grand Aston City Hall, Medan

Management Of Hyperglycemia In Type 2 Diabetes: A Consensus Algorithm For The Initiation And Adjustment Of Therapy

Injections, three times/day dosing, frequent GI side effects, expensive, little experience *Severe hypoglycemia is relatively infrequent with sulfonylurea therapy. The longer-acting agents (e.g. chlorpropamide, glyburide [glibenclamide], and sustained-release glipizide) are more likely to cause hypoglycemia than glipizide, glimepiride, and gliclazide. Repaglinide is more effective at lowering A1C than nateglinide. GI, gastrointestinal. 1)Begin with low-dose metformin (500 mg) taken once or twice per day with meals (breakfast and/or dinner). 2)After 57 days, if GI side effects have not occurred, advance dose to 850 or 1,000 mg before breakfast and dinner. 3)If GI side effects appear as doses advanced, can decrease to previous lower dose and try to advance dose at a later time. 4)The maximum effective dose is usually 850 mg twice per day, with modestly greater effectiveness with doses up to 3 g per day. GI side effects may limit the dose that can be used. 5)Based on cost considerations, generic metformin is the first choice of therapy. A longer-acting formulation is available in some countries and can be given once per day. Injections, three times/day dosing, frequent GI side effect Continue reading >>

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Popular Questions

  1. goedegeit

    Since I've started on Keto, I've been getting some bad stabbing pains in my right shoulder blade. I'm worried that it could be gall stones or something.
    I've been on keto for just over a month now and lost over half a stone, and I'm happy with what I'm eating, but if this is giving me gallstones I'm off it faster than a dog on a forbidden chair when their owner comes in.

  2. sassytaters

    IANAD, but from what I've read around here, switching from a low-fat diet to a high-fat can get the gallbladder squeezing and contracting and doing its job better, which can dislodge any stones that are already in there (likely caused by the high-carb diet, where it didn't have to do as much). When I first tried Atkins in 2012, I had awful gallbladder attacks after eating fatty stuff like pulled pork. Unfortunately I used it as one of many excuses to fall off the wagon, and it took me 2 years to find my way back to low-carb eating. I've had 0 gallbladder trouble this time (I have been keto for two years), but I have no idea what the difference would be or if maybe all the stones I had just worked themselves loose or what.
    Here's a link that might help:

  3. Kye7

    Thanks for the link and great post.
    I dramatically changed my diet yesterday, starting keto.
    I today (1 day later) have a deep pain in my right shoulder, and I think this is the cause. I am extremely healthy, work out 5 days a week, but never had a pain like this. It only hurts at about a 3/10, but enough to be uncomfortable.
    What can I do to make it stop? I obviously made the transition much too quickly. Have I done permanent damage to my body? Thanks in advance for your reply.

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