William Lee Dubois

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  • William Lee Dubois - Las Vegas, NM - Endocrinology Diabetes & Metabolism
    William Lee Dubois answered:

    Are there any medications for prediabetes?

    Yes. No. Kinda.
    OK, here’s the deal, the FDA hasn’t actually approved any medications for prediabetes, but doctors commonly prescribe two classes of medications “off label” to help treat the condition.
    The first class are thiazolidinediones, conveniently called TZDs, such as Actos. These are basically anti-insulin...Read More
  • William Lee Dubois - Las Vegas, NM - Endocrinology Diabetes & Metabolism
    William Lee Dubois answered:

    How is type 2 diabetes diagnosed?

    The current standard of care guidelines from the American Diabetes Association advocate the use of the hemoglobin A1C test to diagnose diabetes. In plain English the A1C test gives us a picture of the blood sugar environment in your body over the last three months.
    The A1C was chosen to replace the older methods...Read More
  • William Lee Dubois - Las Vegas, NM - Endocrinology Diabetes & Metabolism
    William Lee Dubois answered:

    What is considered borderline diabetes?

    When the diabetes police are in hot pursuit and you are within five miles of a state border you have borderline diabetes.
    Sorry. I couldn’t resist. In the medical world we use certain fixed blood sugar numbers to determine who has diabetes and who doesn’t. The standards are set by the American D...Read More
  • William Lee Dubois - Las Vegas, NM - Endocrinology Diabetes & Metabolism
    William Lee Dubois answered:

    Can having prediabetes cause pain and burning in my feet?

    I doubt very much that the pain and burning you are feeling has anything to do with your prediabetes. But that doesn’t make you immune from future trouble.
     Here’s why: First and foremost let’s be honest. Out of control diabetes can set off a whole  host of what are called complications, very nasty...Read More
  • William Lee Dubois - Las Vegas, NM - Endocrinology Diabetes & Metabolism
    William Lee Dubois answered:

    What is prediabetes?

    Technically, we define diabetes as a certain absolute blood sugar number.

    One point over and you are a member of our club—we’ll mail you a T-shirt and a blood glucose monitor while supplies last. One point under and you aren’t diabetic.

    But your blood sugar is waaaaaay higher than a “normal” perso...Read More
  • William Lee Dubois - Las Vegas, NM - Endocrinology Diabetes & Metabolism
    William Lee Dubois answered:

    What is considered borderline diabetes?

    When the diabetes police are in hot pursuit and you are within five miles of a state border you have borderline diabetes.
    Sorry. I couldn’t resist. In the medical world we use certain fixed blood sugar numbers to determine who has diabetes and who doesn’t. The standards are set by the American D...Read More
  • William Lee Dubois - Las Vegas, NM - Endocrinology Diabetes & Metabolism
    William Lee Dubois answered:

    What is a normal blood glucose level for someone with diabetes?

    Quite literally, what’s “normal” depends on who you are. For non-diabetic persons, when looking at “high” numbers, it was long assumed that the body always kept their blood glucose under 100 mg/dL. Now that more and more research is being done on continuous glucose monitoring systems, we see that...Read More
  • William Lee Dubois - Las Vegas, NM - Endocrinology Diabetes & Metabolism
    William Lee Dubois answered:

    How does depression relate to diabetes?

    It's almost normal for diabetics to be depressed, and the reasons spring both from our bodies and our minds. Let’s start with the body. Diabetes can interfere with serotonin levels in the brain, which in turn triggers depression. So diabetes can cause the blues in a physical, mechanical way.

    But beyond...Read More
  • William Lee Dubois - Las Vegas, NM - Endocrinology Diabetes & Metabolism
    William Lee Dubois answered:

    What complications can occur with diabetes?

    Uncontrolled diabetes has a host of complications including blindness (20,000 cases per year); kidney failure (44,000 cases per year): and amputations (84,000 per year). Oh yeah. And death too (135,000 fatal heart attacks per year).

    The very, very, very important point here is that having diabetes...Read More
  • William Lee Dubois - Las Vegas, NM - Endocrinology Diabetes & Metabolism
    William Lee Dubois answered:

    How often should I have an A1C test if I have diabetes?

    An A1C test is run quarterly, twice a year, or once a year, depending on how good or bad your control is; how good or bad your insurance is; and your provider’s approach to diabetes care.

    Even in healthy, well-controlled patients, I like to run the test every quarter. If something is starting...Read More
  • William Lee Dubois - Las Vegas, NM - Endocrinology Diabetes & Metabolism
    William Lee Dubois answered:

    What kinds of foods affect blood sugar?

    Different foods will have different effects on your blood sugar, and each of us reacts differently. You can quite literally test how various foods affect your body and your blood sugar by simply testing before and two hours after any meal to see how much the food caused your blood sugar to go up....Read More
  • William Lee Dubois - Las Vegas, NM - Endocrinology Diabetes & Metabolism
    William Lee Dubois answered:

    Is there a cure for diabetes?

    We can’t cure diabetes. Not yet. But we can treat it, and absent a cure, that’s still a pretty good deal.

    Most of the bad and scary stuff you hear about when people talk about diabetes “complications” are not really diabetes complications at all; they are high blood sugar complications. Granted, high...Read More
  • William Lee Dubois - Las Vegas, NM - Endocrinology Diabetes & Metabolism
    William Lee Dubois answered:

    How do I treat low blood sugar if I have diabetes?

    Treating any low is simply a matter of taking on some sugar. All diabetics should carry glucose tabs or some hard candy. Chocolate, although good for the soul and possibly the heart, is a poor choice to cure a hypo. Chocolate has too much fat; it will move into the blood too slowly. Juice or half...Read More
  • William Lee Dubois - Las Vegas, NM - Endocrinology Diabetes & Metabolism
    William Lee Dubois answered:

    How can diet affect the risk of diabetes?

    Your diet did not cause your diabetes. There is a belief, a myth, a falsehood, that people with diabetes gave it to themselves by eating too many sweets or by being overweight. Nothing could be further from the truth. There are plenty of 300-pound sugar addicts out there who do not have diabetes....Read More
  • William Lee Dubois - Las Vegas, NM - Endocrinology Diabetes & Metabolism
    William Lee Dubois answered:

    How can type 2 diabetes be prevented?

    Yes. No. Maybe. It depends on who you ask. But whether or not it is preventable, the trajectory of the disease can be easily influenced by your actions.

    Type-2 is a disease process with a genetic basis that requires a trigger. In the simplest possible terms, the underlying disease is your mother’s...Read More