PTSD is a chronic condition that affects up to 12% of civilians and up to 30% of the veteran population. PTSD is associated with increased rates of type 2 diabetes, obesity, glucose dysregulation, inflammation, metabolic syndrome, and depression. This retrospective analysis of VA records from 2008 to 2015 identified 1,598 patients with PTSD and free… Continue reading PTSD

Anxiety and Depression

Can anxiety and depression unexpectedly improve when treating insulin resistance with metformin? I am an interventional pain physician in the urban core. More than 90% of my patients with chronic unrelenting pain also have metabolic syndrome with insulin resistance, and more than 90% also have significant anxiety and depression. I had always assumed that the… Continue reading Anxiety and Depression