9 Nov 09, 08:13 Hannah: Thanks! |
8 Nov 09, 20:35 Vagus: Many people don't realize DM 2 also includes islet failure. Another common misconception is type 2 pts don't get ketotic. |
6 Nov 09, 12:23 Hannah: Sorry... another question... you mention "and contrary to belief, T2 is insulin resistance AND pancreatic failure"... what is the general belief that you mentioned? thanks |
6 Nov 09, 12:18 Hannah: Anyhow... thanks for the explanation and I enjoy your blog very much =) |
6 Nov 09, 12:17 Hannah: I was dx with high ketone levels but fbg of 304 mg/dl (16.9mmol/l), a1c of 9.3% last year in oct... and am wondering how did I managed to get ketones of 4+ (lab says 15mmol/l) with bg not that high |
6 Nov 09, 12:14 Hannah: *con't* producing more insulin which leads to beta cells burnout ... subsequently needing insulin to manage bg control |
6 Nov 09, 12:13 Hannah: Thanks for the explaination Dr V... interesting that you note that T2 is insulin resistance and pancreatic failure as I've read a lot that T2 is mostly insulin resistance with pancreas more oftentime |
3 Nov 09, 22:33 Vagus: you'll need to get letters of references, do the USMLE, get elective time if possible (difficult as a HO now since they probably will only allow you observership status for the most part) |
3 Nov 09, 22:32 Vagus: But the short version is you'll need to start with a residency followed by a fellowship, totalling about 7 years. |
3 Nov 09, 22:32 Vagus: medstud, it's a really long process and you could look up the details in various sources too. |
31 Oct 09, 08:59 winnie: dr.vagus, you have a very interesting blog! keep up the good work ! |
29 Oct 09, 12:33 medstud: hi dr vagus,im malaysian.if u dont mind,can u tell me steps to be a specialist just like u after doing HO.my interest is cardiothoracic surgeon n i really want to pursue my study in us. |
28 Oct 09, 15:51 Vagus: Hope that helps, Hannah |
28 Oct 09, 15:45 Vagus: Glucose toxicity probably plays a role in many patients too. you can look that up. good luck |
28 Oct 09, 15:44 Vagus: Anyone can get ketosis if there is a deficiency in insulin to the extent that the body has to break down fat for energy. and contrary to belief, T2 is insulin resistance AND pancreatic failure |
23 Oct 09, 08:04 Hannah: Hello Dr Vagus... could you please explain how does some T2s get DKA? Thanks. |
19 Sep 09, 22:54 Vagus: Hi HM. Sorry, I'm not an oncologist, and would not be qualified to answer your question. Perhaps it be better to consult someone in that specialty |
18 Sep 09, 21:58 HM: Sorry to bother but please help. Is there any cure for pancreatic cancer? The tumor lies close to major blood vessel, can't tell if the tumor has invaded or not. |
18 Sep 09, 02:35 Darren: Hi Dr Vagus, i'm awaiting your reply. If it's not convenient to leave ur email add, pls email me at darrenkg@gmail.com. Thanks! |
16 Sep 09, 10:29 Darren: Hi Dr Vagus, I'm ur junior and I would like to email you regarding some enquiries that I have. May I hav your email add? thnx |