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Monthly Archives: May 2011
Excellent Nutrition Information
Good Food Book by Gabe and Diana Mirkin is available on the web. It is easy to understand and a great starting point for a lifetime plan of healthy eating. I encourage patients to read it and follow their suggestions. … Continue reading
Using Hemoglobin A1C ( HgbA1C ) for diagnosing Diabetes
The use of HgbA1C for diagnosis of diabetes changed in 2010, when the American Diabetes Association (ADA) revised criteria for the diagnosis of diabetes mellitus. In addition to the fasting glucose (FPG), oral glucose tolerance test (OGTT), the Hemoglobin A1c … Continue reading
500 calories a day
Funny what simple concepts resonate with people. This brief snippet was worked into a story and continues to get numerous hits over at KHQ. This is the link to the comment: 500 calories a day
Rate vs Rhythm Control
Atrial fibrillation can be managed either by controlling the rate or trying to re-establish sinus rhythm. The pendulum is currently favoring the rate control strategy (with adequate anticoagulation) I think the AFFIRM trial did the most to change medical opinion … Continue reading
CHADS2 and Risk
It is amazing the power of numbers to predict, and our inability to accurately judge risk. The CHADS Score predicts the risk of stroke on a yearly basis, depending on the number of risk factors you have. Most people understand … Continue reading
CHADS Calculation
The current risk stratification for stroke most widely used is CHADS2. This system uses common clinical conditions to assess risk for stroke. Points are assigned, and anticoagulation is given depending on how many points the patient has: C Congestive heart … Continue reading
Atrial Fibrillation
This rhythm seems to provide countless nuanced discussions. The rhythm itself often brings a patient to medical attention, but the real concern is the stroke risk. At this point, our way of risk assessing the likelihood of stoke is the … Continue reading
Diabetes
It is getting increasingly hard for me to realize that Diabetes Type II is often treatable by diet, and that most people choose not to change thier diet to prevent diabetes. Avoiding refined carbohydrates and being careful with root vegetables … Continue reading