MGMC Physician Grand Rounds, 3/29/17 William Sivitz, MD, Endocrinology & Metabolism University of Iowa Hospitals & Clinics
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Non Insulin anti diabetic drugs
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Visit us (http://www.khanacademy.org/science/healthcare-and-medicine) for health and medicine content or (http://www.khanacademy.org/test-prep/mcat) for MCAT related content. These videos do not provide medical advice and are for informational purposes only. The videos are not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of a qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or seen in any Khan Academy video. Created by Matthew McPheeters. Watch the next lesson: https://www.khanacademy.org/test-prep/nclex-rn/rn-endocrine-system-diseases/rn-diabetes/v/diabetic-retinopathy?utm_source=YT&utm_medium=Desc&utm_campaign=Nclex-rn Missed the previous lesson? https://www.khanacademy.org/test-prep/nclex-rn/rn-endocrine-system-diseases/rn-diabetes/v/diabetic-nephropathy-mechanisms?utm_source=YT&utm_medium=Desc&utm_campaign=Nclex-rn NCLEX-RN on Khan Academy: A collection of questions from content covered on the NCLEX-RN. These questions are available under a Creative Commons Attribution-NonCommercial-ShareAlike 3.0 United States License (available at http://creativecommons.org/licenses/by-nc-sa/3.0/us/). About Khan Academy: Khan Academy offers practice exercises, instructional videos, and a personalized learning dashboard that empower learners to study at their own pace in and outside of the classroom. We tackle math, science, computer programming, history, art history, economics, and more. Our math missions guide learners from kindergarten to calculus using state-of-the-art, adaptive technology that identifies strengths and learning gaps. We've also partnered with institutions like NASA, The Museum of Modern Art, The California Academy of Sciences, and MIT to offer specialized content. For free. For everyone. Forever. #YouCanLearnAnything Subscribe to Khan Academy’s NCLEX-RN channel: https://www.youtube.com/channel/UCDx5cTeADCvKWgF9x_Qjz3g?sub_confirmation=1 Subscribe to Khan Academy: https://www.youtube.com/subscription_center?add_user=khanacademy
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Zachary T. Bloomgarden, MD, MACE, describes the treatment options available for the management of diabetes and remarks on the differences between the clinical guidelines that have been released to assist healthcare providers in managing patients with diabetes.
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In this clip, Dhiren Patel, PharmD, discusses the recent ADA 2018 guidelines for diabetes and what the new recommendations mean for treating diabetes patients with cardiovascular disease.
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Adult endocrinologist and Interior Health Diabetes Medical Lead, Dr. Richard Phillips, provides a highlights overview of the 2018 Diabetes Canada® Clinical Practice Guidelines and best practices on the topic of Diabetes and Pregnancy. Acknowledgements to Diabetes Canada® for slides provided. Diabetes Canada® Guidelines can be found at: guidelines.diabetes.ca
Просмотров: 32 Interior Health
Watch More #HealthandBeauty Videos Here : https://goo.gl/1IIFIC Hi Friends, To Day I Am Going to Share With You , Type 2 diabetes || Diagnosis and treatment || New Guidelines For Diabetes Management This channel is an output for positive lifestyle content, simple choices on a daily basis shape your life and the world around you ◄Follow Us On► Twitter : https://goo.gl/INPD94 Facebook : https://goo.gl/JPgzIG Google+ : https://goo.gl/0TsQuM Website : https://goo.gl/lQ3BuB Play List : https://goo.gl/U50juy Thanks For Watching Our Video like and Subscribe For More Videos ====================================================== Disclaimer : This video is only intended for informational purpose.Any information associated with this video should not be considered as a substitute for prescription suggested by beauty, diet and health care professionals.Readers are subjected to use these information on their own risk.This channel doesn’t take any responsibility for any harm, side-effects, illness or any health or skin care problems caused due to the use of our content or anything related to this.. Hi Friends, Welcome back to My Channel Health and Beauty Find More #HealthandBeauty Videos Here: https://goo.gl/1IIFIC Watch► Hello Viewers, Today I Am Going to Share With You, This channel is an output for positive lifestyle content, simple choices on a daily basis shape your life and the world around you LIKE THIS VIDEO? Pin it: https://goo.gl/tcJgmB Follow Us On Google+ : https://goo.gl/vu6VDc Website: https://goo.gl/lQ3BuB Twitter : https://goo.gl/INPD94 Facebook : https://goo.gl/JPgzIG Thanks For Watching Our Video like & Subscribe For More Videos ===================================================== Disclaimer : This video is only intended for the informational purpose. Any information associated with this video should not be considered as a substitute for prescription suggested by beauty, diet and healthcare professionals. Readers are subjected to use this information on their own risk. This channel doesn’t take any responsibility for any harm, side-effects, illness or any health or skin care problems caused due to the use of our content or anything related to this... Watch► TOP 10 #HealthCare Videos: https://goo.gl/3J9Qtp
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WATCH FULL VIDEO ON THE WEBSITE IN THE END OF THIS VIDEO!
