6 Feb 10, 11:39
Hannah: here's the link on oprah's site... http://www.oprah.com/oprahshow/Diabetes-101-with-Dr-Oz-Dr-Ian-Smith-and-Bob-Greene
6 Feb 10, 11:38
Hannah: Dr. V... Oprah just did a show on diabetes with Dr. Oz... would you like to do a blogpost on your comments on that episode? would love to see your review on it =) ... it was aired on Thursday (4 feb)
4 Feb 10, 23:58
chiet: so wat are the poll results?
19 Jan 10, 20:40
Vagus: Vee, hope that answers your question
19 Jan 10, 04:23
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12 Jan 10, 07:13
Vee: thx dhssraj for your reply. Okie Dr.Vagus, waitin for the next post!
9 Jan 10, 09:07
Vee: Will answer that question in an upcoming post ;)
9 Jan 10, 01:54
dhssraj: vee, its NEVER too late. ive seen top cardiologists from other countries start from scratch here again... you want it you got it! :D
5 Jan 10, 08:53
Vee: Hey Vagus, in your opinion..At age of 27. Workin 2 and a hlaf yrs as medical officer. Is it too late to apply USMLE?
1 Jan 10, 21:42
Vagus: Thanks Vee, Hannah. Same to you guys too!
1 Jan 10, 05:41
Vee: Happy new year.. to you and your family!
1 Jan 10, 00:32
Hannah: Thx for the explanation Dr. V... Happy New Year!!
31 Dec 09, 21:12
Vagus: drugs like sulfonylureas. c-peptide is just a marker, it does NOT cause hypogly. Some people use a gluacgon stim c-peptide to test for type 1 dm but this is an old test that is no longer used
31 Dec 09, 21:11
Vagus: Those numbers are normal, basically. A high c-peptide/insulin in the context of hypoglycemia can be indicative of a pancreatic disorder or certain
31 Dec 09, 00:53
Hannah: from your explaination... if a person is not insulin resistant and C-peptide is high, that is one cause of hypogly episodes? would a stimulated c-pep be more informative than just a fasting c-pep?
31 Dec 09, 00:37
Hannah: Thx! How would you interpret a fasting c-peptide of 487pmol/l (1.4ng/ml).. with a fasting bs of 90mg/dl? is it towards insulin deficiency? or its "normal"? thx for feedback
30 Dec 09, 21:29
Vagus: so that's why it's more useful in that context. to see if it's insulin-mediated, and if the insulin is exogenous or endogenous
30 Dec 09, 21:28
Vagus: in a hypogly pt, you'd expect insulin (hence c-peptide) to be suppressed, unless you're dealing with an insulinoma etc
30 Dec 09, 21:28
Vagus: you need a point of reference for glucose, before you can interpret the c-peptide, that's why it's not very useful as a random test
30 Dec 09, 21:05
Vagus: c-peptide, a reflection of insulin secretion, varies tremendously depending on glucose levels. No real 'normal range' so i hardly order a random c-peptide. tend to do it more in hypoglycemia workup.
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