Diabetes

Treating HCV May Improve Glycemic Control in Diabetics

Treating hepatitis C virus (HCV) infection with direct-acting antiviral (DAA) agents is associated with improved glycemic control in patients with type 2 diabetes, researchers suggest.

Sitting Is the New Smoking: Urge Patients to Stand, Walk, Turn Off TV

  • Prediabetes increasingly detected in middle-aged Americans with normal BMI.
  • All patients should be tested for diabetes and prediabetes.
  • Researchers attribute rise in pre-diabetes to sedentary lifestyle.
  • Studies have shown sitting and a sedentary lifestyle to be a significant health risk.
  • Sitting for more than 3 hours per day cuts life expectancy by at least 3 years.
  • Extended TV watching also tied to decreased lifespan.

Metabolic Disease: Candidates for Surgery Versus Drug Therapy

Philip R. Schauer, MD, is a leading authority on the use of bariatric surgery to control obesity and type 2 diabetes. View our video of him discussing the differential diagnosis for patients who need bariatric surgery versus those who would benefit from pharmacologic therapy.

The Advantages of Surgery Over Medical Therapy for Metabolic Disease

Philip R. Schauer, MD, is a leading authority on the use of bariatric surgery to control obesity and type 2 diabetes. He has published 3 landmark papers on the subject in the New England Journal of Medicine.

Antihypertensive Tx Treatment Places T2DM Patients at Risk if SBP is <140mmHg

If baseline systolic blood pressure was <140mmHg, antihypertensive treatment increased the risk of cardiovascular mortality. Similarly, treatment of borderline hypertension was associated with a tendency towards increased risk of all-cause mortality.

Antihypertensive Tx Treatment Places T2DM Patients at Risk if SBP is <140mmHg

  • If baseline systolic blood pressure was <140mmHg, antihypertensive treatment increased the risk of cardiovascular mortality.
  • Similarly, treatment of borderline hypertension was associated with a tendency towards increased risk of all-cause mortality.
  • Treatment of hypertension >150 mm Hg in patients with T2DM was linked to decreased risk of all-cause mortality, cardiovascular mortality, myocardial infarction, stroke, and end stage renal disease.

Bariatric Surgery as an Adjunctive Therapy

Philip R. Schauer, MD, is a leading authority on the use of bariatric surgery to control obesity and type 2 diabetes. He has recently published 3 landmark papers on the subject in the New England Journal of Medicine.

Resistance Training Effective for Glycemic Control in Early T2DM

  • Systematic review and meta-analysis included 23 studies and 954 patients.
  • Resistance training has been found to be effective for glycemic control in patients with type 2 diabetes (T2DM) in the early stages of the disease.
  • Resistance training should be recommended in the early stage of T2DM, especially for patients with relatively poor glycemic control.
  • A substantial amount of exercise might be required to stimulate post-exercise glucose uptake.


Diabetes Day Incorporates Care Into Single Visit, Makes Patients and Docs Happier

  • Clinic shuts down once a month, except for care of diabetes patients.
  • Patients who come to Diabetes Day have been able to decrease their HbA1C significantly when compared to those patients who did not attend.
  • Diabetes Day requires no new building, no new specialists to diabetes patients, no significant technology infrastructure was needed to support the program.
  • Simple redesign of current care processes for diabetic patients using readily available resources enabled clinicians to initiate this program.

Five Ways to Help Your Male Patient Improve His Health Today—No ‘Script Required

  • Five things you can tell a male patient to help him improve his health today.
  • Nearly anything other than sitting can be considered exercise.
  • Recommend that your patients set a time to turn off devices and tune into their physical surroundings.
  • Maintaining a strong social life can have significantly positive influence on survival.

JAMA Study Shows that Bariatric Surgery Saves Lives

  • Obese patients who undergo bariatric surgery are 40% less likely to die at five and 10 years postop.
  • Bariatric surgery significantly extends the lives of obese patients, even among older men with multiple comorbidities.
  • Of the 10,000 patients studied, 74% were male and the average body mass index (BMI) among surgical patients was 47 compared to an average of 46 in nonsurgical patients.