MKSAP: 40-year-old man with a new skin rash of 10 days ’ duration
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 40-year-old man is evaluated for a new skin rash of 10 days’ duration. The rash appeared abruptly and is not tender or pruritic. The patient has poorly controlled type 2 diabetes mellitus. His current medications include metformin and glyburide. Family […]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 - March 9, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/mksap" rel="tag" > mksap < /a > < /span > Tags: Conditions Dermatology 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
I ’ve seen over 8,000 medical professionals. Here’s what I’ve learned.
Today, I am a 40-year old with type 2 diabetes. I have been on glyburide since I was diagnosed four years ago and am otherwise healthy, although my blood pressure today is 140/96. I don’t check my glucose levels at home because I don’t have a monitor. Typically, I avoid sweets, but my diet is high in natural sugars, carbohydrates and starches. The only exercise I get is walking around on the floor of my retail sales job. My diabetic mother died of kidney failure, and I don’t want that to happen to me, which is why I’m seeing my doctor today.
Today, I am Lucy. Tomorrow, I will be someone else.
In real life, I’m a ...
Source: Kevin, M.D. - Medical Weblog - April 30, 2017 Category: Journals (General) Authors: < a href="http://www.kevinmd.com/blog/post-author/esther-covington" rel="tag" > Esther Covington < /a > Tags: Patient Medical school Source Type: blogs
Antitrust and Generic Drugs – A Rare Combination
This article outlines several different actions focused on generic pharmaceutical manufacturers that are presently working their way through the courts.
On December 12, 2016, two former senior generic pharmaceutical executives were charged for their alleged roles in conspiracies to fix prices, rig bids, and allocate customers for certain generic drugs. Jeffrey Glazer, the former CEO of Heritage Pharmaceuticals, Inc. (“Heritage”), and Jason Malek, the former president of Heritage, allegedly conspired to fix prices, rig bids, and allocate customers for two different generics: an antibiotic (doxycycline hyclate) and a me...
Source: Policy and Medicine - March 1, 2017 Category: American Health Authors: Thomas Sullivan - Policy & Medicine Writing Staff 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
MKSAP: 60-year-old woman with gastroparesis
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.
A 60-year-old woman is evaluated during a routine follow-up appointment. She has gastroparesis associated with long-standing type 2 diabetes mellitus. Improved blood sugar control and efforts to eat small, frequent meals did not result in symptom improvement. In addition to these interventions, metoclopramide was started 6 months ago, after which her nausea and periodic vomiting resolved. However, she has had some restlessness at night with the urge to repeatedly cross and uncross her legs. Several weeks ago she...
Source: Kevin, M.D. - Medical Weblog - December 5, 2015 Category: Journals (General) Authors: mksap Tags: Conditions Diabetes GI 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
If you have diabetes: NO low blood sugars!
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 goodbye.
But, as diabetics become less diabetic–a process that can occur VERY quickly, often within days of removing all wheat 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 administ...
Source: Wheat Belly Blog - March 28, 2015 Category: Cardiology Authors: Dr. Davis Tags: Wheat Belly Lifestyle blood sugar diabetes gluten grains hypoglycemia Source Type: blogs
MKSAP: 74-year-old man with fever and chills
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.
A 74-year-old man is evaluated in the emergency department for a 3-day history of fever and chills as well as confusion. He has a 5-week history of a nonhealing ulcer on the plantar surface of his left foot. He has diabetes mellitus, hypertension, and peripheral vascular disease for which he takes metformin, glyburide, lisinopril, chlorthalidone, and aspirin. He has no known medication allergies.
On physical examination, temperature is 39.0 °C (102.2 °F), blood pressure is 92/60 mm Hg, pulse rate is 108/min, a...
Source: Kevin, M.D. - Medical Weblog - January 17, 2015 Category: Journals (General) Authors: mksap Tags: Conditions Diabetes Infectious disease Source Type: blogs
How NOT to have diabetes
If you want type 2 diabetes , follow conventional advice to cut fat and eat more “healthy whole grains.” (This is also true for type 1 diabetes in susceptible individuals with pancreatic beta cell autoimmunity triggered by wheat gliadin or corn zein.)
But what if you don’t want to follow the footsteps of the two thirds of Americans and Canadians who are now diabetic or pre-diabetic? What if you don’t want the expense and side-effects of oral drugs and insulin–one of the most powerful weight gain drugs around? What if you don’t want to lose your eyesight, develop cardiovascular disease, ...
Source: Wheat Belly Blog - January 8, 2015 Category: Cardiology Authors: Dr. Davis Tags: Wheat Belly Lifestyle blood sugar bowel flora diabetes gluten-free low-carb resistant starch vitamin D Source Type: blogs
Blood Sugar: Tool at Your Fingertips
Here is an excerpt from Wheat Belly Total Health that discusses how to use a glucose meter to accelerate weight loss. The same strategy can be used to reverse type 2 diabetes as much as possible in as short a time as possible. (Taken from Chapter 7: Grainless Living Day-to-Day.)
A blood sugar meter used pre- and post-meal can be a very powerful tool for weight loss and the reversal of metabolic distortions like high blood sugar. But you have to know how to apply the information.
Many people are frightened at the prospect of getting their blood checked for anything, and are particularly frightened by the prospect of checkin...
Source: Wheat Belly Blog - October 20, 2014 Category: Cardiology Authors: Dr. Davis Tags: Wheat Belly Lifestyle blood sugar diabetes fingerstick glucometer glucose insulin Weight Loss Source Type: blogs
