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Doctor insights on: Advances In Diabetes Treatment

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Have advances in management affected CHF survival?

Have advances in management affected CHF survival?

Yes: Survival as a measure by itself and event-free, meaningful survival as a whole have improved through research and evidence-based practice of cardiology. Over the past 10 years or so, our better understanding of the disease, better medication regimen, and device therapy have made patient's survival longer and their quality of life better. ...Read more

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Dr. Quang Nguyen
3,331 doctors shared insights

Diabetes (Definition)

A group of diseases that result in too much sugar in the ...Read more


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A patient with 5-year history of Parkinson's disease, takes no drug treatment.Is there any advanced treatment protocol to this condition in the US?

A patient with 5-year history of Parkinson's disease, takes no drug treatment.Is there any advanced treatment protocol to this condition in the US?

Sort of: We have some newer forms of L-DOPA, like Duodopa, and Rytary, and Deep Brain Stimulation seems to be used earlier and in more patients, but otherwise, not any profound advances, so far. However, loads of research programs under supervision of some outstanding Movement Disorder Specialists. If you are available, there may be some areas of benefit to consider. ...Read more

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In cases of diabetes, is there any new technology that allows non invasive glucose monitoring?

In cases of diabetes, is there any new technology that allows non invasive glucose monitoring?

No : You have to use a lancet for now. Other methods are experimental. The glucowatch, very inacurate, is no longer on the market. ...Read more

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What medical advances have been made to better treat macular degeneration disease?

What medical advances have been made to better treat macular degeneration disease?

Anti-angiogenics: A new class of medications called anti-angiogenics are now commonly used to treat wet macular degeneration. This treatment has revolutionized care for these patients. Better diagnostic technology is also helping to diagnose earlier leading to better outcomes. ...Read more

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Is their other treatment other than dialysis and transplant for chronic kidney disease ? At stage 4 ..... Is there medication available to repair ?

Is their other treatment other than dialysis and transplant for chronic kidney disease ? At stage 4 .....  Is there medication available to repair ?

Treatment of CKD: At ckd stage 4, you do not need dialysis at present. If you ckd progresses to end stage renal disease, you will need to start on dialysis or have a transplant. You do not list that you have diabetes or hypertension, if the cause of your ckd is polycystic kidney disease, not much can be done for your decline into higher stages of ckd. Your nephrologist is the one to speak to about your prognosis. ...Read more

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Which is the best advanced medical center in the world for parkinson disease?

Which is the best advanced medical center in the world for parkinson disease?

Not one: Believe it or not, the va has excellent centers for veterans. There are a number of great centers around the country, i would not say that one is better than the other. From where you live, I am sure that there are some exceptional movement disorders programs in philadelphia. Johns hopkins? ...Read more

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Any new, recent developments in treatment of emphysema?

Any new, recent developments in treatment of emphysema?

A new drug: There is a brand new drug that has been fda approved for copd/emphysema. It is called Daliresp (roflumilast) (brand name). It works by blocking an enzyme called "phosphodiesterase." it has been shown to reduce the number of attacks of copd. There are a number of side effects, and you should definitely discuss them with your doctor. I have had a mixed record of success with the meds. But, that is the latest. ...Read more

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Can neglecting type 1 diabetes for 1-2 years result in the development mental illness?

Can neglecting type 1 diabetes for 1-2 years result in the development mental illness?

MI No; Dementia, Yes: Since diabetes mellitus (elevated glucose) diffusely degrades a huge number of complex body functions, including greatly accelerating atherosclerosis, it degrades brain function in many subtle ways, over time in far more blatant ways (e.g. Stroke), thus increases dementia. Mental illness: thoughts, ideas, behaviors which are destructive to self and others, a different issue, remains more complex. ...Read more

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Is chronic sinusitis treatment with prednisone (total 275mg in 20d)and antibiotics beneficial for diabetic with thyroid problems?Or priority tosurgery

Is chronic sinusitis treatment with prednisone (total 275mg in 20d)and antibiotics beneficial for diabetic with thyroid problems?Or priority tosurgery

Diagnosis: 20 days of Prednisone is too long for the treatment of sinusitis. The usual dose is 60 mg. Daily for 5 days. The Prednisone can have an effect on your blood sugar. If the cat scan reveals chronic sinusitis and you have been on multiple antibiotics and you are symptomatic, that is, yellow green nasal discharge, pain and pressure in the face for more than 90 days. Surgery is appropriate. ...Read more

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Cancer of unknown primary in the liver stage 4. Inoperable. Treatment for such? Life expectancy?

Cancer of unknown primary in the liver stage 4. Inoperable. Treatment for such? Life expectancy?

ACUP: Adenocarcinoma of unknown primary in the liver- could be originally from lung, colon, from the bile duct , prostate etc. It would be nice to be able to find the primary cancer.There are algorithm we use to try to find the primary." cancertype-id" can be done also to help finding the primary. It will tell you probablity of the primary cancer. If primary can'e be found- chemo-carbo/taxol can be used. ...Read more

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What's the newest invention in diabetic treatment?

