Plus: easy balance exercises; using computers in type 2 treatment; metformin before surgery
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May 2, 2020: Issue #1040

TOP STORIES - Diabetes News & Research

Why Covid-19 Kills Those with Diabetes

Using Computers to Determine Type 2 Treatment:
How To Overcome The Complexities of Treatment Decisions For Your Patients with Type 2 Diabetes, Part 4 (updated)


Stay on Your Feet with Some Easy Balance Exercises
by Sheri Colberg, PhD
Letter from the Editor

We have a great article from our publisher on why diabetes patients do so poorly when diagnosed with Covid-19.

While many of our older patients have been relegated to their homes, many of them miss the programs and activities at local social centers and senior care locations.

The decrease of movement and exercise can affect their muscle tone and balance very quickly. This week Dr. Sheri Colberg shares her time tested balance exercise program. You will probably want to download and send by email to all your older patients.

Stay safe and stay 6 feet apart!

*****************************

We can make a difference!

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Dave Joffe

Editor-in-chief


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Fingerstick lab tests are great for people who want to monitor their blood sugar, cholesterol, lipids and other important bio-markers at home or on the go.

Visit Doctor's Option

TOP STORIES - Diabetes News and Research

Why Covid-19 Kills Those with Diabetes
People with diabetes and Covid-19 have a greater chance of developing severe viral illness, and five times the risk of dying, vs those without diabetes.
READ MORE
How To Overcome The Complexities of Treatment Decisions For Your Patients with Type 2 Diabetes, Part 4 (updated)
Using Computers to Determine Type 2 Treatment: The first three articles in this series focused on what makes treating type 2 diabetes so difficult: the overwhelming number of medicines and combinations; finding effective treatments that work with our patients' insurance coverage and household budgets; and incorporating factors beyond glucose control, such as body weight, adherence, and side effects, into our decisions. In this installment, we discuss how those problems can be represented in ways that computers can understand.
READ MORE
Stay on Your Feet with Some Easy Balance Exercises
By Sheri Colberg, PhD
Keeping your balance is essential for staying on your feet and preventing falls as you age, even if you can't leave the house much currently. In truth, many falls happen at home, so there's no time like the present to start improving your balance with these easy balance exercises.
READ MORE

Did You Know? Metformin Before Surgery Reduces Mortality for Patients with T2D


Researchers analyzed data from electronic health records from January 2010 to January 2016 on 2,730 adults with type 2 diabetes. The results showed that preoperative metformin could reduce mortality and readmission risks for those with T2D.  According to a retrospective cohort study published in JAMA Surgery, patients prescribed metformin before a major surgery had reduced risks for mortality and readmission in the 90 days following the procedure. In the study, patients exposed to metformin demonstrated a reduction in both hospital readmission, representing surgical complications, as well as death following a major surgical intervention. The results of the study showed how metformin has potential protective effects to not just the cumulative small stressors experienced throughout a lifetime of aging, but also the major stress of surgical intervention. Exposure to metformin appears to protect our bodies against a lifetime of small stressors, both delaying the onset of diseases associated with aging, including cancer and cardiovascular disease, as well as potentially increasing our overall life expectancy. In another study, metformin was shown to reduce all-cause mortality for patients with chronic kidney disease, congestive heart failure, and chronic liver disease. George E, et al. JAMA Surg. 2020;doi:10.1001/jamasurg.2020.0417. 
Reitz K, et al. JAMA Surg. 2020;doi:10.1001/jamasurg.2020.0416. 

Annals of Internal Medicine 2016 

Diabetes in Control gratefully acknowledges the assistance of the following pharmacy doctoral candidates in the preparation of this week’s newsletters:

Karlena Pope, PharmD Candidate, South College School of Pharmacy  

Maya Rudolph, Florida A&M University, College of Pharmacy & Pharmaceutical Sciences, PharmD Candidate

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Your Friends in Diabetes Care
Steve and Dave
Diabetes In Control
810 Bear Tavern Road Suite 102
Ewing, NJ, 08628
USA
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