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Endocrinology (including Diabetes)/Expert Profile
Expertise
My expertise is in the practical management of Type 2 Diabetes and its complications. Questions in the area of medication use, lab results , and symptoms would be most welcome. I do not want questions related to Type 1 Diabetes.
Experience in the area
Family Physician with training in the United Kingdom and Canada and hold a professorship at a Canadian University in the Department of Family Medicine. I have various roles that have given me a wealth of experience, our practice looks after many diabetic patients, we are a teaching practice and have full time residents, I also have a role in a primary care research unit that with others has done a number of successful research projects in Diabetes.
Organizations
College of Physicians and Surgeons of Ontario College of Family Medicine on Canada Member and presenter for North American Primary Care Research Group
Publications
Family Practice Journals in the US and Canada
Education/Credentials
MB, BCh, BAO degrees from Queen's University of Belfast, Northern Ireland, U.K. CCFP- Canadian Certification in Family Medicine FCFP- Fellow of the College of Family Physicians of Canada
Past/Present Clients
my own practice of 1200 plus patients
Average Ratings
Recent Reviews from Users
K = Knowledgeability C = Clarity of Response T = Timeliness P = Politeness| User | Date | K | C | T | P | Comments |
|---|---|---|---|---|---|---|
| Ken | 10/08/09 | 10 | 10 | 10 | 10 | Quick, informative, and very professional. |
| Terry | 09/25/09 | 10 | 10 | 10 | 10 | Thank you very much for your time ..... |
| Drew | 09/21/09 | 10 | 10 | 10 | 10 | Thank you very much for your thoughtful ..... |
| Eileen | 09/12/09 | 10 | 10 | 10 | 10 | Thank you for your very informative reply ..... |
| Helen | 09/10/09 | 10 | 10 | 10 | 10 | Really appreciate the quick response - better ..... |
Recent Answers from N. Marshall
2009-11-03 Fasting Blood Glucose:
Your numbers, in spite of not being truly fasting, are in the non diabetic range The criteria for prediabetes or impaired fasting glucose are based on at least a ten hour fast with nothing but a glass
2009-10-11 Nocturia?:
serum electrolytes and glucose, urine specific gravity, urinary sodium, simultaneous serum and urine osmolality, and ADH levels. these would be some of the other tests to specifically rule out diabetes
2009-10-08 blood sugar flunctuation:
There are two long acting insulins available in Canada.. Insulin glargine, Insulin detemir, There are many short acting insulin, Insulin aspartame being the quickest acting.. as to what you should do in
2009-10-08 blood sugar flunctuation:
It is natural for blood sugar to go up after a meal.. however how high it goes up will depend on how much and of what type of carbohydrate you have consumed..In addition the type and frequency of your
2009-10-08 Medication-- a life sentence?:
unfortunately with a fasting glucose of 11 or more before treatment the likelihood of needing and needing to continue two antidiabetic medications is very high.. Is it impossible that you could get off
Answers by Expert:
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