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    <description>Latest NetWellness content for Diabetes</description>
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	<title>Biotin in impaired fasting glucose</title>        
<description>&lt;b&gt;Question&lt;/b&gt;: Dear Sir, 
&lt;p&gt;I read in the website clinnovo that biotin can improve blood sugar control and help lower fasting blood glucose levels.Biotin can also play a role in preventing the neuropathy often associated with diabetes, reducing both the numbness and tingling associated with poor glucose control. . . .&lt;p&gt;&lt;b&gt;Answer&lt;/b&gt;: &lt;p&gt;There is no objective large scale clinical trial data to support a role for biotin in either blood sugar control or in control of neuropathy.&amp;nbsp; There is a single report in 3 patients from 1990 without any follow-up studies indicating improvement in symptoms of neuropathy with quite high dose  . . .&lt;p&gt;&lt;b&gt;Ask an Expert&lt;/b&gt;: Robert Cohen MD, Diabetes</description>
<link>http://www.netwellness.org/question.cfm/77123.htm</link>
    	<author>Robert Cohen MD</author>
        <pubDate>Wed, 20 Jan 2010 04:01:00 EST</pubDate>
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	<title>Metformin related queries</title>        
<description>&lt;b&gt;Question&lt;/b&gt;: I have browsed several questions responses of which are really full of erudition. You deserve a cmpliments from us for meaningful guidance. I wanted to ask 3 queries : 
&lt;p&gt;1. whether Metformin is helpful in weight management / I am hypertensive and obese but not diabetic. I go for a walk, less suga . . .&lt;p&gt;&lt;b&gt;Answer&lt;/b&gt;: There is a clinical trial, the type 2 diabetes prevention program, which demonstrated that metformin slows the progression to type 2 diabetes from a &quot;pre-diabetes&quot; state like impaired fasting glucose.&amp;nbsp; The blood sugars you mention would fit this category.&amp;nbsp;I believe the dose of metformin us . . .&lt;p&gt;&lt;b&gt;Ask an Expert&lt;/b&gt;: Robert Cohen MD, Diabetes</description>
<link>http://www.netwellness.org/question.cfm/77057.htm</link>
    	<author>Robert Cohen MD</author>
        <pubDate>Fri, 15 Jan 2010 09:01:00 EST</pubDate>
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	<title>ONGLYZA</title>        
<description>&lt;b&gt;Question&lt;/b&gt;: Please provide brief info about new medication ONGLYZA. Is it sumilar to any other? How does it work and what advantages (disadvantages) it has.Thanks. &lt;p&gt;&lt;b&gt;Answer&lt;/b&gt;: The manufacturer provides information approved by the US Food and Drug Administration at the following web site: &lt;a href=&quot;http://packageinserts.bms.com/ppi/ppi_onglyza.pdf&quot;&gt;http://packageinserts.bms.com/ppi/ppi_onglyza.pdf&lt;/a&gt;.&amp;nbsp; The generic (chemical) name is saxagliptin.&amp;nbsp; It is similar to . . .&lt;p&gt;&lt;b&gt;Ask an Expert&lt;/b&gt;: Robert Cohen MD, Diabetes</description>
<link>http://www.netwellness.org/question.cfm/76968.htm</link>
    	<author>Robert Cohen MD</author>
        <pubDate>Mon, 11 Jan 2010 17:01:00 EST</pubDate>
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	<title>Weight increase with Gluconorm SR</title>        
<description>&lt;b&gt;Question&lt;/b&gt;: I have a type 2 diabetes problem. For the last 6 years, I have been taken Diapride 1mg (Glimepiride), twice daily. For the last six months, my physician has added Gluconorm SR (500mg) once daily. Since then, I have noticed an increase in weight by 3.5 Kg. Could there be a correlation ? &lt;p&gt;&lt;b&gt;Answer&lt;/b&gt;: Gluconorm us not approved for use in the USA and I am finding conflicting information on the internet as to just what compound it contains, so&amp;nbsp;I cannot answer your question specifically.&amp;nbsp; Some of the drugs which improve diabetes control reduce the loss of calories in the urine and/or stimu . . .&lt;p&gt;&lt;b&gt;Ask an Expert&lt;/b&gt;: Robert Cohen MD, Diabetes</description>
<link>http://www.netwellness.org/question.cfm/76789.htm</link>
    	<author>Robert Cohen MD</author>
        <pubDate>Sat, 02 Jan 2010 04:01:00 EST</pubDate>
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	<title>Could it be a nerve damage?</title>        
<description>&lt;b&gt;Question&lt;/b&gt;: Hi i`m a type1 Diabetic,im 20 years old and i have been a diabetic for 4 years now,the thing is, i have this pain in my left side of the body whenever i get emotional ,and by that i mean every part of my left side hurts when I`m stressed or mad , while i feel no pain at all on my right side. my Ques . . .&lt;p&gt;&lt;b&gt;Answer&lt;/b&gt;: That is not a typical story for diabetic nerve damage.&amp;nbsp; It would be very unlikely that pain felt in &quot;every part&quot; of one side of the body would be&amp;nbsp;due to a disease unless there had been some sort of physical injury.&amp;nbsp; We can't make diagnoses on NetWellness.&amp;nbsp; It is worth considering . . .&lt;p&gt;&lt;b&gt;Ask an Expert&lt;/b&gt;: Robert Cohen MD, Diabetes</description>
