A patient ’s tale of type 2 diabetes
Samuel was an English gentleman hailing from London. Close to 10 percent of the U.S. population, over 30 million people, lives with diabetes. Five years ago, Samuel was diagnosed with type 2 diabetes. Taking lisinopril and glipizide, he also goes on hour-long walks every morning at 6:30 a.m. to keep his A1c at his comfort […]Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - May 26, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/ton-la-jr" rel="tag" > Ton La, Jr. < /a > < /span > Tags: Conditions Diabetes Endocrinology Source Type: blogs
The Wheat Belly “ No Change Rule ” to Reverse Type 2 Diabetes and Accelerate Weight Loss
Follow the simple Wheat Belly No Change Rule for fingerstick blood sugars and you maximize your chances of getting rid of type 2 diabetes and accelerating weight loss.
By becoming non-diabetic or at least minimizing it, you are freed from the awful health consequences of this disease, as well as extending life considerably. The No Change Rule also helps reverse insulin resistance that blocks weight loss.
Transcript:
Hi everybody. Doctor William Davis here. I want to talk about something I call the Wheat Belly “No Change Rule” — that is, no change in blood sugar — comparing a pre-meal to a post-meal blood sugar....
Source: Wheat Belly Blog - January 21, 2019 Category: Cardiology Authors: Dr. Davis Tags: News & Updates diabetes no change rule undoctored Weight Loss wheat belly Source Type: blogs
ZERO tolerance for hypoglycemia
As more and more type 2 diabetics discover the Wheat Belly and other low-carb lifestyles, they are also discovering how rapidly and easily blood sugars drop.
As diabetics become less diabetic–a process that can occur VERY quickly, often within 24 hours of removing all wheat/grains from their diet–but they are taking insulin or certain diabetes drugs, there is potential for hypoglycemia or low blood sugar. Low blood sugar from diabetes drugs can be dangerous and should be avoided at all costs. (Imagine if a non-diabetic started administering insulin or blood sugar-reducing drugs–it would result in life-threate...
Source: Wheat Belly Blog - December 23, 2018 Category: Cardiology Authors: Dr. Davis Tags: News & Updates blood sugar diabetes undoctored wheat belly Source Type: blogs
How NOT to have high blood pressure
Patient suffers from hypertension. Woman is measuring blood pressure with monitor.
The average American’s lifetime risk for developing high blood pressure is 90%, even using the lax definition of hypertension in clinical studies (that typically don’t label a BP high unless it is 140/90 mmHg or higher, even though we know that, for example, risk for stroke and cardiovascular begin to rise with a systolic, or top, value of only 115 mmHg).
Here’s a checklist that, if followed, allow the majority of people with high blood pressure (BP) to reduce both systolic and diastolic values over time and be freed of the...
Source: Wheat Belly Blog - October 31, 2018 Category: Cardiology Authors: Dr. Davis Tags: Wheat Belly Lifestyle gluten grains high blood pressure hypertension undoctored Source Type: blogs
Now NOT to have high blood pressure
Patient suffers from hypertension. Woman is measuring blood pressure with monitor.
The average American’s lifetime risk for developing high blood pressure is 90%, even using the lax definition of hypertension in clinical studies (that typically don’t label a BP high unless it is 140/90 mmHg or higher, even though we know that, for example, risk for stroke and cardiovascular begin to rise with a systolic, or top, value of only 115 mmHg).
Here’s a checklist that, if followed, allow the majority of people with high blood pressure (BP) to reduce both systolic and diastolic values over time and be freed of the...
Source: Wheat Belly Blog - October 31, 2018 Category: Cardiology Authors: Dr. Davis Tags: Wheat Belly Lifestyle gluten grains high blood pressure hypertension undoctored Source Type: blogs
MKSAP: 64-year-old man with diabetes
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.
A 64-year-old man is evaluated for his quarterly diabetes care follow-up visit. Point-of-care HbA1c level is not at goal for this patient, who has high function, long life expectancy, few comorbidities, good support, health literacy, and access to care. Medical history is significant for hypertension, hyperlipidemia, and obesity. His family history is notable for type 2 diabetes mellitus in his mother and hypertension and chronic kidney disease in his father. Medications are metformin, glipizide, hydrochlorothia...
Source: Kevin, M.D. - Medical Weblog - December 30, 2017 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/mksap" rel="tag" > mksap < /a > Tags: Conditions Diabetes Endocrinology Source Type: blogs
MKSAP: 38-year-old woman with a HbA1c value of 9.1%
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.
A 38-year-old woman is evaluated after laboratory study results show an HbA1c value of 9.1%. Her HbA1c goal is less than 7% because she has high function, long life expectancy, few comorbidities, good support, health literacy, and access to care. Medical history is significant for morbid obesity, obstructive sleep apnea, hypertension, and hyperlipidemia. Family history is notable for her mother, sister, and brother with type 2 diabetes, obesity, hypertension, and hyperlipidemia. Medications are insulin glargine ...
Source: Kevin, M.D. - Medical Weblog - September 2, 2017 Category: General Medicine Authors: < a href="http://www.kevinmd.com/blog/post-author/mksap" rel="tag" > mksap < /a > Tags: Conditions Diabetes Endocrinology Primary Care Source Type: blogs
MKSAP: 57-year-old man with substernal chest pain
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.
A 57-year-old man is admitted to the hospital for evaluation of substernal chest pain. His medical history is significant for type 2 diabetes mellitus, coronary artery disease, hypertension, and hyperlipidemia. He manages his diabetes as an outpatient with diet, exercise, and metformin. His other medications are aspirin, metoprolol, atorvastatin, and sublingual nitroglycerin as needed. His inpatient plasma glucose values are 170 to 210 mg/dL (9.4-11.6 mmol/L). Results of all other laboratory studies are normal.