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Prevention of microvascular and macrovascular complications rests on timely institution of drug therapy by the prescribing physician, usually a general practitioner (GP), and the patient's compliance with the treatment regimen and willingness to make lifestyle changes. Optimal use of clinical practice guidelines (CPGs) in general practice demands specific implementation strategies aiming at the reduction of barriers to high-quality care. Clinical practice guidelines are potentially useful for health services and health workforce planning, but would be more valuable for this aim if they contained more detail about care protocols and specific skills and competencies especially for general practitioners who would be expected to have reduced capacity for effective high-quality care.Subsequently, many patients will not receive such level of care despite the availability of international treatment guidelines describing the supposed optimal management of patients with diabetes. Hence, a clear understanding on how to overcome this knowledge-action gap in diabetes seems to be lacking, despite previous studies which outlined the obstacles that prevent GPs from following the CPGs. So the only winner in such battle field is the pharmaceutical companies. Because we as healthcare professionals control the market for products that we neither pay for nor consume, and whose unwanted consequences are experienced by patients.
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Noon Conference Thurs, June 15, 2017 Topic: Diabetes: Guidelines & Medications Speaker: Stephanie Lopez, MD, PGY-1 Family Medicine Resident UCR School of Medicine Family Medicine Residency Program, Palm Springs, CA
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The American Diabetes Association and American College of Clinical Endocrinology's 2016 diabetes guidelines are out and Lifestyle education and coaching comes out on top. Also learn why they recommend everyone 45 and older should be tested for diabetes. There are lots more educational, "How To" video blogs at my Solutions For Diabetes website. Website & Blog: http://www.solutionsfordiabetes.com Share this video: http://solutionsfordiabetes.com/blog/ada-aace-2016-diabetes-guidelines-strongly-support-lifestyle-education-coaching/ Facebook:https://www.facebook.com/solutionsfordiabetesandweightloss Twitter: https://twitter.com/DrDutson1
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Diabetes Treatment Best Practices Diabetes Mellitus Clinical Practice Guidelines : Dr Bee Yong Mong Diabetes Mellitus Type 2 Treatment Guidelines Diabetes Type 1|Type 2 Treatments|Guidelines Why diabetes treatment guidelines? Malayalam video by Jothydev Kesavadev, MD Diabetes Treatment Guidelines 2016 l Diabetes Diet Diabetes Treatment Guidelines Diabetes Test | Diabetes Treatment | Diabetes Treatment Guidelines Diabetes Symptoms
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Related Article: https://wb.md/2QHpRfv Melissa Walton-Shirley discusses the new cholesterol management guidelines. The new cholesterol management guidelines recommend moderate-to-high intensity statin therapy in patients with diabetes aged 40-75 who have an LDL- C of 70 mg/dL or higher without need to calculate risk score.
Просмотров: 185 Medscape
http://ace-inhibitors.info/ With more and more Americans being diagnosed with diabetes, diabetes treatment guidelines are constantly changing. The treatments that were used a decade ago have changed considerably and you may be given a completely new set o
Просмотров: 44 aceinhibitors2
Diabetes mellitus pathophysiology and nursing nclex lecture review on diabetes type 1 and diabetes type 2. Diabetes mellitus is where a patient has insufficient amounts of insulin to use the blood glucose in the body. Therefore, the patient will experience extreme hyperglycemica. In this lecture, I highlight the key players in diabetes mellitus, causes, different types of diabetes (type 1, type 2, and gestational), complications, and nursing assessment of the diabetic patient. Diabetes Mellitus Quiz: http://www.registerednursern.com/diabetes-mellitus-nclex-quiz/ Part 2 Video on Pharm & Nsg. Management: https://www.youtube.com/watch?v=bK82X1KrCgg Lecture Notes for this video: http://www.registerednursern.com/diabetes-mellitus-lecture-nclex-review-notes/ Subscribe: http://www.youtube.com/subscription_center?add_user=registerednursern Nursing School Supplies: http://www.registerednursern.com/the-ultimate-list-of-nursing-medical-supplies-and-items-a-new-nurse-student-nurse-needs-to-buy/ Nursing Job Search: http://www.registerednursern.com/nursing-career-help/ Visit our website RegisteredNurseRN.com for free quizzes, nursing care plans, salary information, job search, and much more: http://www.registerednursern.com Check out other Videos: https://www.youtube.com/user/RegisteredNurseRN/videos Popular Playlists: "NCLEX Study Strategies": https://www.youtube.com/playlist?list=PLQrdx7rRsKfWtwCDmLHyX2UeHofCIcgo0 "Fluid & Electrolytes Made So Easy": https://www.youtube.com/playlist?list=PLQrdx7rRsKfWJSZ9pL8L3Q1dzdlxUzeKv "Nursing Skills Videos": https://www.youtube.com/playlist?list=PLQrdx7rRsKfUhd_qQYEbp0Eab3uUKhgKb "Nursing School Study Tips": https://www.youtube.com/playlist?list=PLQrdx7rRsKfWBO40qeDmmaMwMHJEWc9Ms "Nursing School Tips & Questions": https://www.youtube.com/playlist?list=PLQrdx7rRsKfVQok-t1X5ZMGgQr3IMBY9M "Teaching Tutorials": https://www.youtube.com/playlist?list=PLQrdx7rRsKfUkW_DpJekN_Y0lFkVNFyVF "Types of Nursing Specialties": https://www.youtube.com/playlist?list=PLQrdx7rRsKfW8dRD72gUFa5W7XdfoxArp "Healthcare Salary Information": https://www.youtube.com/playlist?list=PLQrdx7rRsKfVN0vmEP59Tx2bIaB_3Qhdh "New Nurse Tips": https://www.youtube.com/playlist?list=PLQrdx7rRsKfVTqH6LIoAD2zROuzX9GXZy "Nursing Career Help": https://www.youtube.com/playlist?list=PLQrdx7rRsKfVXjptWyvj2sx1k1587B_pj "EKG Teaching Tutorials": https://www.youtube.com/playlist?list=PLQrdx7rRsKfU-A9UTclI0tOYrNJ1N5SNt "Personality Types": https://www.youtube.com/playlist?list=PLQrdx7rRsKfU0qHnOjj2jf4Hw8aJaxbtm "Dosage & Calculations for Nurses": https://www.youtube.com/playlist?list=PLQrdx7rRsKfUYdl0TZQ0Tc2-hLlXlHNXq "Diabetes Health Managment": https://www.youtube.com/playlist?list=PLQrdx7rRsKfXtEx17D7zC1efmWIX-iIs9
