You might think you’re not at risk, but 1 in 3 Canadians already has diabetes or prediabetes. Find out if you’re at risk for type 2 diabetes at http://DiabetesTest.ca.

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The webcast uses a case-based lesson to review the efficacy, safety, and pharmacologic profile of incretin therapies in the prevention and treatment of type 2 diabetes. Visit http://www.ccfcme.org/incretinvgrvideos to claim CME credit or learn more about the Incretin-Related Therapies in Diabetes series.

The glycemic control webcast features expert faculty member, George Grunberger, MD, of the Grunberger Diabetes Institute, with commentary by Activity Director, Charles Faiman, MD.

The video was produced by the Cleveland Clinic Foundation Center for Continuing Education and the Endocrine, Diabetes & Metabolism Institute.

Interested in related CME education? Visit http://www.clevelandclinicmeded.com/medicalpubs/diseasemanagement/endocrinology/

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Diabetes mellitus (DM), commonly referred to as diabetes, is a group of metabolic disorders in which there are high blood sugar levels over a prolonged period. Symptoms of high blood sugar include frequent urination, increased thirst, and increased hunger. If left untreated, diabetes can cause many complications. Acute complications can include diabetic ketoacidosis, hyperosmolar hyperglycemic state, or death. Serious long-term complications include cardiovascular disease, stroke, chronic kidney disease, foot ulcers, and damage to the eyes.
Diabetes is due to either the pancreas not producing enough insulin or the cells of the body not responding properly to the insulin produced. There are three main types of diabetes mellitus. Type 1 DM results from the pancreas’s failure to produce enough insulin. This form was previously referred to as “insulin-dependent diabetes mellitus” (IDDM) or “juvenile diabetes” The cause is unknown.
Type 2 DM begins with insulin resistance, a condition in which cells fail to respond to insulin properly. As the disease progresses a lack of insulin may also develop. This form was previously referred to as “non insulin-dependent diabetes mellitus” (NIDDM) or “adult-onset diabetes “The most common cause is excessive body weight and insufficient exercise.
Gestational diabetes is the third main form, and occurs when pregnant women without a previous history of diabetes develop high blood sugar levels.

Per the World Health Organization people with fasting glucose levels from 6.1 to 6.9 mmol/l (110 to 125 mg/dl) are considered to have impaired fasting glucose people with plasma glucose at or above 7.8 mmol/l (140 mg/dl), but not over 11.1 mmol/l (200 mg/dl), two hours after a 75 g oral glucose load are considered to have impaired glucose tolerance. Of these two pre-diabetic states, the latter in particular is a major risk factor for progression to full-blown diabetes mellitus, as well as cardiovascular disease. The American Diabetes Association since 2003 uses a slightly different range for impaired fasting glucose of 5.6 to 6.9 mmol/l (100 to 125 mg/dl)
Source: Wikipedia

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View Part 2: https://youtu.be/HbnK-9m0ni0

Learn the basics of how to eat during pregnancy when you have diabetes. Liz Weinandy, MPH, RDN, LD, a dietitian at The Ohio State University Wexner Medical Center, leads this video for women with gestational diabetes (diabetes just during pregnancy) as well as for pregnant women who had diabetes before pregnancy.

You’ll learn the basics of how to eat, including timing of meals and snacks, why it’s important to limit carbohydrates to control your blood sugar and how to count carbohydrates.

For more information, visit: https://wexnermedical.osu.edu/nutrition-services

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Is Vitamin C Good or Bad For Diabetes

Download Diabetes Management Book: http://bit.ly/2g0NDAH

Hello, I’m Ty Mason from TheDiabetesCouncil.com, researcher, writer and I have type 2 diabetes. Today I’m going to answer the question, is Vitamin C good for diabetes. But before we get into that, make sure you download my free diabetes management book which also includes diabetes grocery shopping guide (foods to eat and avoid) by clicking the link: http://bit.ly/2g0NDAH

Citrus. Oranges, grapefruit, lemons, limes, used years ago to combat scurvy. Why? They didn’t really know back then but now we know that these fruits are rich in Vitamin C.

