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Diabetes

Dyslipidemia in a diabetic patient

I would like to comment on treatment of dyslipidemia in the diabetic patient with total cholesterol 195 mg/dL, HDL 32 mg/dL, LDL 98 mg/dL, and triglycerides 195 mg/dL (Item 120-8). According to my calculations, the patient’s LDL should be 124. It’s important to know, however, whether the HDL was measured by the older indirect method…

Blood sugar discrepancies

Many of my diabetic patients see a difference (as much as 15-20 mg/dL) in their blood glucose when samples are taken from different parts of the body. Do you have any suggestions for those who don’t like finger sticks?—G. Tadros, MD, Wilmington, Del. The discomfort of finger sticks has prompted the development of various glucometers…

Fruit drinks raise diabetes risk

African American women who consume sugar-sweetened fruit drinks may be increasing their risk for diabetes more than those who choose sweetened soft drinks…

Long-acting exenatide effective

An experimental, once-a-week version of exenatide (Byetta) provided better glycemic control and less nausea in type 2 diabetics than the current twice-daily regimen in a recent clinical trial.

High BP in a compliant diabetic?

A 71-year-old man with well-controlled type 2 diabetes and no cardiovascular disease has a total cholesterol well below 200 mg/dL and an LDL <100 mg/dL, but his HDL ranges from 20-29 mg/dL. His systolic BP has been elevated (140-160 mm Hg) since age 18, but it drops to the 120s or 130s when taken a…

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