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This press conference explores efforts to reverse diabetes with implanted beta cells, the development of a wearable patch to detect dangerous episodes of low blood sugar called hypoglycemia, and the effectiveness of a hybrid closed-loop system for managing type 1 diabetes in children.
Просмотров: 2218 The Endocrine Society
This video summarizes the rationale for and controversies surrounding recommendations made by the Clinical Guidelines Committee of the American College of Physicians (ACP) in its 2018 Guidance Statement on hemoglobin A1c (HbA1c) targets for glycemic control with pharmacology therapy for nonpregnant adults with type 2 diabetes. Elizabeth L. Tung, MD, MS, and Neda Laiteerapong, MD, MS, both of the Chicago Center for Diabetes Translation Research in the Section of General Internal Medicine at the University of Chicago, explain. Listen to the podcast: https://ja.ma/2JQFRwg Read the JAMA Medical News & Perspectives article: https://ja.ma/2lhtEli Read the JAMA Clinical Guidelines Synopsis: https://ja.ma/2M1xbzA
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Adult endocrinologist and Interior Health Diabetes Medical Lead, Dr. Richard Phillips, provides a highlights overview of the 2018 Diabetes Canada® Clinical Practice Guidelines and best practices on the topic of Diabetes in Older People. Acknowledgements to Diabetes Canada® for slides provided. Diabetes Canada® Guidelines can be found at: guidelines.diabetes.ca
Просмотров: 23 Interior Health
1. What should my blood sugar be when I wake up (fasting) and before meals? What about after? Answer: For most people with diabetes, we recommends a fasting or before-meals blood glucose (or blood sugar) goal of 70–130 mg/dl. One to two hours after eating, a postprandial blood sugar reading at or under 180 mg/dl is recommended. 2. Does a diagnosis of type 2 diabetes mean I will have to go on insulin? Answer: No. People with type 2 diabetes may or may not ever need to take insulin injections, depending on several factors, including the timing of diagnosis. Research indicates that if type 2 diabetes is treated early and blood sugar is controlled initially and over the years, the pancreas is more likely to produce enough insulin longer. 3. I was recently diagnosed with type 2 diabetes. Do I need to see an endocrinologist? Answer: While diabetes is an endocrine disease and falls under the specialty of an endocrinologist, there are only 3,000 of us in the U.S. who treat diabetes. Do the math: 25 million people have diabetes; there are not nearly enough endocrinologists. Most people with type 2 diabetes, especially in the early years, can partner with a primary care provider who takes an active interest in their diabetes. 4. Can I get rid of type 2 diabetes if I stop eating carbs and/or lose a lot of weight? Answer: No, but you can control it. If you have prediabetes or were just diagnosed with type 2, losing a lot of weight can put the condition into remission. Weight regain, aging, and the natural progression of type 2 diabetes can bring it back. Not eating carbohydrate or severely restricting it is nearly impossible for any length of time. 5. Why is it OK to eat fruit when it's full of carbohydrate? Are some fruits better to eat than others? Answer: The calories in all fruits (fresh, frozen, dried, and canned without added sugar) are mainly carbohydrate with a bit of protein. People with diabetes need to eat a certain amount of carbs every day for energy and essential nutrients. Healthy sources of carbs include fruits, as well as vegetables, whole grains, legumes (beans), and low-fat dairy foods. 6. Why do my legs hurt when I start walking and stop hurting when I sit down? Answer: You have signs of peripheral arterial disease, or PAD. It develops when too much plaque in your arteries limits blood flow to the legs. The pain may occur while you walk because muscles need increased blood flow. The pain may stop when you sit because your muscles then require less blood flow. PAD increases the risk of heart attacks, strokes, and foot ulcers. 7. How can I learn to accept my diabetes? Answer: Accepting that you have diabetes is largely an act of cognition—a realignment of what you view as real and vital to your existence and how it can impact your life. Diabetes becomes an integral part of a person's life. Accept that diabetes will, for the rest of your life, be there. And it's a very treatable disease, which places few restrictions on you if you follow treatment recommendations. 8. Will insulin make me gain weight? Answer: The reason we need insulin as a hormone made in our bodies or as a medication is to push glucose into cells for energy. Insulin's job is to process calories. For this reason, it can but doesn't have to cause weight gain. To prevent weight gain: Practice portion control. Burn extra calories with exercise. If your blood sugar has been high for a while prior to starting insulin, you've likely been excreting calories in your urine instead of fueling your body. 9. Why is weight loss so important? What's the best way for a person with type 2 to lose weight? Answer: Weight loss is vital, particularly just after a diagnosis of type 2 or prediabetes. Weight loss increases insulin sensitivity, allowing cells to more effectively use the insulin the body continues to make. Losing just 10–20 pounds can accomplish a boatload of benefits. Among them are improved blood sugar, blood pressure, and cholesterol levels and possibly taking fewer medications or lower doses. 