What is Vitamin C? Vitamin C (also known as ascorbic acid) is a water-soluble vitamin. It also is known as a powerful antioxidant. The role is plays in our bodies is to aid in forming and maintaining connective tissue, including bones, blood vessels, and skin.

There are other benefits of Vitamin C. A recent study at the University of Michigan over a 10 year period concluded that “Higher blood levels of vitamin C may be the ideal nutrition marker for overall health,” Dr Mark Moyad who conducted the study went on to say, “The more we study vitamin C, the better our understanding of how diverse it is in protecting our health, from cardiovascular, cancer, stroke, eye health [and] immunity to living longer.”

As one with diabetes, 2 benefits really stood out for me in that study: cardiovascular and eye health. Those of us with diabetes are at greater risk of heart and eye diseases.

The only “problem” with this study was that it used 500 mg of Vitamin C daily to achieve these results. The recommended daily allowance for Vitamin C is 75 mg per day. So unless you can really pack away the fruits and vegetables, you are going to have to take supplements to get those 500mg.

But before you go out and buy those supplements, understand that other studies show that those with diabetes also run risks if they have too much Vitamin C in their diet. Dr. David R. Jacobs Jr., of the University of Minnesota in Minneapolis stated that, “Our results, if confirmed by other research, would suggest that diabetics should be more cautious than others about taking supplements.” His study looked at women over a 15 year period who were post menopausal. The results he is talking about is that those with diabetes who took heavy doses of vitamin C supplements — 300 milligrams (mg) a day or more — were roughly twice as likely to die of heart disease or stroke compared with women who took no supplemental C.

So, is Vitamin C good for those with diabetes? It is a good idea to visit your health care provider and be tested for Vitamin C levels before you make that decision. Understand that the studies I have mentioned, while finding seemingly opposite results, both carefully monitored Vitamin C levels in those under the study.

Vitamin C is good for diabetes. But one must also be careful of the amount they take daily, whether in fruits and vegetables or supplements.

I hope this answered your question is Vitamin C good or bad for diabetes. Don’t forget to get your diabetes management book by clicking the link: http://bit.ly/2g0NDAH

Let me know if you have any other diabetes related questions.

Enough research has been done to demonstrate that altered vitamin D and calcium equilibrium in the blood may play a role in the development of type 2 diabetes.
Most of the observational studies have contributed towards the consistent association that exists between low vitamin D status, calcium or dairy intake and prevalence of type 2.
Along with calcium insufficiency, there are evidences that Vitamin D deficiency may negatively influence blood glucose level; concluding that combined supplementation with both nutrients may be beneficial in optimizing glucose metabolism.
Learn more – https://www.xpertdox.com/disease/description/Dysmetabolic%20Syndrome%20X

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Balance cover star, Shivali Modha, has two young children. She shares her story of putting her Type 2 diabetes into remission and the incredible impact it’s had on family life. Read her story: https://www.diabetes.org.uk/your-stories/shivali-remission
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Join UCLA endocrinologist Deepashree Gupta, MD for an overview of the differences in diabetes management in younger versus older adults, including ADA standards of care in elderly patients suffering from diabetes. #UCLAMDChat
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Cleveland Clinic’s bariatric weight loss surgery program is focused on addressing obesity with modern treatment strategies, research and education. If you’re interested in learning more about how weight loss surgery can help lead to a healthier lifestyle, this free Cleveland Clinic seminar gives you access to surgeons and specialists who will educate you on your options.

For more information, please visit https://cle.clinic/2mljVi8
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Pre diabetes is a metabolic condition and growing global problem that is closely tied to obesity. If undiagnosed or untreated, pre-diabetes develops into type 2 diabetes which whilst treatable is currently not fully reversible.

