Posts tagged as:

diabetes

What is the best insulin regimen for patients with diabetes?

November 6, 2009

Originally published in Insidermedicine
The best method for taking insulin among individuals with type 2 diabetes has been identified in research published in the latest issue of the New England Journal of Medicine.

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Is the newest, long-lasting insulin necessarily the best?

October 27, 2009

Originally published in HCPLive.com
by Anita Ramsetty, MD
We are very fortunate to have a number of newer insulins available for our patients.
For years we had animal insulins only. NPH and Regular, then we had Ultralente. The development of analog insulins marked the upswing in technology that we would sustain for a period of time. The [...]

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How to protect yourself from abdominal aortic aneurysms

September 22, 2009

by Mark Adelman, MD
While diseases like prostate cancer and heart disease have become household concerns, abdominal aortic aneurysms (AAA), the 10th leading cause of death in men age 55 and older, have been overshadowed by more prominent diseases for far too long. It’s time we pull back the curtain and take a closer look [...]

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How comfortable are compression stockings for post-surgical thromboprophylaxis?

September 14, 2009

by Crystal Phend, MedPage Today
“Every 10 years a doctor should be the patient,” said my doctor, squeezing me into pair of compression stockings that would make a sausage casing seem spacious by comparison.
“Seems like a good idea,” I thought, as I lay there on the table feeling optimistic about the opportunity for first-hand experience.
It [...]

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Did the Avandia scare harm patients, and is Steven Nissen to blame?

July 17, 2009

The recent RECORD trial did not associate the diabetes drug Avandia with cardiovascular events.
Internist Matthew Mintz, a staunch defender of the drug, argues that because of the scare, “over 100,000 type 2 diabetic patients [needed] insulin, which could have been avoided.”
Who’s to blame? Dr. Mintz blames cardiologist Steven Nissen, whose questionable meta-analysis started the [...]

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How to find an endocrinologist for your diabetes

July 14, 2009

A lot of time and effort needs to be spent finding the right patient-physician match. And no where is that more relevant than a diabetic looking for an endocrinologist.
Diabetes blogger Amy Tenderich gives some great tips, most of which I hadn’t thought of.
Of course, it goes without saying that if the match isn’t right, [...]

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5 diabetes posts you may have missed

July 11, 2009

With entries dating back to 2004, here are 5 classic blog posts on diabetes:
1. Does Avandia cause heart attacks, and why the RECORD study is important
2. Will diabetes derail Sonia Sotomayor’s chance to become a Supreme Court justice?
3. Prescribing insulin for diabetes, do endocrinologists have a financial incentive to do so?
4. Are Actos and Avandia [...]

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America’s failed attempt at a single-payer system, the Indian Health Service

July 1, 2009

Contrary to what you may have been led to believe, the United States has already tried its hand at a pseudo-single-payer system. The VA is one example. Another, albeit less highly publicized, is the Indian Health Service. (via WhiteCoat)
Based on an agreement in 1787, the government is responsible to provide free health care [...]

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Does insulin cause cancer, and should you stop taking Lantus?

June 29, 2009

The potential link between a specific form of long-acting insulin, known as insulin glargine and branded as Lantus, and cancer, could be gaining momentum.
First off, let me say that both human and porcine insulin are safe, and have no association with cancer. The report specifically relates only to a synthetic, long acting form of [...]

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My reaction to President Obama’s speech to the AMA

June 15, 2009

I was seeing patients during the actual speech, so I had to rely on the transcript.
The points that interested me the most were any language pertaining to malpractice, addressing the AMA’s recent concerns about the public plan option, and reforming the physician payment system.
I think he did pretty well.
Regarding the physician payment system, he again [...]

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Ten top medical blog posts, May 2009

June 11, 2009

Here are the top posts from the past month, based on the number of times they were viewed.
1. Can you really kill a man by gluing his anus shut?
2. What is the most accurate medical show on television?
3. Will diabetes derail Sonia Sotomayor’s chance to become a Supreme Court justice?
4. Is Cheerios really a drug, [...]

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Does Avandia cause heart attacks, and why the RECORD study is important

June 4, 2009

The diabetes drug Avandia’s fate hangs in the balance tomorrow.
It’s a much maligned medication, with famed cardiologist Steven Nissen gaining publicity for its possible association with heart attacks.
Tomorrow, during the American Diabetes Association annual meeting, the final results of the RECORD study is due to be released. This is a study that was designed [...]

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Will diabetes derail Sonia Sotomayor’s chance to become a Supreme Court justice?

May 26, 2009

Sonia Sotomayor has been named as a potential favorite to fill the upcoming Supreme Court opening.
But she has type I diabetes, and diabetes blogger Amy Tenderich discusses whether this will work against her.
As she puts it, this can be a ground-breaking decision, “where survivorship with chronic illness meets the glass ceiling.” There are arguments [...]

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6 top medical comments, May 3rd, 2009

May 3, 2009

Here are some of the more interesting comments readers have left recently.
1. Carla Kakutani on the lack of primary care access in Massachusetts:So we have a chicken and egg problem. Do we wait health care reform until we have revived US primary care, or is that even possible without health care reform to create the [...]

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Prescription medication pay for performance, and the rationale behind it

April 29, 2009

Are drug companies putting money where their mouths are?
In a new trend, the pharmaceutical industry is offering what the NY Times calls, “money-back guarantees,” essentially paying for treatments if their drug fails.
For instance, the makers of the osteoporosis drug Actonel will pay “$30,000 for a hip fracture . . and $6,000 for a wrist [...]

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6 top medical comments, April 19th 2009

April 19, 2009

Here are some of the more interesting comments readers have left recently.
1. Manalive on quality measures:It is almost always a leap of faith to apply evidence-based guidelines to the frail elderly, to patients with many medical problems, to alcoholics, to the poorly insured — in short, to a large percentage of my practice. Accordingly, I [...]

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