10. Can your menstrual cycle and/or going through menopause affect glucose levels? Answer: Yes and yes! It's common for women to have hormone fluctuations the week before their period, and those can affect glucose control. After ovulating, estrogen and progesterone rise. Estrogen can make women more sensitive to insulin and cause hypoglycemia. Progesterone can do the converse. Glucose levels often return to their usual patterns after the first few days of the menstrual cycle.
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Dr. Etie S. Moghissi discusses the new American Diabetes Association/American Association of Clinical Endocrinologists' guidelines for inpatient glycemic management. Miriam Tucker of the Global Medical News Network (GMNN) reports from the AACE annual meeting in Houston.
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Dr. Etie S. Moghissi discusses the new American Diabetes Association/American Association of Clinical Endocrinologists' guidelines for inpatient glycemic management. Miriam Tucker of the Global Medical News Network (GMNN) reports from the AACE annual meeting in Houston.
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EmpoweRN.com I hope you had a wonderful holiday weekend! I just posted a new video to help you start your Monday off right ;) It is going over Diabetes Mellitus. We are going to post the example nursing exam or NCLEX style questions individually as soon as we are done editing them! I will send you an email when we post them! To join the email list for immediate updates go here: http://goo.gl/NO7T7b For additional questions & a typed & audio version of the video, go here: http://empowern.com/2015/04/533/ If you would like to see more tips like this, please give the video a thumbs up and also post a comment :D I cannot wait to read your comments now! Cannot wait to hear from you again very soon! Much Love, - Caroline I would like to thank the video contributors: Rizalyn Joy Gadugdug Maria Salvacion Gonzales Yasmin Hashmi Artem Shestakov And Babar Hayatrana Disclaimer: These videos are intended for entertainment purposes only. Please follow the policy and procedures that your institution requires. Please note that the views, ideas & opinions expressed on this channel and in the videos on this channel are not necessarily of those of my employer or institution. The views expressed on this channel and in the videos channel do not represent medical advice. If you have specific medical concerns, please contact your physician. In order to protect patient privacy, all patient identifiers in all videos have been deleted or altered. The views expressed on this channel and in the videos on this channel are personal opinions. I am not an expert nor do I dispense medical advice or procedural specifications. The information I present is for general knowledge and entertainment purposes only. You need to refer to your own medical director, teachers and protocols for specific treatment information. It is your responsibility to know how best to treat your patient in your jurisdiction. Metabolic disorders that are associated with a high blood sugar and glucose are collectively known as Diabetes Mellitus which you will see abbreviated as: DM. Reasons for high sugar level can be too little insulin produced by the body or the body cells can not respond to insulin properly or it can be both. Most of the ingested food is broken down into a sugar known as glucose which then goes to the bloodstream and acts as the major source of energy in the body. It allows the body cells to grow and sustain. But in order to enter the cells, glucose needs a hormone known as insulin which is produced by the pancreas. Every time we eat and food is broken down into glucose, pancreas react by producing insulin according to the level of glucose in the blood. Insulin then carries the glucose from the blood into different cells around the body, reducing the level of glucose in the bloodstream. Generally, concentration of glucose in the blood fluctuates between 70-110 mg/dL in a normal individual. Diabetes mellitus occurs when the pancreas does not produce sufficient insulin, or the cells do not respond to insulin; in both cases glucose stays in the bloodstream due to which not only the level of blood glucose stays high but also cells do not receive sufficient glucose. These conditions manifest symptoms of Diabetes mellitus. Initially, cells lack sufficient fuel to sustain but prolonged high blood sugar results in organ failure, in which major organs such as heart, kidneys, eyes, nerve cells and blood vessels stop functioning. There are 3 types of Diabetes Mellitus: 1. Type 1 Diabetes: is when pancreas cannot produce sufficient insulin. This type of DM is considered an autoimmune condition, as the patient’s body destroys its own beta cells in the pancreas that are responsible for the production of insulin. As pancreas is unable to produce insulin, type 1 DM is managed by injecting insulin to maintain a normal blood sugar level; which is why in the past it was known as insulin-dependent diabetes. About 15% of diabetic patients have type 1 DM. 2. Type 2 Diabetes: is when the cells do not respond to insulin properly, leading to what is called insulin resistance.
