Plus: reevaluating background therapies; more
Letter from the Editor On Sunday I was cycling near Clearwater about 20 miles from my house, and my wife was riding in St Pete. As she was doing her 20 mile route her glucose began to fall and she had to stop to take some glucose, as her level was at 46 and according to her CGM was continuing to decrease. She ended up calling a friend to come and get her and drive her home when 45 carbs did not increase her glucose level. When I got back from my ride she described the events that morning. Her pre-meal glucose had been a little high and she ate breakfast and dosed for her meal. It appeared that this dose had a much exaggerated effect on lowering her glucose when coupled with riding. I was explaining why this happened when our intern Aleksandra Kusic, PharmD Candidate, Florida A&M University, College of Pharmacy, sent over her article for the week. It was perfect timing, as her review of a study published in Diabetes Care gave a perfect explanation and plan for avoiding this problem in the future. Check out the proper way to prepare for exercise and avoid hypoglycemia by clicking here for our Laterpay feature. ***************************** We can make a difference! ***************************** Dave Joffe Editor-in-chief |
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DISASTERS AVERTED — Near Miss Case Studies |
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| Always Reevaluate Background Therapies When Starting a New Glucose-Lowering Agent We were asked to consult on a case involving BK, a 74-year-old man with type 2 diabetes (T2D) of 12 years duration. He was a retired restaurant manager who lived with his wife of 52 years. BK had a positive history of tobacco smoking (2 packs per day for 35 years), but he quit ten years ago following his grandson's birth. He monitors his blood glucose level two to three times daily.... |
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TOP STORIES - Diabetes News and Research |
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| Your Friends in Diabetes Care Steve and Dave Diabetes In Control www.diabetesincontrol.com |
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