Endocrinology Opinion Archive

AAPA: Stemming the rise in obesity through effective care delivery

Obesity is a chronic, progressive disease, and continued communication on prevention and treatment is paramount to reversing the status quo.

Lifestyle modifications vs pharmacologic treatment for patients with diabetes

Applying necessary lifestyle changes as well as incorporating pharmaceutical drugs will improve diabetes in patients compared to drugs alone.

Treating patients with diabetic peripheral neuropathy

Alpha-lipoic acid, 600mg daily, is an effective treatment option for patients with diabetic peripheral neuropathy.

A differing opinion on the ACP's new diabetes treatment guidelines

Pharmacotherapy and combination therapy may be a better alternative to the ACP's diabetes treatment guidelines.

A case of acute severe emphysematous pancreatitis

A diabetic patient rushed to the hospital for vomiting and abdomen pain, resulting in a diagnosis of acute severe emphysematous pancreatitis.

Shortened sleep increases risk of diabetes

Lack of sleep may be one reason for the increase in diabetes in the United States.

Increased mortality rates in patients with nocturia

Patients who experience nocturia, or frequent urination during the night, may have increased mortality rates.

Insufficient sleep is a risk factor for weight gain

When patients don't get enough sleep, lipid levels in their blood may make it more difficult for them resist overeating.

Basal insulin for surgical diabetic patients

Basal insulin, with or without nutritional correction, is the best approach to manage blood glucose in noncritically ill surgical patients.

Weight loss is important in improving daytime sleepiness

If a patient is experiencing fatigue, consider exercise and weight loss to help decrease their symptoms.

More sleep can help your waistline

Encouraging patients to get more sleep each night may help them lose weight.

Should we amend our bias against overweight patients?

Clinicians should re-examine their bias against obese and overweight patients.

Grains' role in heart health

As fads come and go, researchers have consistently observed the critical role whole grains play in the prevention of heart disease.

Maternal weight gain complicates vaginal delivery

Suspected macrosomia is not generally enough of reason to induce labor or schedule a cesarean prior to 39 weeks.

Small steps provide big benefits for weight loss

Smaller and more gradual changes in diet and physical activity can help patients lose weight and improve health.

Neck-to-waist ratio can help predict pediatric obstructive sleep apnea

Research from Canada demonstrated that a neck-to-waist ratio of >0.41 has sufficient sensitivity and specificity to be considered a predictor of obstructive sleep apnea.

Think whole grains for better weight control

The Grain Foods Foundation's Glenn Gaesser, PhD, discusses how whole grains benefit patients.

Helping patients keep their New Year's resolutions

Setting realistic goals and establishing a time frame are just two tips for helping patients' health resolutions.

Tips to help patients manage their health during the holidays

These tips can help patients manage conditions such as hypertension and diabetes during the holidays.

Consider the Mediterranean diet for overall health

The Grain Foods Foundation's Dr. Suzanne Steinbaum discusses the benefits of the Mediterranean diet.

Debunking diabetes nutrition, carbohydrate myths

The Grain Foods Foundation explores popular carbohydrate-related myths and assumptions patients with diabetes have likely encountered.

Strategies for helping obese patients

A recent study suggests class III obesity shortens life span by 6.5 to 13.7 years.

Obesity: A preventable risk factor for cancer?

Obesity is a well known risk factor for diabetes and cardiovascular diseases but also for many types of cancer.

We can impact the obesity epidemic

Providing weight-loss guidance on an ongoing basis to your patients can make a difference in the nation's war on obesity.

Poor sleep promotes weight gain

Individuals who get less sleep tend to eat more often and consume less healthful food.

Access to quality food lacking in Hispanic neighborhoods

Food deserts in low-income areas contribute to high obesity rates.

Advocate for public policies against childhood obesity

Bryan weighs in at 210 lbs, and he's 10 years old. He wants to be a policeman, but gets tired going up stairs. What can we do for him?

Adressing obesity head-on

Weight is one of the toughest topics to discuss with patients, but we can no longer avoid it as the obesity epidemic grows.

Should deconditioning be a stand-alone diagnosis?

Deconditioning -- a complication of POTS -- is also a common cause of morbidity and mortality in preventable diseases such as obesity.

Treating diabetes remains difficult despite progress

Diabetes treatments have come a long way, but continual efforts are needed to make the disease easier to manage and more affordable.

Determining when a grandmother's love is unhealthy

An obese 12-year-old experiences rapid weight gain over the summer. Is granny to blame?

Trusting expert guidelines for pediatric lipid screening

Promoting behavioral changes during childhood is an effective prevention tool that is much cheaper than treating adults experiencing adverse health outcomes from preventable conditions.

Is obese the new normal?

Self-regulation of hunger and understanding satiety is the most important thing parents and caretakers can teach their children.

What is the best way to discuss pediatric obesity?

Many health-care providers are unsure of the best way to talk about weight with their patients. A survey suggests that some terminology may be better than others for inspiring positive behavior changes.

Preventing chronic low back pain

Identifying and modifying risk factors through engaging in preventative health activities is the key to achieving good health from head to toe, and is the backbone of primary care.

When managing diabetes, consider lifestyle changes before surgery

Bariatric surgery for diabetes management offers a quick fix, but does not address the underlying behaviors that cause the disease in the first place.

Recognizing obstructive sleep apnea

Women and children with obstructive sleep apnea are often misdiagnosed because they present differently than men.

Explaining kidney function to prevent CKD

Patients often have trouble understanding health outcomes they cannot see. It is our job as health-care providers to help patients understand their bodies in efforts to improve treatment compliance for chronic conditions.

Improving foot exam compliance among patients with diabetes

A simple strategy helps more patients with diabetes receive annual clinical foot exams, but can it be translated to other aspects of diabetes management?

Encouraging adolescent health with group visits

Group health care visits could improve adolescent health by encouraging commitment to a prevention-based lifestyle and help shift U.S. health care away from a system based on treating diseases, to one that aims at stopping them before they begin.

Amenorrhea in 19-year-old athlete

Amenorrhea can be a tricky problem to diagnose and treat due to myriad etiologies and clinical presentations.

Gaps in pregnancy diabetes testing

Gestational diabetes mellitus (GDM) is a serious health condition that occurs in 4% to 12% of pregnancies, but recent research showing significant screening gaps for the disease makes the problem an even greater concern.

Obesity, elective cesarean contribute to U.S. maternal mortality rate

Why are U.S. mothers still dying during birth when we spend more on health care than any other country in the world?

Lifestyle change the only 'secret' to weight loss

When it comes to losing weight, many patients seek instant gratification.

Prescribe your patients a healthy dose of common sense

Restate key treatment aspects, no matter how mundane it seems.

Weighty discussions

What is the financial toll of obesity?

Menarche research provides controversy but few answers

A new study tries to quantify the impact of an absent biological father on adolescent development.

Obesity does not hamper Pill effectiveness

However, "high-dose" formulations increase the risk of DVT and other cardiovascular complications.

I read the news today. Oh boy!

Don't believe everything you read. Or at least not every headline.

It's not the diet; it's the dietary pattern

If you lose weight, does it matter how you lost the weight? Not really.

How much should my patient exercise?

Tailoring exercise recommendations to meet the unique needs of each patient gives those patients a better chance of meeting the fitness goals they have set with you.

A new model for CVD prevention

A multidisciplinary, nurse-coordinated, family-based program improved lifestyles and reduced cardiovascular disease (CVD) risk among patients and their families in hospital and general-practice settings

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