The highest risk for hypoglycemic is with sulfonylureas, particularly glyburide and chlorpropamide. The reason: their half-life is quite long, and when hypoglycemia does occur, it can be quite significant and prolonged. Hypoglycemic episodes caused by oral antidiabetes medications are potentially just as dangerous as those episodes caused by insulin. Different rates of hypoglycemia may be associated with different oral medications such as with the sulfonylureas and meglitinides medicines.
[Reference:Diabetes, Therapies, Module A: Management, Page 17]
Available data from studies about the effects of breast-feeding on disease activity do not indicate a negative impact. Women should be encouraged to breast-feed unless it is judged critical of them to resume their disease-modifying agent immediately after child birth, or their fatigue level is likely to make it impractical.
[Reference: Multiple Sclerosis, Module B: Symptomatics, page 12]
|Caring 4 U
Sizes-portions-allowances for your nutritional needs have been greatly exaggerated and have expanded our bodies’ shapes and sizes to the point of unhealthy proportions. Supersizing and extra portions are not needed and have fueled an epidemic of obesity and early onset of diseases and illnesses. High-calorie foods, i.e. donuts, sodas, are sweet to eat/drink for the moment but insidious in lasting affects and outcomes. Look closely, scale back and really identify how much of a portion you are eating or drinking. http://www.brighamandwomens.org/healtheweightforwomen/special_topics/intelihealth0405.aspxThyroid Awareness Month
“Power of Prevention”
Our challenge as we begin moving through 2009 is one that focuses on health and well-being. We can do that by being active as our new President has challenged us to be. Physical activities everyday in one form or another is what counts. Sometimes, this can be difficult due to physical disorders such as thyroid diseases and other endocrine disorders. The American Association of Clinical Endocrinologists has valuable resources and information on how important this is to our health. Take the quiz and see how well you do and invite your patients too!
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