Ben talks about the causes of prediabetes, risk factors and how prediabetes is determined.

Read more about prediabetes: http://www.diabetes.co.uk/pre-diabetes.html
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11/04/17

Anna Mazzei, RD, CDE

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Adults and children can get prediabetes, when blood sugar is higher than normal but not high enough to be type 2 diabetes. Learn what you can do to prevent or delay diabetes.

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Q: How would you code pre-diabetes with hyperglycemia?
A: I’m not going to try to open up Find-A-Code, it will be too slow. If you want to look it up. But we can go to Find-A-Code.

Pre-diabetes is not diabetes, it is not the diabetes code E11. It is not going to be E11, it’s not going to be E10, it’s not going to be E13 or 12. Those are your main endocrine codes, but I can tell you a quick way to look this up. If you know the diabetic codes, you can go into a code like E11.9 and read and it will usually tell you “Hey, heads up. This excludes diabetes” things like that.

You can also look up hyperglycemia and it will usually, the ICD-10 manuals is really good about giving you things to look at and to cross reference, and encoders are even better than the manual because they pop up for you.

Did you have that? Did you find it at all, Schuyler?

Coach Schuyler: I really don’t feel that there’s going to be a combination code because it’s more of the signs and symptoms. It would be more of definitely coding both of them. So you have that pre-diabetes, which is the R73.03. Then, the hypoglycemia is R73.9. Obviously, that’s something that we can more look into, but since it is not a definitive diagnosis, I feel that it would not have that proper combination code like E11.65 does, that diabetes type 2 with hyperglycemia. For the purpose of this, I haven’t found anything that’s what I’ve come into conclusion for in regards to this question.

Coach Alicia: That is a good point to make. That is what separates the people that have experience in coding versus the ones that are newer because you automatically think, Oh, I know. E11 is going to be one of the first codes that you learn because anything you’re going to teach in coding can be done through diabetes, so you’re going to hear it a lot. You’re going to learn I10 for hypertension and E11, so you automatically start thinking of that, but this is actually pre-diabetes and that’s different. Notice that it’s an R code versus an E code which is an endocrine code, it’s how you remember it. It’s an R code which is a completely different area. That should give you a heads-up. It usually confuses everybody so hopefully that’s a good answer for you.

But if you get stumped, that’s the way to do it. Go and look and they’ll say, “Hey, by the way, this excludes pre-diabetes or diabetes due to pancreatectomy or something like that.”
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Make an appointment with Berestrand Williams, MD: http://www.mountsinai.org/profiles/berestrand-w-williams2
Find a doctor: http://www.mountsinai.org/fad

Berestrand Williams, MD FAAP is a board-certified primary care doctor at Mount Sinai Doctors, seeing patients of all ages Monday – Friday in Greenwich Village. Trained in Connecticut and Massachusetts, he is certified by the American Board of Pediatrics and the American Board of Internal Medicine and a member of the American Academy of Pediatrics and the American College of Physicians. After majoring in Biology and graduating with honors at Harvard University, he was awarded his medical degree from the University of Connecticut’s School of Medicine and completed two residencies – one in Internal Medicine at Boston University’s Boston City Hospital and another in Pediatrics at the combined Boston University School of Medicine – Harvard Pediatric Residency Program. Prior to joining Mount Sinai Doctors, he practiced at the East Boston Neighborhood Health Center for nine years and then served as Chief of Primary Care at Concentra Urgent Care and Family Medicine Center. He has been nationally recognized, receiving the Surgical Scholars Award in 1987 and the AOL Foundation Grant: Franciscan Children’s Hospital in 2001. He has written several publications, including Al. Cardiovascular Collapse Treated with Hemodiaysis, Journal of Critical Care Medicine, January 1991. Dr. Williams is fluent in Spanish.

Mount Sinai Doctors, 52 West 8th Street, is a multispecialty practice with Family Medicine, Gynecology, and Internal Medicine.
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