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CGMS

January 17, 2013

by Philip R Nicol MD

What do you do if your A1C is high, your blood sugar log looks pretty good, you know that you aren’t cheating on your diet and attempts to increase your pills or insulin doses result in unacceptable numbers of low sugar readings? This is a common and frustrating situation in the real

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Diabetic Complications (Part II)

September 05, 2012

by Philip R Nicol MD

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In the first part of this talk I discussed the similarity in the underlying causes of the three principle diabetic complications. I also talked about the common features of diabetic eye disease. Today we will review diabetic nephropathy (kidney disease). Diabetic nephropathy is the na

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Diabetic Complications (Part III)

September 05, 2012

by Philip R Nicol MD

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In the final part of my series on the common diabetic complications, I will review those problems that are caused by damage to nerve tissue, known collectively as Diabetic Neuropathy. As is the case with diabetic nephropathy and diabetic retinopathy, the culprit in nerve damage is con

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Diabetic Complications & How to Avoid Them

September 05, 2012

by Philip R Nicol MD

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Strictly speaking, any medical problem that develops as a result of having Type I or Type II Diabetes, should be labeled a diabetic complication. However, it has become a convention when referring to diabetic complications, to limit the discussion to three areas. These are diabetic re

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No Pain, No Gain

September 05, 2012

by Philip R Nicol MD

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This old time cliché is usually heard in relation to sports activities. The harder that you train, the better you will become, is the message coaches hope to impart to their athletes. And so it is with diabetes management. It is a fact of diabetic life that good outcomes are directly

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Weight and Exercise

August 15, 2012

by Philip R Nicol MD

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The arrival of the New Year always gives us the opportunity to reflect on extra pounds acquired during the previous twelve months. We are at our most vulnerable in January. We have just emerged from a month of overeating between Thanksgiving and Christmas. Outside activities have been

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Lizard Spit

August 15, 2012

by Philip R Nicol MD

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One of the undesirable side effects of using diabetic medicines that has plagued us for years, has been weight gain. It is unfortunate to do all of the things that are asked of you, such as multiple fingersticks, taking multiple medicines, dieting and exercising and then gain weight f

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Can Diabetes Be Cured?

August 15, 2012

by Philip R Nicol MD

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The answer to this question depends on the type of diabetes and the outcome of much current research. First, let’s talk about Type I diabetes. You will recall from one of my earlier articles that the definition of Type I diabetes is based on the mechanism of injury to the pancreas whi

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