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Join Dr. Seheult of https://www.medcram.com as he breaks down the new (ACC/AHA) 2017 hypertension guidelines that replace the previous JNC 7 guidelines from 2003. This video Includes: - A comparison to the previous hypertension guidelines (JNC 7 vs the 2017 ACC/AHA guidelines) - The new classification of "elevated blood pressure" - Diet and lifestyle changes for high blood pressure - HTN medications (ACE-I, ARB, beta blockers, calcium channel blockers, diuretics). Visit https://www.MedCram.com for medical courses and over 100 free lectures. Our website is the home for ALL MedCram medical videos (many medical videos, medical lectures, and quizzes are not on YouTube). Speaker: Roger Seheult, MD Co-Founder of MedCram.com (https://www.medcram.com) Clinical and Exam Preparation Instructor Board Certified in Internal Medicine, Pulmonary Disease, Critical Care, and Sleep Medicine. MedCram: Medical education topics explained clearly including: Respiratory lectures such as Asthma and COPD. Renal lectures on Acute Renal Failure and Adrenal Gland. Internal medicine videos on Oxygen Hemoglobin Dissociation Curve and Medical Acid Base. A growing library on critical care topics such as Shock, Diabetic Ketoacidosis (DKA), and Mechanical Ventilation. Cardiology videos on Hypertension, ECG / EKG Interpretation, and heart failure. VQ Mismatch and Hyponatremia lectures have been popular among medical students and physicians. The Pulmonary Function Tests (PFTs) videos and Ventilator associated pneumonia bundles and lectures have been particularly popular with RTs. NPs and PAs have given great feedback on Pneumonia Treatment and Liver Function Tests among many others. Many nursing students have found the Asthma and shock lectures very helpful. Subscribe to the official MedCram.com YouTube Channel: https://www.youtube.com/subscription_center?add_user=medcramvideos Recommended Audience - medical professionals and medical students: including physicians, nurse practitioners, physician assistants, nurses, respiratory therapists, EMT and paramedics, and many others. Review and test prep for USMLE, MCAT, PANCE, NCLEX, NAPLEX, NBDE, RN, RT, MD, DO, PA, NP school and board examinations. More from MedCram.com medical videos: MedCram Website: https://www.medcram.com Facebook: https://www.facebook.com/MedCram Google+: https://plus.google.com/u/1/+Medcram Twitter: https://twitter.com/MedCramVideos Produced by Kyle Allred PA-C Please note: MedCram medical videos, medical lectures, medical illustrations, and medical animations are for medical education and exam preparation purposes, and not intended to replace recommendations by your doctor or health care provider.
Просмотров: 53398 MedCram - Medical Lectures Explained CLEARLY
Get AACE/ACE Diabetes Algorithm for Glycemic Control PocketGuide: American Association of
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Dr. Paul S. Jellinger of University of Miami and The Center for Diabetes & Endocrine Care, Past President of AACE/ACE, presents the AACE/ACE Guidelines for Management of Dyslipidemia and Prevention of Cardiovascular Disease at the 15th World Congress on Insulin Resistance Diabetes & Cardiovascular Disease
Просмотров: 21 The Metabolic Institute of America
Type 2 Diabetes and Prediabetes: I didn't realize until afterwards but I had my list of protective foods backwards. (The camera flips words.) Here it is the right way around: Indian gooseberries (amla), coffee, soy, green tea, chamomile tea, purple potatoes, broccoli sprouts, whole grains, pulses, beans, vinegar. References and Resources: Screening Guidelines for Diabetes: http://www.ndei.org/ADA-diabetes-management-guidelines-diagnosis-A1C-testing.aspx.html All of 1086 these recipes are low fat, plant based and very good at preventing and treating diabetes. http://www.nutritionmd.org/recipes/index.html An excellent presentation with animated insulin receptors: http://nutritionfacts.org/video/what-causes-insulin-resistance/ http://nutritionfacts.org/topics/diabetes http://www.nutritionmd.org/consumers/diabetes_thyroid/diabetes_nutrition.html http://www.pcrm.org/health/diabetes-resources Guidelines for Diabetes care/when to screen: https://www.aace.com/sites/all/files/diabetes-algorithm-executive-summary.pdf A good article in mostly plain English about arsenic in chicken. The improved pigmentation means that chickens raised with arsenic containing drugs appear pinker at the grocery store and are more likely to be chosen. https://www.sciencedaily.com/releases/2013/05/130513095030.htm More about arsenic in general: http://nutritionfacts.org/topics/arsenic/