What's the newest invention in diabetic treatment?

Education and contro: The same as they always have been: education, diet, exercise, weight loss, glucosecontrol, monitoring, prevention of complications, BP and lipid normalization, avoidance of risk factors, appropriate medication when prescribed. These never change. Don;'t wait for a miracle. ...Read more

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Are there new advances in radiation therapy for treating breast cancer?

Are there new advances in radiation therapy for treating breast cancer?

Yes: The most common method of treatment is external beam RT, which is typically given over 7 weeks. Accelerated partial breast irradiation (brachytherapy) is an option for some breast cancers and can be completed in 5 days. Intraoperative radiation therapy (IORT) is popular in Europe and is becoming more available in the US for selected patients; treatment may be completed at the time of surgery. ...Read more

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Optimizing insulin regimens in type 1 diabetes. How to help patients get control of their life?

Optimizing insulin regimens in type 1 diabetes. How to help patients get control of their life?

Diabetes centers: Diabetes centers around the country are geared to help patients and their families do just this. In your neck of the woods, the harold schnitzer diabetes health center might be a good place to start. ...Read more

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What is the most effective treatment for niddm (non-insulin-dependent diabetes mellitus)?

What is the most effective treatment for niddm (non-insulin-dependent diabetes mellitus)?

Diet exercise oral : Along with diet and exercise, oral agents such as glipizide/glyburide followed by the addition of metformin if not controlled. Glimepiride is often the next step. Then pioglitazone and sitagliptin could be used after previous alternatives attempted. ...Read more

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Risk factors for central line-associated bloodstream infections in the era of best practice.?

# of times used: Central lines, like any catheter, should be protected from unnecessary manipulation. We know that the more frequently the catheter is manipulated or "accessed", the more likely an infection will occur in the blood stream. Other causes include obvious breaks in technique and failure to use sterile technique with dressing changes. ...Read more

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What is the new treatment for poly cystic kidney disease ? Rather than life style modification by diet and water

What is the new treatment for poly cystic kidney disease ? Rather than life style modification by diet and water

Not yet. : There are several experimental medications undergoing evaluation in clinical trials, however at this time in the us there is no specific medicinal treatment for PKD other than supportive care. Blood pressure control is paramount, and some evidence suggests ace inhibitors as being first line agents. Follow the advice of your nephrologist. Best of luck. ...Read more

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Is there any new research in 2012 relating to a cure for paraneoplastic? If the disease is advanced are the effects irreversible?

Is there any new research in 2012 relating to a cure for paraneoplastic? If the disease is advanced are the effects irreversible?

Cure the cancer.: Paraneoplastic syndrome results from hormones secreted by tumor cells, that grow out of control to cause cancer. These proteins or hormones cause various and varied symptoms, often following a particular pattern directly related to the cancer cell type (lung cancer often). Resolving the paraneoplastic symptoms is directly related to the rx of the underlying cancer. Rx the cancer. ...Read more

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Have there been advancements in technology to cure high blood pressure?

Have there been advancements in technology to cure high blood pressure?

Hypertension: We don't cure this often. One of the new treatments involves pacing the renal nerves. ...Read more

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I'm scared for my diabetic brother and what he'll experience later in life. Are there any advances in treatment for diabetes?

I'm scared for my diabetic brother and what he'll experience later in life. Are there any advances in treatment for diabetes?

Many advances: With the treatment options currently, there is no reason why your brother cannot achieve near normal glucose control, and thereby avoid the complications of diabetes. It comes down to his motivation to control his diabetes, and compliance with doing the right things in terms of diet, exercise, and medications. ...Read more

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Can there be a treatment for diabetes?

Can there be a treatment for diabetes?

Yes, Regarding Type2: You must aggressively change your lifestyle. Mobile Health games can help. Physicians recommend water, increased veggie intake and walking 10k steps a day. Changing your behavior is HARD! Here is a health game that will help! Commit to tracking your nutrition and weighing in weekly. Losing just 10 pounds can reverse diabetic state. https://itunes.apple.com/us/app/personal-medicine+/id846379884?m ...Read more

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How much can treatment for diabetes cost?

How much can treatment for diabetes cost?

Type 2 a few bucks: You must aggressively change your lifestyle. Mobile Health games can help. This platform is just a couple of dollars. walking 10k steps a day. Changing your behavior is HARD! Here is a health game that will help! Commit to tracking your nutrition and weighing in weekly. Losing just 10 pounds can reverse diabetic state. https://itunes.apple.com/us/app/personal-medicine+/id846379884 ...Read more

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What is the newest treatment for diabetes?

What is the newest treatment for diabetes?

Older is better.: Newest treatments are not as effective, safe or inexpensive as the old standards: metformin, sulfonylureas, and insulin. ...Read more

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What will be the future treatment for diabetes?

What will be the future treatment for diabetes?

Many new drug: Classes being evaluated will be able to control diabetes very well , along with current meds, without risk of weight gain or low blood sugar for type 1 diabetes, 'artificial pancreas' coming sooner than later. ...Read more

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What is the most typical treatment for diabetes?

