Message from the ADA President The president of the American Diabetes Association in his presidential address gave a sobering speech about investing in prevention in order to save on complications (of diabetes, of course). By doing so, he claimed, there would be 5 million fewer heart attacks, 600,000 fewer strokes, 1.2 million fewer cases of renal failure, and 1.8 million fewer premature deaths. To reach such a goal, 80% of patients must meet the following guidelines: 1) HbA1c should be less than 7%, 2) blood pressure should be less than 130/80, 3) LDL (the bad cholesterol) should be less than 100, 4) HDL (the good cholesterol) should be greater than 40 in men, and 50 in women, and 5) everyone should take a daily baby aspirin. Dr. Robert A. Rizza even went further to suggest that every type 2 diabetic should take a daily generic “polypill” consisting of 1,000 mg metformin, 75 mg aspirin, 40 mg statin, and 10 mg of an ACE inhibitor. Such a generic pill would cost about $100 per year while saving about $400 per year. Short of finding a cure, the above advice is very reasonable and should be adopted by the health care industry.     Once-Weekly Byetta Some of you who are happily injecting Byetta twice daily, maybe glad to hear that a long-acting weekly preparation is on its way. It may not be on the market until 2008, but its coming.
Galvus and Januvia These are two new drugs for type 2 diabetics which will probably shortly become approved by the FDA. Both belong to a new class which is called DPP-4 inhibitors, and are manufactured by Novartis and Merck respectively. Both inhibit the enzyme DPP-4 which is responsible for metabolizing (destroying) a gastrointestinal hormone called glucagon-like peptide (GLP). GLP is made by intestinal-lining cells when they are exposed to carbohydrates in the diet. GLP travels to pancreatic beta cells where it stimulates insulin production, and thus augments the response to ingested food. Both drugs seem to have comparable glucose-lowering effect when compared to other oral agents, and hold even greater promise when used in combination with other oral agents. These drugs constitute the SIXTH category within the oral agents, without any end in site!
Duo-Care This little gadget will “do” your blood pressure and your sugar. It will also store up to 60 blood pressure measurements and 150 blood glucose levels. Info at 877-924-2273 or at www.duo-care.com.
Rx Master This is a pocket-size electronic device that offers comprehensive information about commonly prescribed drugs, with practical advise about food, and plenty of space for storing personal information. Info at 305-477-8080 or at www.excalburelectronics.net.
Vita-Betic Supplement For Diabetics The Litvin Centers for Diabetes is now offering Vita-Betic sugar-free multivitamins designed with diabetic nutrition in mind. Persons with diabetes need to safeguard their health. Vita-Betic is a multivitamin which in addition to all the standard/essential vitamins has other ingredients which have been found to be beneficial to the typical diabetic patient. Vita-Betic is specially formulated with essential Chromium and Vanadium which are helpful in improving insulin action and various herbs which promote anti-oxident activity. Many multi-vitamins contain sugar and do not include all the nutrients that may be valuable for a diabetic's nutritional needs. Vita-Betic was specially made with the diabetic in mind, it supplies vitamins, minerals, and nutrients that are essential for people with diabetes to achieve their optimum health. This is a special offer at a reduced cost. For more information, click here.
Free Diabetes Supplies For Medicare Patients ---------- WWW.DIABETES-DOCTOR.COM We recently added a new area to our web site called "Diabetes Supplies." Patients with Medicare coverage may be eligible to receive FREE DIABETES SUPPLIES through the LCD (Litvin Centers for Diabetes). We offer FREE Shipping anywhere in the U.S. and the convenience of no paperwork to process. To find out if you qualify, call or Enroll today and our professional staff will contact you.
Office News Litvin Centers for Diabetes is announcing the addition of more professionals to our team. Doctor Michael Rosenbaum who specializes in diabetic Podiatry has joined us several months ago, and is seeing patients once a week in both locations. Doctor Rosenbaum has much training, and will address all aspect of diabetic complications of your feet. Please call our receptionists for an appointment. Another exciting addition to our team is Doctor David Hodges, who is a practicing Cardiologist with vast experience. Doctor Hodges will be available at the Fort Lee location initially. As promised, we are gradually fulfilling our mission, which is to create a diabetes center which will address to multiple needs of the diabetic patient.

Fort Lee Office Hours	West Orange Office Hours
Day From To Mon 8:30 am 5:30 pm Tue 8:30 am 5:30 pm Wed CLOSED CLOSED Thu 8:30 am 5:30 pm Fri 9:00 am 1:00 pm Sat CLOSED CLOSED Sun CLOSED CLOSED	Day From To Mon CLOSED CLOSED Tue* 9:00 am 3:00 pm Wed 9:30 am 5:00 pm Thu CLOSED CLOSED Fri 9:30 am 4:30 pm Sat CLOSED CLOSED Sun CLOSED CLOSED *Dr. Litvin is in every other Tuesday of the month.
Fort Lee Address 158 Linwood Plaza Fort Lee, NJ 07024 201-461-0585	West Orange Address 622 Eagle Rock Avenue West Orange, NJ 07052 973-736-1221

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