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Clinical Accuracy Spoken Here
Diabetes: Hypoglycemic symptoms
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] www.athenaforum.com

Multiple Sclerosis: Breast Feeding
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]
Excellence in Case Mgmnt
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.aspx

Thyroid Awareness Month
In the Headlines . . .
“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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“FDA – Alert extended on Peanut Butter and Salmonella Outbreak”
Recalls and additional search and safety alerts continue to be issued by the Food and Drug Administration on the latest outbreak of salmonella Typhimurium in peanut butter products. The plant of origin has been identified and noted that the peanut butter and paste distributed to schools, hospitals, nursing homes, and other community settings is found in the genetic match to this strain of contamination. The FDA is recommending that consumers avoid eating products or handling products like dog bones that have been recalled, and discard them. Their website has an updated list of products and distributers/merchants, and additional information to aid in staying up to date on the current alert.

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Connie Sunderhaus Connie Sunderhaus, RN-BC, CCM
Clinical Editor
Athena Forum


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