Doctor insights on:
Advances In Diabetes Treatment
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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
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 moreSee 1 more doctor answer
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
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
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 moreSee 2 more doctor answers
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
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
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
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
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 moreSee 2 more doctor answers
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 moreSee 2 more doctor answers
# 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
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
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
No: I am not aware of any such evidence. ...Read more
Where are the best treatment centres in the world for advanced ovarian cancer? Looking for anything better than HIPEC treatment
Hypertension: We don't cure this often. One of the new treatments involves pacing the renal nerves. ...Read more
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
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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
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 moreSee 1 more doctor answer
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
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 moreSee 1 more doctor answer
Wanted to know where can I find good information about diabetes treatment and diabetes management?
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.
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