<link>http://www.netwellness.org/question.cfm/76682.htm</link>
    	<author>Robert Cohen MD</author>
        <pubDate>Sat, 26 Dec 2009 08:12:00 EST</pubDate>
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	<title>Honeymoon phase in Type 1</title>        
<description>&lt;b&gt;Question&lt;/b&gt;: I was wondering what is the longest a honeymoon period in a Type 1 or 1.5 adult has lasted? &lt;p&gt;&lt;b&gt;Answer&lt;/b&gt;: I&amp;nbsp;can't tell you what the longest is - the typical textbook answer is on the order of 4-12 months for type 1 diabetes.&amp;nbsp; I am not aware of any literature using the term with so-called &quot;type 1.5.&quot; &lt;p&gt;&lt;b&gt;Ask an Expert&lt;/b&gt;: Robert Cohen MD, Diabetes</description>
<link>http://www.netwellness.org/question.cfm/76681.htm</link>
    	<author>Robert Cohen MD</author>
        <pubDate>Sat, 26 Dec 2009 07:12:00 EST</pubDate>
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	<title>Ethanol blood of 114.0</title>        
<description>&lt;b&gt;Question&lt;/b&gt;: my blood test came back as .114 but i only had 3 to 4 four drinks approximately four to five hours before. my blood sugar was 678 and my a1c was 13.8 could this have caused my elevated ethanol reading because of this and ketones in my blood? &lt;p&gt;&lt;b&gt;Answer&lt;/b&gt;: I don't know of an exact relationship between number of drinks and blood ethanol level - my guess is that that result is probably within the range that could be seen with 3-4 drinks at that number of hours.&amp;nbsp; Your statement of &quot;only 3-4 drinks&quot; implies that your judgment is that that is not much . . .&lt;p&gt;&lt;b&gt;Ask an Expert&lt;/b&gt;: Robert Cohen MD, Diabetes</description>
<link>http://www.netwellness.org/question.cfm/76572.htm</link>
    	<author>Robert Cohen MD</author>
        <pubDate>Thu, 17 Dec 2009 19:12:00 EST</pubDate>
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	<title>Can diabetes skip a generation</title>        
<description>&lt;b&gt;Question&lt;/b&gt;: Im researching diabetes for a science article i have to right, i was wondering if it was able to skip a gereration &lt;p&gt;&lt;b&gt;Answer&lt;/b&gt;: The important lesson in this is learning what are the mechanisms by which any disease or trait can &quot;skip a generation&quot; - if you learn that, then you can apply the research skills you've learned to many other questions and problems.&amp;nbsp; The hint I will give you is that some diseases and traits are  . . .&lt;p&gt;&lt;b&gt;Ask an Expert&lt;/b&gt;: Robert Cohen MD, Diabetes</description>
<link>http://www.netwellness.org/question.cfm/76504.htm</link>
    	<author>Robert Cohen MD</author>
        <pubDate>Fri, 11 Dec 2009 21:12:00 EST</pubDate>
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	<title>High fasting BS but normal tolerance test</title>        
<description>&lt;b&gt;Question&lt;/b&gt;: My son is 7 and has started wetting the bed at night after not wetting the bed for several years. We took him to the doctor who checked his urine which was fine except for elevated ketones. They checked his BS then and it was in the 90`s. The next day he was feeling nauseated and didn`t want to eat  . . .&lt;p&gt;&lt;b&gt;Answer&lt;/b&gt;: The key to whether the bed wetting raises the question of a pre-diabetic state is whether there is ever glucose in the urine - if no glucose in the urine, then hard to invoke that as evidence of developing diabetes.&amp;nbsp; In terms of whether the night blood sugar is evidence of a pre-diabetic state, . . .&lt;p&gt;&lt;b&gt;Ask an Expert&lt;/b&gt;: Robert Cohen MD, Diabetes</description>
<link>http://www.netwellness.org/question.cfm/76487.htm</link>
    	<author>Robert Cohen MD</author>
        <pubDate>Thu, 10 Dec 2009 16:12:00 EST</pubDate>
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	<title>Very puzzling - Type 1 seems to be producing</title>        
<description>&lt;b&gt;Question&lt;/b&gt;: I know this is a long shot for several reasons among which is I`m sure you are very busy. All I`m looking for is your opinion. Should you respond I will be forever grateful. I also understand that for &amp;quot;medical advice&amp;quot; you would actually need to meet and observe the patient. That`s why I am . . .&lt;p&gt;&lt;b&gt;Answer&lt;/b&gt;: The story suggests either a marked reduction in insulin requirements and either some insulin production by her own body or, if she got really dehydrated with the flu, conceivably some mobilization of some insulin that was injected in the past and not well absorbed from previous injections (the exten . . .&lt;p&gt;&lt;b&gt;Ask an Expert&lt;/b&gt;: Robert Cohen MD, Diabetes</description>
<link>http://www.netwellness.org/question.cfm/76465.htm</link>
    	<author>Robert Cohen MD</author>
        <pubDate>Wed, 09 Dec 2009 16:12:00 EST</pubDate>
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