Diabetes Discourse

Guest: Jeffrey La Belle, PhD Host: Steven Edelman, MD Many patients do not test blood glucose levels as often as they should, due to pain associated with the finger stick, as well as the need for an excess of testing paraphernalia. This week's guest discusses a potential non-invasive test on the horizon that would use tears to measure glucose levels. Dr. Jeffrey La Belle, biomedical engineering research professor in the School of Biological and Health Systems Engineering in Arizona State University's Ira A. Fulton Schools of Engineering and the Biodesign Institute, discusses promising new research in testing that may improve effectiveness and compliance with measuring blood glucose.

Guest: Eric Rackow, MD Host: Steven Edelman, MD The percentage of healthcare spending on chronic illnesses is increasing exponentially; critically for patients with diabetes. How can healthcare providers help their aging population to manage their diabetes and avoid costly hospital stays through home care management? Join host Dr. Steven Edelman and his guest, professor of medicine at the New York University School of Medicine, Dr. Eric Rackow, as they discuss new approaches for home care management strategies for patients living diabetes.

Guest: Natalie Strand, MD Host: Steven Edelman, MD The management of diabetes is an ongoing challenge for both the healthcare provider and patient in terms of balancing insulin regimens, glucose monitoring, diet and exercise. How does the diabetes educator help to "win the race" for a patient with diabetes? Join host Dr. Steven Edelman and his guest, interventional pain management physician and winner of the Amazing Race, Dr. Natalie Strand, as they discuss the integral role of the diabetes educator in the management of diabetes.

Guest: Simon Heller, MD Host: Steven Edelman, MD In 2004 the American Diabetes Association working group defined the threshold of hypoglycemia as 70 mg/dl. The clinical definition continues to attract controversy with a standard vs. dynamic solution. What are considerations that need to be made in terms of the clinical definition of hypoglycemia? Join host Dr. Steven Edelman and his guest, professor of clinical diabetes at the University of Sheffield, Dr. Simon Heller, as they discuss the challenge with the current threshold of hypoglycemia.

Guest: Patrick O'Connor, MD Host: Steven Edelman, MD A push away from the "one size fits all" approach to diabetes care, including subgroup analyses, patient preference, genetic factors and electronic records, is changing the way healthcare providers are caring for their patients. How do healthcare providers reflect these changes in their practices? Join host Dr. Steven Edelman and his guest, clinician of family medicine and senior investigator for HealthPartners, Dr. Patrick O'Connor, as they discuss a personalized approach to diabetes management.  

Guest: Eric Topol, MD Host: Timothy Bailey, MD The challenges of treating diabetes include long-term monitoring and management, lifestyle change and adherence to medication. How are digital technology and genomics shaping the management of diabetes? Join guest host Dr. Timothy Bailey and his guest Dr. Eric Topol, director of the Scripps Translational Science Institute, as they discuss how digital technologies can improve glucose monitoring and genomics is leading to individualized treatment. Dr. Topol, who does not have diabetes, describes his personal experience living with continuous glucose monitoring for one week. Disclosures Dr. Eric Topol has disclosed that he has received grants for clinical research from sanofi-avenitis. Dr. Topol has also disclosed that he has served as an advisor or consultant to sanofi-aventis and Daiichi Sankyo.

Guest: Elizabeth Kovacs, PhD Host: Timothy Bailey, MD Experimental approaches, including the suppression of certain immune cells to speed difficult wounds, may lead healthcare professionals to advances in the treatment of diabetic wounds. What are the therapeutic strategies and implications for our patients with diabetes? Join guest host Dr. Timothy Bailey and his guest, director of research at the Burn & Shock Trauma Institute at Loyola University Medical Center, Dr. Elizabeth Kovacs, as they discuss the latest research in suppressing certain immune cells to speed healing of slow-to-heal wounds.

Guest: Louis Aronne, MD Host: Steven Edelman, MD Treatment regimens for diabetes and obesity are merging. Healthcare professionals are taking a new view to the management of diabetes including rearranging diabetes medication regimens from a glucose control and weight-neutral perspective. What do healthcare professionals need to know to help their patients manage their diabetes? Join host Dr. Steven Edelman and his guest, clinical professor of medicine at Cornell Medical College, Dr. Louis Aronne, as they discuss considerations of drug therapies as weight neutral for treating their patients with type 2 diabetes.

Guest: Juan Frias, MD Host: Steven Edelman, MD Patients living with type 1 diabetes who are involved in athletics present particular challenges to approaching to their management, medication regimen and nutrition. How can healthcare professionals help their type 1 athletes optimize their performance and manage their diabetes? Join host Dr. Steven Edelman and his guest, director of research at TeamType1, Dr. Juan Frias, as they discuss restrictions, research, monitoring and adjusting insulin therapy for endurance type 1 athletes.

