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The Burden Of Diabetes

The Burden Of Diabetes image

Once you are diagnosed with diabetes, you are a diabetic for life. That’s often said and it is true. Diabetes mellitus is a lifetime illness that involves high blood sugar levels which promotes complications if neglected. But it is not the high blood sugar level that kills you, it’s the complication. Hence, being a diabetic, one needs continuing medical care to achieve target blood sugar levels to prevent these complications. The burden of diabetes is steadily increasing globally. Because of rapid urbanization, change in nutrition brought about by the increasing popularity of fast food due to the busy lifestyle of » » » [Read more]

Association Of Vitamin D Level And Insulin Resistance

It has come as a surprise to see a lot of people with vitamin d deficiency in a tropical country like the Philippines with almost a year-round sunshine. Vitamin D, also called the sunshine hormone, has effect on our bone, immune system, metabolism and even mood. Studies say that the reduced pigmentation of light-skinned individuals results in higher vitamin D level. On the other hand, melanin, the skin pigment, which is present in greater quantity in dark-skinned individuals, act like a sun-block resulting to decreased conversion of vitamin D precursors in the skin. This is the reason why dark-skinned individuals » » » [Read more]

What Are The Types Of Repetitive Stress Injury?

What Are The Types Of Repetitive Stress Injury? image

As most cases, repetitive stress injury is classified into two respective types. Below is the explanation of each type and how they differ from each other. Type-1 Repetitive Stress Injury Repetitive stress injury that fall in this category are based on one thing, it can be diagnosed by a physician through its recognized signs and symptoms. These symptoms usually involve inflammation and swelling of soft tissues like tendons or muscles affected by stress. Some of the signs and symptoms that are clinically seen on an Repetitive Stress Injury case Bursitis Bursitis is defined as the inflammation of the bursa. Bursa » » » [Read more]

Diabetic Ketoacidosis In A Patient With Thyroid Storm: A Case Report

Diabetic Ketoacidosis In A Patient With Thyroid Storm:  A Case Report image

M.K., a 25 year-old female, Filipina-Japanese, presented at the Emergency Room due to abdominal pain. Her aunt stated that she had been noted to be very irritable for the past week before consult but attributed it to stress from the patient’s new job. She had been complaining of epigastric pain but only took AlMgOH, an antacid, which provided slight relief. The patient also claimed that she had been having nausea and had poor appetite, hence did not inject insulin for the past 2 days. She also experienced palpitation, heat intolerance, hyperdefecation and lightheadedness. The patient is a diagnosed case of » » » [Read more]

Why Is Obesity A Problem

Why Is Obesity A Problem image

Obesity is a multifactorial problem. It does not only result from over eating and sedentary lifestyles but as well as cultural attitudes, genetic predisposition and lack of proper knowledge on nutrition. With the rising economy and advancing technology, people tend to depend on fast food and ready-to-eat pre-packed easy-to-prepare frozen food to beat their hunger and allot more time for other activities like surfing the internet, working on the computer, or simply watching TV after work. Combined with the advancement in technologies which gives us the accessibility of cars for transportation to go to places, even just the near ones » » » [Read more]

A Comparative Study of the Effect of Vildagliptin and Glimepiride on Glucose Variability in Type 2 Diabetic Patients With Inadequate Glycemic Control on Metformin

A Comparative Study of the Effect of Vildagliptin and Glimepiride on Glucose Variability in Type 2 Diabetic Patients With Inadequate Glycemic Control on Metformin image

Authors: Odessa G. Tolentino-Wilson, M.D., FPCP Augusto D. Litonjua, M.D., FPCP, FPSEM, FACE Section of Endocrinology and Metabolism Makati Medical Center INTRODUCTION: Vildagliptin is a member of the dipeptidyl peptidase IV inhibitor (DPP-IV inhibitor) class of drugs. These drugs are believed to improve glucose variability by restoring the physiologic pattern of insulin secretion. Vildagliptin improves glycemia by improving beta and alpha cells’ sensitivity to glucose.1 This addresses the impaired glucose-mediated suppression of glucagon secretion in diabetes that results in increased hepatic glucose output and subsequently hyperglycemia.2 In a study that compared the effect of vildagliptin and glimepiride on prandial glucagon » » » [Read more]