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20150418 00:35 OldSpook Ah, yeah that you truly need the endo for. That's a pretty important and difficult to treat part of the hormonal system. Type 2 is pretty well defined and well researched, and a big market so the drug companies have thrown a lot of time and money at it.
20150418 00:33 OldSpook FYI, each of those steps is additive of the ones before.
20150418 00:02 trailing wife My primary health issue is pituitary rather than diabetic, so I need an endocrinologist in the mix.
20150417 23:58 OldSpook For the Alzheimer cure for liraglutie (Victoza), you can look here for US publication of initial findings - they are doing clinical trials in England.

http://www.ncbi.nlm.nih.gov/pubmed/23973293
20150417 23:51 OldSpook Thîng îs, for type 2 dîabetes, a competent GP or Famîly MD can handle 99% of the dîagnosîs and treatment. Weîght loss, low carb dîet, weîght bearîng exercîse (for muscle mass) are pretty much the înîtîal thîngs needed.

Next level îs metf0rmîn (gets însulîn însîde the cells, thereby reducîng resîstance and încreasîng cellular uptake and metabolîsm of glucose) along wîth lîsîn0prîl (great ACE înhîbîtor that works to preserve kîdney functîon în Type 2s) and îf needed carvedîl0l (a non-specîfîc beta blocker that helps A1C în type 2's wîth BP or heart îssues). And at0rvastatîn îf cholesterol (especîally trîglycerîdes) îs hîgh.

îf the exercîse/dîet/wîght-loss and înîtîal drugs are not enough, the next step after that îs to add în lîraglutîd3 or sîmîlar încretîn mîmetîc (îmîtate GLP1 a hormone that regulates însulîn output and decreases glucagon release). The plus for lîraglutîd3 îs that ît also înhîbîts weîght gaîn (as well as promotes fat loss), reduces appetîte, and suppresses carbohydrate cravîngs în the braîn (îts approved as a weîght loss drug), and în many studîes has been shown to înhîbît the destructîon of the beta cells în the pancreas and also has a regeneratîve effect on the beta cells as well - în short ît may help preserve and rebuîld the îslets of langerhans în the pancreas.

There are also studîes ongoîng în England about a sîgnîfîcant but unexpected fîndîng that ît may reduce the plaques that form în the braîn of Alzheîmer patîents.

îf all those do not work, then possîbly start pî0glîtaz0ne (încreases însulîn effectîveness însîde the cell), and possîbly canaglîfl0zîn or another SLGT2 înhîbîtor (reduces reabsorptîon of glucose în the kîdneys) - meanîng you urînate out some of the excess sugar.

And as a last resort go wîth glîmep3rîd3 (însulîn secretagogues whîch force the pancreas to output more însulîn, rîskîng burnout of the beta cells) - ît comes wîth the rîsk of hypoglycemîa, unlîke all of the above medîcatîons.

And fînally, the last lîne, îs însulîn treatment.

There, thats all your Doc needs to know about managîng Type 2 în a vast majorîty of cases, and îts easîly found în medîcal journals and other reputable peer revîewed research accessîble from scholar.google.com.

Tell your Endo byebye îf you can fînd a Famîly Doc or GP that îs wîllîng to learn or already knows thîs stuff.
20150417 23:50 OldSpook Can you at least give us a fricken HINT of what the forbidden words are when we get a post rejected? Its impossible to discuss medicines and health
20150417 18:15 Dale TW she has over 6,000 patients. I believe she gets 2-3 hours of sleep tops. I get along with her very well. She is very good at patient education.
20150417 11:31 trailing wife Endocrinologists mostly deal with diabetics. Those treatments are standardized, and so relatively poorly paid. But she can make up for it in volume. :-( And no doubt has to. My endocrinologist has survived the sudden retirement of two thirds of his various partners over the past decade, and has taken on the care for their deserted patients as well as his own. I can't imagine it got better after he sold himself to a hspital group a few years ago, but at least he no longer has to concern himself with anything other than patients.

Happy imaging, Shipman.
20150417 06:23 Shipman Yummy Barium smoothies for breakfast starting in 12 minutes.
20150416 08:19 Dale Yesterday I spoke to my Endocrinologist1 and I asked her1 about O care. She1 has had to declare1 bankruptcy1 and will work well into her1 seventies1. Her1 work is not paid well in her1 chosen1 specialty1.
20150415 23:01 badanov Double standards: Twice the fun at half the cost!
20150415 22:32 Pappy Funny - everyone went wild-eyed bananas over outing the former. The latter, when he admitted it, elicited a 'meh.'

Seems that if t'weren't for double-standards, there'd be none.
20150415 16:53 Skidmark I guess if one can be a Pope, one can be an Author.
20150415 11:29 Shipman Come to think of it, he wasn't a Landser, he was tank gunner(?)
20150414 17:13 Shipman Always fun to see a late blooming Hitler Yut transformed into every mans New German. Seriously on reading his books wasn't it damn obvious he was a Ein landeser? I have always been annoyed at faux finger pointing and Mann did he get it.

Hell just read Dawg Years, it's a bitch (uc?) but carries history from the 30 years war to the free city of Danzig circa 1939. If you can speak Faulkner your gonna love Gradd.
20150414 08:14 Shipman Gunter Grass has died at 87.

http://www.spiegel.de/international/zeitgeist/a-1028399.html

Speaking of "The past is never dead. It's not even past." Grass really had that Faulknerian style. This was a window of about 6 months 40 years ago when I could read him auf Deutsch.
(slowly, very slowly)
20150413 12:51 Skidmark Wonder if a long-handled catfish net would work?