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  1. How low should we push LDL cholesterol?

    We need low-density lipoprotein (LDL) to transport cholesterol (and triglycerides) from liver to the peripheral tissues. Traditionally, LDL is also called bad cholesterol as high levels of this lipoprotein may mean increased transport of cholesterol towards arteries, causing plaques and coronary heart disease (CHD) eventually.

    When we detect high levels of LDL in our patients, we attempt to reduce the levels to an individualized target based on the patient's (cardiovascular) risk profile. ...
  2. Glycated hemoglobin for diagnosis of diabetes mellitus

    The diagnosis of diabetes mellitus is traditionally based on demonstrating high blood glucose.

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    The American Diabetes Association (ADA) criteria, 1997:
    1. Symptoms of diabetes plus casual/random* plasma glucose (RPG/RBS) concentration ≥200 mg/dl (11.1 mmol/l), or
    2. Fasting** plasma glucose (FPG/FBS) ≥126 mg/dl (7.0 mmol/l), or
    3. 2-hour postload/postprandial*** glucose (PPG/PPBS) ≥200 mg/dl (11.1 mmol/l) during an OGTT.
    * Casual/random is defined as any time ...

    Updated January 21st, 2010 at 05:50 PM by Shashikiran

    Categories
    Diabetes , ‎ Medicine
  3. Myths about Diabetes and its Treatment

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    This lady came for a general check-up. She was over 40 years of age and overweight, but the main reason for the visit was that the husband suspected that she had diabetes. After a brief clinical examination at the outpatient clinic, I told her that her blood pressure is slightly high but that may be due to the fact that it was her first visit to the hospital and reassured her.

    The husband took over. "No, no, doctor. I am sure she has high BP. Just order ...

    Updated January 5th, 2010 at 04:26 PM by Shashikiran

    Categories
    Diabetes , ‎ Medicine
  4. PDA and Estimated Average Glucose from HbA1c

    When I was a medical student, the only PDA that I knew was Patent Ductus Arteriosus. Thank God, I didn’t have it. Now I know another PDA and thank God, I have it.

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ID:	72I am talking about Personal Digital Assistants, also called handheld computers or palmtops.

    It’s a growing trend. More and more clinicians are using this gadget for accessing information at the point of care. While some well-organized hospitals have even daily patient data available ...

    Updated February 28th, 2010 at 08:20 PM by Shashikiran

    Categories
    Diabetes , ‎ Medicine , ‎ Technology
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