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Managing Type 2 Diabetes: A Team-BasedApproach

Managing Type 2 Diabetes: A Team-BasedApproach

Managing Type 2 Diabetes: A Team-BasedApproach


Managing Type 2 Diabetes: A Team-Based Approach Top
Help patients with type 2 diabetes achieve their glycemic goals.
Managing Type 2 Diabetes: A Team-BasedApproach
Marie T. Brown, MD, FACP Rush University, American Medical Association
Katherine A. Kirley, MD, MS American Medical Association
Christine Sinsky, MD, FACP American Medical Association
How will this module help me improve glycemic control and prevent complications in my patients with type 2 diabetes?
Outlines six steps for developing an efficient team-based approach to managing diabetes
Provides answers to common questions about diabetes management for patients with type 2 diabetes
Provides examples from other practices on how they are helping patients achieve their glycemic goals
Increasing administrative responsibilitiesdue to regulatory pressures and evolving payment and care delivery modelsreduce the amount of time physicians spend delivering direct patient care. Diabetes is a complex illness that requires a lot of effort to manage, by both patients and their care teams. This module explains a team-based approach to helping improve glycemic control and prevent complications in patients with type 2 diabetes. Included in this module are ways to evaluate the impact of poor glycemic control on your practice, recommended interventions to pilot with your team, guidance on how to optimize medications, and methods on how best to engage patients in their treatmentplan.
Managing Type 2 Diabetes a team based approach
At the end of this activity, participants will be able to:
At the end of this activity, l Continue reading

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Pain Point for People with IBS and Diabetes

Pain Point for People with IBS and Diabetes


10-20 percent of people in the U.S. have IBS and about 10 percent have diabetes. So its a good bet that some of you have both! And even those without a diagnosis of diabetes or pre-diabetes may be concerned about managing blood sugar levels to help with mood or fatigue. Diets for these conditions both revolve around the types and amounts of carbohydrates you consume. The pain point? Some of the best strategies for managing diabetes increase symptoms for people with IBS. Sometimes people who work very hard at improving their diets for diabetes run into big trouble with abdominal and bowel symptoms when they do so. But all is not lost. You can learn to manage both conditions, thanks to other strategies for the two that mesh very nicely.
Meat, fish, seafood, poultry, eggs, and oils dont contain any carbs at all, so they arent really part of this discussion. All other foods do contain carbs. Some of them occur naturally in foods, such as lactose in milk, or starch in potatoes. Fibers in foods such as nuts, whole grains and vegetables are technically considered carbs too. Sweeteners that may be added to prepared foods are sources of carbs. Some of these carbs are FODMAPS. Others are not.
Here are some important pointers for people with diabetes or pre-diabetes, and things to consider for those who are also limiting their FODMAP intake.
There are many good low-FODMAP sources of fiber that people with diabetes can eat. Delicious lower-FODMAP hummus starts with canned, drained chick peas, which are lower in FODMAPs than those used to make commercial hummus. Scroll down to try Continue reading

Headlines from the 2017 ADA Scientific Sessions

Headlines from the 2017 ADA Scientific Sessions


Headlines from the 2017 ADA Scientific Sessions
The American Diabetes Association (ADA) recently wrapped up the 78th Scientific Sessions its annual conference for presenting new research in the diabetes field in San Diego. Here is a sampling of studies presented at the meeting:
The popular oral diabetes drug metformin may provide some protection against atherosclerosis (hardening of the arteries) in people with Type 1 diabetes but does not appear to benefit blood sugar control, according to results from the Reducing with Metformin Vascular Adverse Lesions (REMOVAL) trial. A total of 428 people age 40 and over with Type 1 diabetes and at increased cardiovascular risk were randomly assigned to receive either 1,000 milligrams of metformin twice daily or placebo (inactive treatment) for the course of the three-year trial.
The medicine did not significantly reduce carotid artery intima-media thickness, a marker of atherosclerosis, and although it did significantly reduce HbA1c (a measure of glucose control over the previous 23 months), this was only for the first three months of the study. However, metformin did decrease body weight and LDL (bad) cholesterol, indicating that it may have benefits for people with Type 1 diabetes.
The trial changes the way we think about metformin. The guidelines suggest you can add it in obese Type 1 diabetes patients to reduce glucose, but we didnt see much evidence of glucose reduction beyond three months, noted lead investigator John R. Petrie, MD, PhD. Obviously, dont use it for glucose lowering. But consider using it for reducing weig Continue reading

Yummy Healing Soups That Fight Diabetes, Arthritis And Stomach Troubles

Yummy Healing Soups That Fight Diabetes, Arthritis And Stomach Troubles


Yummy Healing Soups That Fight Diabetes, Arthritis And Stomach Troubles
Few foods are more comforting than a piping hot bowl of delicious soup.
What you may not realize: Certain homemade soups are packed with healing nutrients that help fight chronic health problems, including diabetes, arthritis and stomach troubles.
Whats so special about soup? With most cooking methods, such as steaming or boiling, the liquid is discardedalong with vitamins and minerals that may have leached out of the food. Not so with soup, which uses all the liquid so that most of the nutrients are preserved, even when heated.
Bonus: Because soups are so filling and satisfying, they have also been shown to help reduce ones overall calorie intake when added to a meal!
My three favorite healing soups and their souper star nutrients (each recipe below makes about four servings)
FOR DIABETES PREVENTIONCURRIED LENTIL QUINOA SOUP
Souper star nutrient: Fiber. Diets rich in whole grains, pulses (which include beans, lentils, peas) and vegetables help protect against diabetes. The all-important common denominator in these foods is fiber, which takes longer to metabolize than processed carbs. For this reason, fiber is linked to improved blood sugar controlin people with diabetes and those without the disease.
Theres also good news from a 2016 study that found a link between regular consumption of pulses and a healthy body weighta crucial factor in controlling diabetes.
To get an adequate amount of fiber, the American Diabetes Association recommends that women consume at least 25 g dailymen need a min Continue reading

Early-onset and classical forms of type 2 diabetes show impaired expression of genes involved in muscle branched-chain amino acids metabolism

Early-onset and classical forms of type 2 diabetes show impaired expression of genes involved in muscle branched-chain amino acids metabolism


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Early-onset and classical forms of type 2 diabetes show impaired expression of genes involved in muscle branched-chain amino acids metabolism
Scientific Reportsvolume7, Articlenumber:13850 (2017)
The molecular mechanisms responsible for the pathophysiological traits of type 2 diabetes are incompletely understood. Here we have performed transcriptomic analysis in skeletal muscle, and plasma metabolomics from subjects with classical and early-onset forms of type 2 diabetes (T2D). Focused studies were also performed in tissues from ob/ob and db/db mice. We document that T2D, both early and late onset, are characterized by reduced muscle expression of genes involved in branched-chain amino acids (BCAA) metabolism. Weighted Co-expression Networks Analysis provided support to idea that the BCAA genes are relevant in the pathophysiology of type 2 diabetes, and that mitochondrial BCAA management is impaired in skeletal muscle from T2D patients. In diabetic mice model we detected alterations in skeletal muscle proteins involved in BCAA metabolism but not in obese mice. Metabolomic analysis revealed increased levels of branched-chain keto acids (BCKA), and BCAA in plasma of T2D patients, which may result from the disruption of muscle BCAA management. Our data support the view that inhibition of genes involved in BCAA handling in skeletal muscle takes place as part of the pathophysiology of type 2 diabetes, and this occurs both in early-onset and in classical type 2 diabetes.
Type 2 diabetes mellit Continue reading

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