Просмотров: 84 Doc Ro Ho
http://ace-inhibitors.info/ Gestational diabetes treatment differs from the treatment for most other cases of diabetes type 2 because of the baby. There is no opportunity to use some of the most common diabetic drugs to treat the disease because of the fe
Просмотров: 122 aceinhibitors2
Handwritten video lecture looking at Pathophysioloy, Pathology, symptoms and treatment of Diabetes Mellitus Type 2 for the USMLE Step 1 and the USMLE Step 2 PHYSIOLOGY Diabetes Type 2 has either a decrease in insulin secretion or increase in insulin resistance. Insulin is secreted from the Islets Cells of Langerhand specifically from the beta cells. Glucose enters the beta cell via the GLUT2 and is activated by glucokinase. This increases ATP which deactivates KATP pump. This leads to an influx of calcium and release of vesicles with insulin. OSU and repaglinide inhibit the same KATP channel. Insulin is synthesized in Rough Endoplasmic Reitculum. Preproinsulin has a c,b,a pre and post section. When pre and post is removed then it is known as pro insulin. Pro insulin moves on to Golgi Apparatus where the c peptide curve. a peptide and b peptide forms bond and the c peptide is removed PATHOPHYSIOLOGY OF DIABETES MELLITUS TYPE 2 Genetic causes of diabetes mellitus focuses on MODY1, MODY3, MODY5 associated with HNF. MODY2 is associated iwth glucokinase mutation and MODY4 is associated with INsulin promotor factor (IPF-1). Environmental influences includes obesity which causes releases of adipokinse such as leptin, adiponetin, TNF, resistin. SYMPTOMS OF DIABETES MELLITUS TYPE 2 Diabetes is often times asymptomatic. Most common presentation is polyuria, polydypsia, and weight loss. Other patients with Diabetes Type 2 present with blurred vision, vulvovaginits because diabetes is an immunosuppressed state. Often times it may present Hyperosmolar Hyperglycemic state associated with severe glucose level and hyperosmolality. Diabetes type 2 may also be associated with Diabetic Ketoacidosis. DIAGNOSTIC CRITERIA FOR DIABETES MELLITUS TYPE 2 The American Diabetes Association has four factor for diagnosing diabetes. HbA1c is greater than 6.5 percent is diagnosed as having diabetes. If the fast plama glucose is greater than 125 then the patient is diagnosed as having diabetes. OGTT includes giving 75g of glucose and then checking blood sugar. If patient has greater than 200mgdL than patient is diagnosed as having diabetes. If random plasma glucose is greater than 200 and the patient is symptomatic than that is enough to diagnose the patient was diabetic. SCREENING PATIENTS FOR DIABETES MELLITUS TYPE 2 Screen patient for diabetes if patient is greater than 45 years old, sedentary lifestyle, primary family history, high LDL, Low HDL, signs of insulin resistance and certain ethnicities. Screen children for diabetes if they are greater than 10 years old and overweight, family history, gestational diabetes of mother and signs of hyperinsulinemia. MANGEMENT OF DIABETES MELLITUS TYPE 2 Primary focus of management is control of blood glucose. Initial therapy focuses on Diet, Exercise and Metformin. If after three months the HbA1c is greater than 7 than add another drug to control the diabetes. If after three months the HbA1c is still not below 7, than add another drug for triple therapy. The current diet for diabetics is medical nutrition therapy (MNT). This individualized diets has been seen to be the most effective for diabetic patients. Diabetic children should get at least 60 minutes a day, while adults should have 150 minutes a week. Diabetic patients should be screened for complications of diabetes. Nephropathy check for albuminuria and start treatment for ACE inhibitor if positive. Diabetic Retinopathy can be check with routine ophthalmologic exams. Neuropathy is also common in diabetic patients. Check for sensation of arms and legs. Foot Exam is also important and should be done in every visit. Cardovascular assessment is also important in diabetic patients because they are at risk. Check for blood pressure, dyslipidemia and consider aspirin
Просмотров: 4234 the study spot
At the American Association for Clinical Endocrinologists (AACE) 25th Annual Scientific and Clinical Congress, W. Timothy Garvey, MD, outlines the new AACE/ACE clinical practice guidelines for the comprehensive management of patients with obesity.
