Tuesday, December 11, 2018

A day in the life of a low-carb doctor — part 2

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I had the pleasure of admitting a gentleman in his 70’s who was transferred from a small, outside hospital for unstable angina (chest pain from heart disease) and required further workup. Of note, his glucose was elevated at 290 mg/dL (16.1 mmol/L) on presentation to the emergency department, with no prior diagnosis of diabetes at the time of admission.  When I started discussing his hyperglycemia, he recounted how he had been indulging on fine cuisine while vacationing in Italy the previous month and had since been settling back down to his usual routine. On review of his old records, it was evident that he should have been classified as “pre-diabetes” for at least the past six years. Also, for at least the last eight years, his triglyceride/HDL ratio – considered the most powerful predictor of developing coronary artery disease in one study – had been over five, indicating that he was at a markedly increased risk. [Note: His LDL was in target range at 65...
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A day in the life of a low-carb doctor — part 2 was originally posted by Ketogenic Diet

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