...
Source: Kevin, M.D. - Medical Weblog - August 27, 2016 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/mksap" rel="tag" > mksap < /a > Tags: Conditions Diabetes Endocrinology Source Type: blogs
MKSAP: 66-year-old man with polyuria and polydipsia
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.
A 66-year-old man is evaluated in the office after being treated in the emergency department for an exacerbation of chronic obstructive pulmonary disease. While in the emergency department, he was noted to have a random blood glucose level of 211 mg/dL (11.7 mmol/L). His HbA1c was 7.8% at the time. A repeat random fingerstick blood glucose level in office is 204 mg/dL (11.3 mmol/L).
The patient reports recent polyuria and polydipsia. He has lost 6 kg (13.2 lb) over the last 3 months. He has chronic epigastric pa...
Source: Kevin, M.D. - Medical Weblog - July 23, 2016 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/mksap" rel="tag" > mksap < /a > Tags: Conditions Diabetes Endocrinology Source Type: blogs
Two MODYs walk into a bar...
Recently I had my follow up with the geneticist/Endocrinologist of last August's appointment. I absolutely adore her, because I have her personal email and every question I have is a promptly answered. Learning to live with MODY hasn't been all roses and sunshine, as I've developed a swelling of my left kidney (called hydronephrosis) which I've had an ultrasound and abdominal CT for and am scheduled for a renal perfusion scan in two weeks. It hasn't affected the overall function of said kidneys but it's there,like an albatross, needing attention. There are no kidney stones (#1 cause) and the geneticist feels like it's MODY...
Source: The D-Log Cabin - June 29, 2016 Category: Endocrinology Authors: HVS Source Type: blogs
MKSAP: 52-year-old woman with type 2 diabetes mellitus
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.
A 52-year-old woman presents for follow-up evaluation after being diagnosed with type 2 diabetes mellitus 6 weeks ago. Her initial HbA1c level was 8.0%. Management at this time is with lifestyle modifications. She has worked closely with a diabetes educator and a nutritionist since her diagnosis. She has lost 3.2 kg (7 lb) by making changes to her diet and activity level. Review of her blood glucose log for the past 2 weeks shows preprandial blood glucose values in the 150 to 160 mg/dL (8.3-8.9 mmol/L) range and...
Source: Kevin, M.D. - Medical Weblog - June 25, 2016 Category: Journals (General) Authors: mksap Tags: Conditions Diabetes Endocrinology Source Type: blogs
ZERO TOLERANCE for hypoglycemia
Wheat elimination starts you powerfully on the path to reversing diabetes. We’ve seen it many times and it continues to develop in people who kiss their bagels, pretzels, and processed foods booby-trapped with wheat and grains goodbye.
But, as diabetics become less diabetic–a process that can occur VERY quickly, often within days of removing all wheat and grain products from their diet–but they are taking insulin or certain diabetes drugs, there is potential for hypoglycemia or low blood sugar. Low blood sugar from diabetes drugs can be dangerous and should be avoided at all costs. (Imagine if a non-diabetic started ...
Source: Wheat Belly Blog - April 2, 2016 Category: Cardiology Authors: Dr. Davis Tags: Wheat Belly Lifestyle diabetes glucose gluten grains hypoglycemia insulin Source Type: blogs
The Orange Juice Clue
The parents of a 16-month-old boy who presented to the ED were concerned that he was too sleepy. His initial point-of-care glucose was noted to be 42 mg/dL, and he was somnolent but arousable, and was given orange juice.
Twenty minutes later, the child’s symptoms had completely resolved. Toxicology was consulted for evaluation of a possible toxic ingestion, and a medication inventory was recommended.
Differential Diagnosis of Hypoglycemia in Children
n Ethanol intoxication
n Beta blocker intoxication
n Salicylate toxicity
n Sulfonylurea
n Insulin injection
n Endocrine disorder (hypopituitarism, Addison’...
Source: The Tox Cave - September 1, 2015 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
The Orange Juice Clue
The parents of a 16-month-old boy who presented to the ED were concerned that he was too sleepy. His initial point-of-care glucose was noted to be 42 mg/dL, and he was somnolent but arousable, and was given orange juice.
Twenty minutes later, the child’s symptoms had completely resolved. Toxicology was consulted for evaluation of a possible toxic ingestion, and a medication inventory was recommended.
Differential Diagnosis of Hypoglycemia in Children
n Ethanol intoxication
n Beta blocker intoxication
n Salicylate toxicity
n Sulfonylurea
n Insulin injection
n Endocrine disorder (hypopituitarism, Addison’s disease,...
Source: The Tox Cave - September 1, 2015 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
Mary figured out how to reverse diabetes . . . on her own
Mary shared her story of how she learned–on her own, at first–that foods that raise blood sugar, such as grains, cause you to “need” diabetes drugs. Not eating foods that raise blood sugar causes you to not need diabetes drugs.
“I started going grain-free in December, 2014 as a last-ditch effort to get a handle on my diabetes.
“My extreme reaction to metformin–stomach problems from diarrhea to esophageal spasms–made me give it up for good early last year. My blood sugars were out of control, but my doctor did not want to start me on insulin. My blood sugar numbers were regu...
Source: Wheat Belly Blog - April 16, 2015 Category: Cardiology Authors: Dr. Davis Tags: Wheat Belly Success Stories blood sugar diabetes gluten grains Weight Loss Source Type: blogs