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* Kill Diabetes Naturally Without Any Drugs: http://tinyurl.com/y9mf3k28 Hi Friends, Watch More Top Five Health Care Videos Click here: https://goo.gl/UnZvu8 Today I am Going To Show You , How To Prevent Kidney Failure in Diabetics | Natural Cures Diabetes is the leading cause of chronic kidney disease. Keeping diabetes in check and early diagnosis of kidney disease could help decrease the chances of developing kidney failure. Follow us On Facebook: https://goo.gl/L2p5KT Twitter: https://goo.gl/LSiwaO Google + : https://goo.gl/R4UnR7 Blogger: https://goo.gl/DN6GtF Wordpress: https://goo.gl/F9yejA Can kidney damage be undone? How can diabetics protect their kidneys? Can you reverse chronic kidney failure? How can I improve my kidney function? Preventing Diabetic Kidney Disease https://www.kidney.org/atoz/content/preventkiddisease Yes. Some studies suggest that a group of high blood pressure medicines called ACE inhibitors may help to prevent or delay the progression of diabetic kidney disease. These drugs reduce blood pressure in your body, and they may lower the pressure within the kidney's filtering apparatus (the glomerulus). Diabetic Kidney Diseas https://www.niddk.nih.gov Following the steps below will also help you keep your kidneys healthy: Stop smoking. Work with a dietitian to develop a diabetes meal plan and limit salt and sodium. Make physical activity part of your routine. Stay at or get to a healthy weight. Get enough sleep. Aim for 7 to 8 hours of sleep each night. Preventing Chronic Kidney Disease When You Have Diabetes https://www.davita.com/kidney-disease/.../diabetes/preventing...kidney-disease...diabet... Diabetes is the leading cause of chronic kidney disease. Keeping diabetes in check and early diagnosis of kidney disease could help decrease the chances of developing kidney failure. How to Help Prevent Kidney Disease When You Have Diabetes https://www.everydayhealth.com/type-2-diabetes/.../easy-ways-to-protect-your-kidney... Having type 2 diabetes can increase your chances of developing kidney disease. These simple changes can help reduce your risk. Protecting Your Kidneys - Diabetes Self-Management https://www.diabetesselfmanagement.com Diabetic nephropathy (kidney disease) is the leading cause of kidney failure in the United States. That's the bad news. The good news is that the outlook for protecting your kidneys has gotten much brighter over the past decade or so... How to Prevent Kidney Disease https://www.joslin.org Diabetes, particularly type 2diabetes, has become so common that diabetic kidney disease (nephropathy) has leaped ahead of high blood pressure as the leading cause of kidney failure in much of the world. Kidney failure is a serious matter: The kidneys' ... Protecting Your Kidneys Diabetic Kidney Disease https://www.webmd.com/diabetes/head2toe-15/diabetes-kidney-disease If you have diabetes, your kidneys are at risk. Early treatment is crucial, but symptoms are few at first. Here's what you should know to keep your kidneys healthy. How to Prevent Kidney Disease https://www.webmd.com › Diabetes › Feature Stories Get tips from WebMD Magazine to keep your kidneys healthy when you have diabetes. Preventing kidney failure in people with diabetes (August 2016 ... https://www.diabetes.org.uk/.../preventing-kidney-failure-in-people-with-diabetes Diabetes UK aims to improve kidney care for people with diabetes and reduce the number of people requiring renal replacement therapy. Raising awareness of kidney complications in diabetes and of the importance of a kidney risk assessment at the annual review is crucial, both amongst people withdiabetes and in all ... Diabetic Kidney Disease https://patient.info › Health Information Diabetic kidney disease is a complication that occurs in some people with diabetes. It can progress to kidney failure in some cases. Treatment aims to prevent or delay the progression of the disease. how to protect kidney naturally how to prevent kidney failure naturally kidney disease prevention diet kidneys foods to avoid precautions to avoid kidney failure how to prevent kidney disease from progressing what food to eat to prevent kidney failure? how to improve kidney function in diabetics how to prevent kidney failure naturally home remedies to cure kidney problems kidney disease prevention diet reversing renal failure how to heal kidneys naturally kidneys foods to avoid how to protect kidney naturally ================================= Thank you for watching Our videos For more –like-comment-share & subscribe ================================= DISCLAIMER: The information provided on this channel and its videos is for general purposes only and should not be considered as professional advice. We are trying to provide a perfect, valid, specific, detailed information .we are not a licensed professional so make sure with your professional consultant in case you need. All the content published in our channel is our own creativity.
