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Dr. Richard K. Bernstein Archives

Dr. Richard K. Bernstein Article Archives

November 2013

Life With Type 2: How (Non-Diabetic) Others See Us

It's always fun to get a different take on things. You sit for years a few rows up from first base and then one day you decide to go sit out by left field. Who knew the game could look so different?

comments 0 comments - Posted Nov 3, 2013

June 2013

12th Q&A With Dr. Bernstein

Can Januvia Trigger Cancer Symptoms?

comments 0 comments - Posted Jun 12, 2013

11th Q&A With Dr. Richard Bernstein

Why is your goal for A1c so much lower than the ADA's 7% and AACE's (American Association of Clinical Endocrinologists) 6.5%?

comments 2 comments - Posted Jun 5, 2013

May 2013

10th Q&A With Dr. Richard Bernstein

Are there supplements that help to decrease insulin resistance? Are there supplements that can increase insulin resistance?

comments 1 comment - Posted May 22, 2013

8th Q&A With Dr. Richard Bernstein

Diabetics with dental infection should have a longer course of antibiotics, up to a year. Is there an optimal timing of antibiotic that should be used?

comments 0 comments - Posted May 8, 2013

If someone needs to restrict their protein intake because of kidney damage, is it safe to do a low carb diet?

The restriction of protein intake is an outdated thought. It was born of a study by Barry Brenner, at Harvard, back in the 1980s. He did a survey of the diabetologists in Boston asking, "At what blood sugars do you like to keep your diabetics?"  The collective answer ultimately was 250 mg/dl.

comments 0 comments - Posted May 1, 2013

April 2013

Is it dangerous to continually have low-grade ketone levels in your blood?

Low-grade ketones are not a problem; it's part of the survival system that humans have for getting through famines. We don't have many famines nowadays, but if they're not eating overnight, a large percent of the population is going to have ketones in their blood in the morning.

comments 0 comments - Posted Apr 17, 2013

What meds do you recommend to control elevated cholesterol?

In my experience the most common cause of elevated cholesterol is low thyroid. High blood sugars also have an effect on LDL that can be very dramatic. If someone has elevated cholesterol, diabetic or not, the very first thing you do is check their free and total T3, and free and total T4. When you give them adequate thyroid replacement, the LDL usually normalizes.

comments 0 comments - Posted Apr 12, 2013

How do you evaluate the studies that show that strict control of A1c does not have a beneficial effect on cardiovascular events?

This person is referring to the ACCORD study, which in its initial unsophisticated scoring supposedly showed that a large group of elderly diabetics who had existing heart disease, died sooner when their A1cs were brought down.

comments 1 comment - Posted Apr 2, 2013

March 2013

Can you please explain the dawn phenomenon, and how best to manage it?

Dawn phenomenon is the situation where the liver removes insulin from the blood in the morning hours, which causes morning blood sugars to go up, even if breakfast is skipped.

comments 0 comments - Posted Mar 21, 2013

Introducing Q&A With Dr. Richard Bernstein

Can over-hydration or dehydration affect blood sugar level?

comments 1 comment - Posted Mar 6, 2013

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