Diabetes and Carbohydrates

Angie SzumlinskiNews

Prevention of type 2 diabetes is a major public health priority and evidence supports the crucial role of diet in preventing diabetes. No surprise, the most recent studies indicate that decreasing carbohydrate intake may prove to assist in preventing this disease.  Given the benefits of low-carbohydrate diets for weight loss and controlling glycemic levels, it isn’t rocket science, right? Well, …

Anticholinergic Drugs and Dementia

Metformin and Dementia

Angie SzumlinskiNews

In a study published on medRxiv (not yet peer reviewed), researchers found that people with type 2 diabetes, over aged 50, and new users of Metformin, had about a 20% lower rate of dementia than patients taking Sulfonylureas (Glipizide, Glucotrol, etc.). The new users of Metformin also had about a 20% lower rate of Alzheimer’s Disease (AD) and vascular dementia. …

Diabetes and You!

Angie SzumlinskiNews

As healthcare providers, we are aware of the risks associated with untreated diabetes including kidney failure, blindness, cardiovascular disease, fatty liver disease, and nonalcoholic steatohepatitis to name a few. Pretty depressing, huh? Well, there is good and bad news. First, the bad news, 13% of all US adults have diabetes and 34.5% meet the criteria for pre-diabetes. Now some good …

COVID and Diabetes

Angie SzumlinskiNews

In a recent study, researchers found that people with diabetes are 1.76 times more likely to die from COVID, 1.59 times more likely to be admitted to ICU, 1.44 times more likely to require ventilation, and 2.88 times more likely to be classed as severe or critical when compared to patients without diabetes. Honestly, this isn’t really surprising if you …

Statins and Diabetes

Angie SzumlinskiNews

For those of you who know me, I have been a longstanding proponent of fewer medications in our senior population, however, polypharmacy continues to plague our centers and seniors living in the community. Sure, there are medications that MUST be continued, such as insulin, cardiac medications, etc. however, I remember working the floor in a center (yes, years ago) and …

Man at a standing desk

Just Stand

Angie SzumlinskiNews

We all know the benefit of regular exercise and making healthy lifestyle choices, but did you know that these steps can also work in your favor as it relates to insulin and diabetes? In a recent study, the researchers found that the more time spent standing, the better insulin sensitivity is in sedentary adults. Of course, adipose tissue (nasty words) …

Continuous Glucose Monitoring (CGM)

Angie SzumlinskiStudies

Per an article published in JAMA Network, adults with poorly controlled type 2 diabetes had better outcomes using continuous glucose monitoring versus blood glucose meter monitoring. The trend in geriatric care has been to step away from using sliding scale insulin, opting for long-acting insulins such as Lantus instead. This recent study indicates that continuous monitoring using a medical device …

Is Diabetes Winning?

Angie SzumlinskiStudies

In a study published in the New England Journal of Medicine, trends in diabetic treatment and risk factor control were analyzed to assist in informing public health policy and planning. The study found that diabetes control improved from 1999 to the early 2010s among the participants but stalled and declined afterward. The study concluded that after more than a decade …

Neuropathic Pain

Angie SzumlinskiFeatured, Studies

MedPage Today reported on Erika A. Petersen, MD, of the University of Arkansas for Medical Sciences in Little Rock speaking at the American Association of Clinical Endocrinology’s virtual meeting in May. Dr. Petersen discussed the use of a spinal cord stimulation device for relieving diabetic neuropathy pain. “This is the largest randomized controlled trial evaluating spinal cord stimulation for refractory …

Homemade Nutrition

Angie SzumlinskiHealth

The prevalence of nutrition-sensitive conditions such as obesity and type 2 diabetes has increased substantially in the US during the past 30 years. For decades, US policies to address hunger and food insecurity have focused largely on providing sufficient calories or quantities of food. However, effectively addressing the current diet-related challenges in the US will require a shift beyond these …