Guest: William Polonsky, PhD, CDE Host: Timothy Bailey, MD A majority of type 2 patients do not understand the benefits of structured self-monitoring of blood glucose and healthcare professionals lack the time to explain the values and the time to review the values themselves. What is the benefit of structured self-monitoring of blood glucose in patients with type 2 diabetes? Join guest host Dr. Timothy Bailey and his guest, founder of the Behavioral Diabetes Institute, Dr. William Polonsky, as they discuss the challenges and barriers for both healthcare professionals and patients with structured self-monitoring of blood glucose. 

Guest: Candis Morello, PharmD, CDE Host: Steven Edelman, MD Medication adherence is one of the most challenging aspects of managing patients with diabetes. The majority of diabetes patients taking more than one oral agent do not adhere to their prescribed regimens. What is the key to successful adherence to drug regimens in patients living with diabetes? Join host Dr. Steven Edelman and his guest, associate professor of clinical pharmacy at UCSD Skaggs School of Pharmacy and Pharmaceutical Sciences, Dr. Candis Morello, as they discuss results from a recent study on medication adherence for patients living with diabetes.  

Host: Steven Edelman, MD Guest: Azza El-Remessy, PhD, RPh Retinopathy is one of the most common complications for patients living with diabetes but there are few treatment options and no early-stage interventions. How is research helping to pinpoint potential targets for early intervention and a possible oral treatment? Join host Dr. Steven Edelman and his guest, assistant professor and director of clinical and experimental therapeutics at the University of Georgia, Dr. Azza El-Remessy, as they discuss the latest research into the potential of statins to prevent diabetic-related blindness.

Guest: Jaime Davidson, MD Host: Steven Edelman, MD The relationship of insulin regimens to race and ethnicity is a new and growing area of research to better understand and provide clinical care at a personalized level. What are significant differences and approaches to these patients' diabetes management? Join host Dr. Steven Edelman and his guest, professor of internal medicine at the University of Texas Southwestern Medical School, Dr. Jaime Davidson, as they discuss the need for more clinical trials to better understand the differences of race and ethnicity on the efficacy and safety of commonly-used insulin regimens.

Guest: Tom Baranowski, PhD Host: Steven Edelman, MD How are video games showing promise as a behavior change strategy to improve children's diets? Newly-funded video-game programs are specifically designed to lower risk of type 2 diabetes and obesity in children. Join host Dr. Steven Edelman and his guest, professor of pediatrics at Baylor College, Dr. Tom Baranowski as they discuss innovative approaches to behavior change incorporating video games for children. Watch trailers for these games at www.archimage.com.

Guest: Linda Raynes Mahony, MS, RD, CDE Host: Steven Edelman, MD Fifty percent of patients living with diabetes will require some sort of renal replacement therapy. What percent will go on to renal transplantation and what are the recommendations for the management of these patients? Join host Dr. Steven Edelman and his guest, transplant dietitian at the University of California, San Diego, Linda Raynes Mahony, as they discuss medications, nutrition and overall management of renal transplant patients.

Guest: Matthew Riddle, MD Host: Steven Edelman, MD Patients on insulin therapy require personalized approaches to their mealtime intervention. What are the choices for patients who need something more to control glucose after meals? Join host Dr. Steven Edelman and his guest, professor of medicine at the Oregon Health & Science University, Dr. Matthew Riddle as they discuss meal time interventions for the treatment of type 2 diabetes.  

Guest: Neal Kaufman, MD, MPH Host: Steven Edelman, MD Methods of positive behavioral change for people living with diabetes is vital to the overall management of diabetes. What is the value of behavior change for people living with diabetes and their professional counterparts? Join host Dr. Steven Edelman and his guest, professor of pediatrics and public health at the University of California, Los Angeles, Dr. Neal Kaufman, as they discuss the need for behavior modification in the treatment of type 2 diabetes.

Guest: Sheri Colberg-Ochs, PhD Host: Steven Edelman, MD Today's general exercise regimens for patients living with type 2 diabetes should emphasize a combination of both aerobic exercise and resistance training. What are the new guidelines concerning exercise and what do physicians needs to know when they prescribe exercise for their type 2 patients? Join host Dr. Steven Edelman and his guest, professor of exercise science at Old Dominion University, Dr. Sheri Colberg, as they discuss the American College of Sports Medicine/American Diabetes Association joint statement on exercise for type 2 diabetes.

Guest: Edward Damiano, PhD Host: Steven Edelman, MD Guest: Steven Russell, MD, PhD The latest research into the use of glucagon and insulin in a closed-loop system is promising for the management of type 1 diabetes. How will the use of a bihormonal system benefit patients, and what is the path of treatment? Join host Dr. Steven Edelman and his guests, associate professor of biomedical engineering at Boston University, Dr. Edward Damiano, and instructor of medicine at Harvard Medical School, Dr. Steven Russell, as they discuss the challenges of a closed-loop system.    

Guest: R. Keith Campbell, BPharm, MBA Host: Steven Edelman, MD Changes in both care and treatment of diabetes reflect trends in healthcare that may need revision. How can healthcare professionals benefit from new pharmacotherapies for their patients living with diabetes? Join host Dr. Steven Edelman and his guest, professor of pharmacy, Keith Campbell, as they discuss trends in healthcare that may require revisions for the care of people living with diabetes.