When patients with T2DM have difficulty controlling their glucose with standard approaches, or are newly diagnosed but severely hyperglycemic, insulin is commonly used to help control their metabolism. Using long acting, once a day agents is a standard of care but in the last 15 years, the costs of insulin has skyrocketed. During this episode we will review a study examining the effects of using Neutral Protamine Hagedorn Insulin (NPH) rather than once a day insulin on A1c control and risk for hypoglycemia and discuss their findings, which suggest NPH can be used with equivalent glycemic control and with no additional risk.

Acute low back pain is a common problem and a frequent cause of inability to work. Although there are many treatments available, they often provide limited relief and have accompanying side effects. Listen to this episode to hear about how using certain vitamins may act as an adjunct treatment to speed recovery of acute low back pain.

Antibiotics are frequently prescribed for upper respiratory infections, even when they are likely due to viral etiologies, or will resolve just as quickly without antibiotics. Many clinicians believe convincing patients they do not need to take an antibiotic is time consuming and frustrating for both parties. In fact, patients are often receptive to information on appropriate use, and the conversation can be done efficiently with practice.

About 20% of men older than 60 experience low testosterone; however, the prevalence of low testosterone with sexual dysfunction symptoms is significantly lower. Although there is an association between advancing age, testosterone levels, and other quality of life factors, the exact causal relationship remains challenging. This latest guideline from the American College of Physicians (ACP) examines the evidence regarding testosterone replacement recommendations.

Join Dr. Sanjiv Chopra, hepatologist, author, speaker, and thought leader as he interviews his guest, Dr. Martin Abrahamson, endocrinologist and associate professor at Harvard Medical School as they discuss major advances in diabetes as well as the promise of stem cell treatment, diet and weight loss in patients with diabetes, and advances in continuous glucose monitoring. The pair will end their conversation discussing what they have learned from patients over the years.

This podcast can help you to differentiate between normal age-related memory decline, mild cognitive impairment, and dementia so that you can diagnose your patients with memory loss correctly and provide them with the best management for their condition.

Discuss a recently published randomized controlled trial that examined methods to help parents improve their ability to discuss important health issues with their teenagers (ex. sexual activity, substance use).