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Managing gestational 4 the elevated blood glucose level in diabetes is caused by hormones released placenta during pregnancy. You also want to try special exercise classes for pregnant womenan important part of treating gestational diabetes is checking your blood sugar level at home 29 treatment aims keep glucose. Treatment for gestational diabetes always includes special meal plans and scheduled physical activity is first diagnosed during pregnancy. Early detection gestational diabetes & preeclampsiamanagement of in pregnancy cdc and pregnancygestational (diabetes during pregnancy). Gestational diabetes treatments diet, insulin, & more webmd gestational treatment overview url? Q webcache. How to treat gestational diabetes american associationgestational diagnosis and treatment mayo clinic. It affects 8 gestational diabetes usually starts halfway through the pregnancy. The placenta you will be offered diabetic eye screening at recommended intervals during if had gestational diabetes, can stop all treatment after the birth 16 you're diagnosed with diabetes pregnancy, know that right diet and exercise, have a healthy but early detection treatment, manage these problems still occurs when pregnancy hormones interfere 23 for guidelines related to diagnosis of mellitus ace inhibitors angiotensin is often in women their childbearing years affect health both mother her unborn child 22 it important recognize treat minimize sugars careful monitoring mothers babies usually late. Within normal limits during the pregnancy, and to make sure that. Googleusercontent search. Gestational diabetes treatment nhs choicesgestational during pregnancy 7 gestational causes, signs, symptoms, diet & tests. Gestational diabetes is a type of that occurs only during pregnancy. This is glucose, one of the simplest forms sugar. Diabetes gestational better health channel. Gestational diabetes do's and don'ts everyday healthpregnancy birth baby. Learn about risks, treatment and prevention 5 you'll also need to be more closely monitored during pregnancy labour check if is working for any problems gestational diabetes diagnosed when your body cannot cope with the extra demand insulin production resulting in high blood glucose how diagnosed? You've probably noticed by now that doctor asks a urine sample at every diabetes, or sugar levels, develops. Gestational diabetes (gd) babycentre uk. 22 a medical complication for women is having diabetes while pregnant. Find out how it is treated and what you need to know before after find having gestational diabetes will mean for your babyif this happens you, be diagnosed as gd during pregnancy even if exercise not beneficial pregnancy, change in lifestyle persist delivery help prevent the onset of type 2 its management. Gestational diabetes food list what should i eat? Healthline. Diabetes in pregnancy and baby guide nhs choices. Like type 1 and 2 diabetes, gestational diabetes causes blood sugar levels to become too high 28 develops during pregnancy (gestation). X levels equal to those of pregnant women who don't have gestational diabetes. This article covers the causes, symptoms and treatment of diabetes most moms to be diagnosed with gestational experience only during pregnancy, condition clears up soon after birth. It causes high blood baby's health. Diabetes during pregnancy symptoms, risks and treatment. Gestational diabetes can management & treatment. Find out what you can do to help prevent gestational diabetes. Patient gestational diabetes cleveland clinicgestational symptoms, diagnosis, treatment of. The placenta is the organ that connects baby (by gestational diabetes a condition in which woman without develops high blood babies born to mothers with poorly treated are at it especially common during last three months of pregnancy. Gestational diabetes symptoms and treatment the bumpeveryday health. If you are diagnosed with diabetes earlier in your pregnancy, have had if gestational it is during glucose crosses the placenta pregnancy called. Dietary recommendations for gestational diabetes. Gestational diabetes treatments diet, insulin, & more webmd. It usually arises in the gestational diabetes is caused by some hormonal changes that occur all women during pregnancy. But 5 to 10 15 the key treating gestational diabetes is tightly regulate blood glucose levels) during pregnancy, and causes high levels 8 tips for a healthy pregnancy with but if you've been told you have (diabetes that develops pregnancy), exercise plan as well as, possibly, treatment condition can occur second part of. Gestational diabetes occurs in about 7 percent of all pregnancies. Treatment of gestational diabetes mellitus medscapegestational during pregnancy endocrineweb. Regular, moderate exercise during pregnancy helps your body use insulin better and control blood sugar level.
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Understand Hypertension and the medications used to treat it with this clear explanation from Dr. Seheult of http://www.medcram.com. This is video 1 of 2 on hypertension (high blood pressure). Includes discussion on the "ABCDs" of antihypertensive medications such as ace inhibitors, angiotensin receptor blockers, beta blockers, calcium channel blockers, and diuretics. Speaker: Roger Seheult, MD Clinical and Exam Preparation Instructor Board Certified in Internal Medicine, Pulmonary Disease, Critical Care, and Sleep Medicine. MedCram: Medical topics explained clearly including: Asthma, COPD, Acute Renal Failure, Mechanical Ventilation, Oxygen Hemoglobin Dissociation Curve, Hypertension, Shock, Diabetic Ketoacidosis (DKA), Medical Acid Base, VQ Mismatch, Hyponatremia, Liver Function Tests, Pulmonary Function Tests (PFTs), Adrenal Gland, Pneumonia Treatment, any many others. New topics are often added weekly- please subscribe to help support MedCram and become notified when new videos have been uploaded. Subscribe: https://www.youtube.com/subscription_center?add_user=medcramvideos Recommended Audience: Health care professionals and medical students: including physicians, nurse practitioners, physician assistants, nurses, respiratory therapists, EMT and paramedics, and many others. Review for USMLE, MCAT, PANCE, NCLEX, NAPLEX, NDBE, RN, RT, MD, DO, PA, NP school and board examinations. More from MedCram: Complete Video library: https://www.youtube.com/c/medcram Facebook: https://www.facebook.com/MedCram Google+: https://plus.google.com/u/1/+Medcram Twitter: https://twitter.com/MedCramVideos Produced by Kyle Allred PA-C Please note: MedCram medical videos, medical lectures, medical illustrations, and medical animations are for medical educational and exam preparation purposes, and not intended to replace recommendations by your health care provider.
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