Blog Archives

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

On: July 10, 2013 By: Odessa Wilson, MD, FPCP Posted in Blog, Medical Journals

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]

Underactive Thyroid

On: July 3, 2013 By: Odessa Wilson, MD, FPCP Posted in Blog, Health

The condition of having an underactive thyroid is called hypothyroidism. This is a state of thyroid hormone deficiency or lack of thyroid hormones. It may be caused by an abnormality in the thyroid gland itself which is called primary hypothyroidism or by an insufficient level of thyroid stimulating hormone (TSH) causing under stimulation of the thyroid gland resulting to low thyroid hormone production. Underactive Thyroid Symptoms Signs and symptoms of thyroid hormone deficiency reflect the need for thyroid hormones in metabolism and its effect on all organs. Patients present with thickened features and puffy appearance. Swelling around the eyes and » » » [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

On: July 1, 2013 By: Odessa Wilson, MD, FPCP Posted in Blog, Medical Journals

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]

How to Recognize Repetitive Stress Injury

On: June 25, 2013 By: robsem Posted in Blog, Health

Only few people realize just how common the occurrence of repetitive stress injury, also called repetitive strain injury is. Other medical experts prefer to call the condition persistent stress illness since a specific muscle or part of the body is subjected to strain or stress that is caused by repeating the same motion or task over and over again. In time, the unnatural strain placed upon that muscle or body part causes injuries. In certain severe cases, conditions such as osteo-arthritis may even be indicated. Just how do this repetitive stress injury develop? Modern life requires that we move repetitively » » » [Read more]