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Research Articles
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“The true management of diabetes is not treating hyperglycemia, it is preventing hyperglycemia.”      (I. Pittman IV, MD/PhD)
        
INSULIN BIOSYNTHESIS, SECRETION, STRUCTURE, AND STRUCTURE-ACTIVITY RELATIONSHIPS
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A Spectroscopic Investigation of the Conformational Dynamics of Insulin in Solution
Temporal and Spatial Regulation of CRE Recombinase Expression in Gonadotrophin-Releasing Hormone Neurones in the Mouse
“The true management of diabetes is not treating hyperglycemia, it is preventing hyperglycemia.”      (I. Pittman IV, MD/PhD)
        
HPW Center for Diabetes, Metabolic Disorders, and Preventive Medicine

(founded by Isaiah Pittman IV, MD/PhD)


Monitoring Glucose Fluctuations in Patients With Type 2 Diabetes: The Importance of Maintaining Glucose Control
Summary:

Dr. Pamela R. Kushner from the University of California Irvine Medical Center and the Kushner Wellness Center moderated the topic "Monitoring Glucose Fluctuations in Patients With Type 2 Diabetes: The Importance of Maintaining Glucose Control" with Drs. Eugene E. Wright, Jr from Duke Southern Regional AHEC, and Isaiah Pittman, IV from HPW Center for Diabetes, Metabolic Disorders, and Preventive Medicine participating

The discussion focused primarily on:

1. The clinical risks associated with fluctuating blood glucose lev-els in patients with type 2 diabetes, including hypoglycemia and hyper-glycemia;
2. The clinical benefits of maintaining appropriate levels of fasting and postprandial glucose;
3. how to optimally monitor glucose levels in patients with type 2 diabetes;
4. how to interpret and apply available data on continuous glucose monitoring (CGM) with insulin and new antidiabetes therapies, including therapies that treat post-prandial glucose; and
5. potential considerations for the use and man-agement of CGM in patients with type 2 diabetes.

Med Roundtable Gen Med Ed. 2019. March 11, 2019.