What is the most typical treatment for diabetes?

Depends: That depends on the type of diabetes you have, type i vs type ii, also on how advance you daibetes is, that is do you have complactions of diabetes already such as renal failure, diabetic retinopathy, neuropathy ect... Sometimes diet and exercise alone can keep your diabetes under control, there are a wide range of diabetic treatments available, you and your doctor should discuss your options. ...Read more

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What is standard treatment for type two diabetes?

What is standard treatment for type two diabetes?

Customized: It really depends on the severity of diabetes and other factors like presence/absence of liver or kidney disease. First medication is often either a sulfonylurea or metformin. Here is a link you ay find helpful: http://www.Mayoclinic.Com/health/diabetes-treatment/da00089. ...Read more

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Has the treatment of diabetes changed over the years?

Has the treatment of diabetes changed over the years?

Dramatically : The treatment options of diabetes have changed dramatically in the us. Metformin was approved for use in the mid 1990's and since then 9 more classes of diabetes medications have been added as treatment options including a new class just approved in 4/2013. Prior to metformin we had just Insulin and one class of oral medication (sulfonylureas). Many new insulins have been added since then as well. ...Read more

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I want to know about the latest treatment for diabetes?

I want to know about the latest treatment for diabetes?

GLP-1 and DPP-4: Some of the newer medications for type ii diabetes include the glp-1 agonists Exenatide and liraglutide and the dpp-4 inhibitors sitagliptin , saxagliptin, and linagliptin. ...Read more

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What is the medical treatment for diabetes that is best?

Options: If you are a type 1 diabetic, the treatment is insulin. If you are type 2 diabetic, the first drug to start on (if you have no contraindications) is metformin. If it is still not controlling your diabetes, then addition of other meds or Insulin might be needed. When choosing the Next Choice after metformin, choose agents that don't cause weight gain. Diet/exercise is needed for both diabetes type. ...Read more

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What about glcovance 5/500 mg in treatment of diabetes?

What about glcovance 5/500 mg in treatment of  diabetes?

Glucovance (glyburide and metformin): Is excellent. Can have low glucose with it. Diet content and timing is essential. ...Read more

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What is the latest medicine in the treatment of diabetes?

What is the latest medicine in the treatment of diabetes?

Pharmaceutical?: Are you asking about a drug or medical knowledge. Lifestyle is the most powerful treatment of all! ...Read more

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Which is the most effective and cheap treatment for diabetes?

Which is the most effective and cheap treatment for diabetes?

Metformin: Metformin is clearly the best drug for type 2 diabetes, and it is generic and cheap. Metformin is also the only drug shown to reduce heart disease and stroke in type 2 diabetes. ...Read more

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I have diabetes and highperparathyoridism what is treatment ?

I have diabetes and highperparathyoridism what  is treatment ?

See endocrinologist: Hyperparathyroidism and diabetes together are complex medical issues that do require evaluation and management by an experienced endocrinologist. ...Read more

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Need expert advice! where to find best treatment for diabetes?

Need expert advice! where to find best treatment for diabetes?

Answered Many Times: Diabetes mellitus is elevated glucose, defined by ada as hba1c ?6.5%, optimal ?5.0%. Thus cut all food carbs/sugars, the primary driver of ?glucose, exercise (triggers burning sugar & fat), reduce body fat (sugar from food stored as fat). For type ii, add glp-1 analogue slowly (victoza (liraglutide) has best track record), consider metformin. Most other dm meds lower but advance dm & problems, thus avoid. ...Read more

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Can you tell me treatment modalities for diabetes in young adults?

Can you tell me treatment modalities for diabetes in young adults?

Depends: Everyone needs diet, exercise, education, monitoring, complication prevention and control of BP and lipids. Type 1 needs Insulin from the beginning. Type 2 needs weight loss and probably oral medication, but can need Insulin as well in some cases. ...Read more

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What is the most promising treatment for diabetes that will come on the market in the near future?

What is the most promising treatment for diabetes that will come on the market in the near future?

Artificial pancreas: With regards to type i diabetes (and all forms of insulin-dependent diabetes), the artifical pancrease (pancrelipase) "so called closed loop system" will become the most revolutionary intervention ever since Insulin was discovered back in 1922. For those who are recently diagnosed with type 2 diabetes, incretins (glp-1 agonoists) are showing promising results. ...Read more

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Wanted to know where can I find good information about diabetes treatment and diabetes management?

Wanted to know where can I find good information about diabetes treatment and diabetes management?

ADA/AACE: Diabetes.Org (american diabetes association) aace.Com (american association of clinical endocrinologists) endo-society.Org (endocrine society) jdrf.Org (juvenile diabetes research foundation) or from your local diabetes center, diabetes nurse educator, endocrinologist. ...Read more

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Diabetes type1. Is there any treatment? Can a man be 100 percent treated? At any cost tell me please. I have my child 10years and have diabetes type1.

No cure yet: Insulin is the only treatment available to patients with type 1 diabetes. The artificial pancreas is being developed but will take some time to be commercially available to patients. Researchers are working hard towards finding a cure. ...Read more

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