Diabetes Discourse

The prevalence of diabetes complications and its associated costs represent an infrastructure that may be virtually unsustainable in the near future. Join host Dr. Steven Edelman and his guest, editor-in-chief of the diabetes publications Closer Look and Diabetes Close Up, Kelly Close, as they discuss the challenges of both regulation and reimbursement.

The physiological effects of glucagon-like peptide-1 (GLP-1) are exciting because of the potential clinical relevance in treating two of the major abnormalities that contribute to type 2 diabetes: impaired insulin secretion and excessive glucagon secretion. GLP-1 also appears to have effects on gastric emptying and appetite suppression. Join host Dr. Steven Edelman and his guest Dr. Robert Henry, professor of medicine at the University of California, San Diego, and chief of both the section of endocrinology, metabolism and diabetes and the Center for Metabolic Research at the VA Medical Center in San Diego.

Diabetes is strongly linked with a number of risk factors for coronary problems such as high blood pressure, high cholesterol, abdominal obesity that significantly increases the risk of heart attack and stroke. Recent studies indicate that new drug-eluting stents are a reasonable option for the diabetic population who do not want bypass or that don’t present with severe disease involving all of their blood vessels. Join host Dr. Steven Edelman and his guest, chief of clinical cardiology and professor of medicine Dr. Daniel Blanchard, as they discuss the latest in screening and treatments for heart disease.

The frequency of hypoglycemic events for both type 1 and type 2 diabetics increases due to tight blood glucose control and more intensive treatment schedules. The disease differs significantly between type 1 and type 2 in the body’s defense mechanism of decreasing insulin concentration. Join host Dr. Steven Edelman and his guest, endocrinologist and professor of medicine Dr. Patrick Boyle, as they discuss what health care professionals need to know to help their patients avoid and treat hypoglycemia.

Diabetic peripheral neuropathy remains one of the most common complications in diabetes. Because type 2 diabetes often goes undiagnosed for many years, it is common for patients to present with some degree of neuropathy. Our guest, podiatrist, specializing in diabetic foot problems, Dr. Ingrid Kruse, discusses the variance in both symptoms and treatments for diabetic peripheral neuropathy. Join host Dr. Steven Edelman to learn more.

Dietary supplements and alternatives medicines are on the rise, however effectiveness of most of these products has not been demonstrated. Supplements differ significantly over prescription drugs in both production and regulation. How do healthcare professionals stay ahead of this rapidly growing area? Join host Dr. Steven Edelman and his guest, pharmacist and certified diabetes educator Dr. Candis Morello, as they discuss the need for further education and information. You can find out more about dietary supplements from the National Institutes of Health's Office of Dietary Supplements here, and from the NIH's National Center for Complementary and Alternative Medicine here.

People with diabetes are at increasingly higher risk for developing peripheral arterial disease. However, the disease may have no symptoms and often goes undiagnosed. What is the link between PAD and diabetes? Our guest, Dr. Niren Angle, chief of vascular and endovascular surgery at the University of California, San Diego, outlines the symptoms, diagnosis and treatment for peripheral artery disease. Join host Dr. Steven Edelman to learn more.

The incidence of diabetes is increasing per year in the US and globally. The trend data suggests that obesity may be driving autoimmune beta cell failure. Some have questioned whether excess obesity or adiposity might be playing a role in this increased incidence of type 1 diabetes or whether healthcare professionals are not recognizing type 2 diabetes in youth. Join host Dr. Steven Edelman and his guest, pediatric endocrinologist and clinical researcher, Dr. Susan Phillips, as they discuss the challenges facing healthcare professionals in the diagnosis and treatment of diabetes in childhood.

A certified diabetes educator can help both physicians and patients when it comes to sexual dysfunction. Sexual dysfunction is experienced by over half of all women with diabetes, and approximately 32 percent of men with type 1 and 46 percent of men with type 2. So, it is critical to provide good communication. Our guest, certified diabetes educator and sex specialist Janis Roszler, outlines the benefits of good communication for healthcare professionals and their patients. Join host Dr. Steven Edelman to learn more.

Almost a third of all diabetics develop gastrointestinal complications specifically related to their diabetes. Host Dr. Steven Edelman is joined by his guest, gastroenterologist Dr. James Wolosin, senior staff physician at Sharp Healthcare San Diego, to discuss the treatment of gastroparesis, autonomic neuropathy and celiac disease.