Diabetes FAQs

What is a Certified Physician’s Assistant (PA-c)

A Certified Physician’s Assistant is concerned with preventing and treating human illness and injury by providing a broad range of health care services under the supervision of a physician. Accordingly their work may include conducting physical exams, ordering and interpreting tests, diagnosing illnesses, developing treatment plans, performing procedures, prescribing medications, advising on preventive health care and assisting in surgery.
A certified PA must pass the Physicians Assistant National Certification Examination. Only those who pass may use the title PA-c and be licensed in the State of California.

New Uses for Web site

I have not posted much lately despite so many new techniques, medications for diabetes and updates. I intend to increase the use of the Website which is so nice to start with and hope it will enable patients to know when flu shots are available this season, what vaccines are recommended for all persons with Diabetes, what our educators believe are important for your health, forms that you can fill out and many other uses. Elvia will also have access to posting on this website and she is much more attentive than I am. Hope you enjoy the additional information

American Diabetes Association

I would like to post my enthusiasm for the ADA.  I truly feel all persons with Diabetes should be members.  The mission of the ADA is to improve the lives of all persons with diabetes through diabetes awareness, diabetes education as well as funding research into causes, treatments and cures.  I am prompted to write this because of how impressed I am by the latest issue of Diabetes Forecast, the Healthy Living Magazines that all members of the ADA get.  The articles are relevant to all of us.  There is a great article on eating fish and it is quite detailed on how to choose fish to eat.  The Gender Gap in Diabetes care is another, and Charlie Kimball’s fascinating career as a race care driver is a feature.  He is Type , He is form Camarillo, and He is the first person with Type 1 to race in the Indy 500.  There are some great recipes that are consistent with healthy eating also.  I have been a member for all this time.  I also receive Professional publication like Diabetes Care which publishes clinical developments in Diabetes research.  Everyone should join if only to get the magazine.  Any bike riders are invited to join the Tour de Cure.  THE DOC BRAND TEAM rode 32 miles in Long Beach, raised about 2500 dollars  and had a great time.  The next bike ride Tour will be November 18, 2012 in Santa Barbara.  The office will have up to date information.

Diabetes Type 2

The difference between types of Diabetes can be confusing.  Basically the problem is High Blood Sugar in both cases.  Type 2 Diabetes is by far more common and represents around 90% of persons with Diabetes.  Diabetes Type is an inherited condition that runs high in certain ethnic groups.  In my practice Hispanic persons predominate.  All Hispanic persons run an increased risk of Diabetes.  One epidemiologist who has studied these relationships finds that the mixture with native American Indians who have the highest incidence of Diabetes in the world confers this predisposition.  Filipino persons have the highest incidence of Diabetes Type 2 in Asia.  Insulin resistance is the hallmark of Diabetes Type 2 so that there usually is plenty of insulin but the body does not respond normally to it.  Therefore the blood sugar runs high and high blood sugar damages organs over time, similar to what happens to persons with Diabetes type 1.  As the condition progresses, the cells that make insulin in the pancreas, the Beta Cells wear out and it is said that if someone with Diabetes Type 2 lives long enough that he or she will need to be taking insulin.  At my office people with Diabetes are taught how to take care of their Diabetes with weight loss, exercise and medication in order to extend the life and function of these cells that make insulin.  The watchwords are Control as reflected by the A1c test and Prevention of complications

What is Diabetes Type 1?


Type 1 Diabetes is an Autoimmune Disease that comprises about 5 to 10 % of persons with Diabetes.  It’s onset is usually in younger ages, most commonly around puberty but can occur at any age.  It is due to the attack of a person’s immune system on the Beta Cells that make Insulin in the Pancreas.  What initiates this attack of one’s immune system on these cells is unknown but much research is moving forward to discover these mechanisms and try to prevent this kind of Diabetes.  This attack starts many years before the onset of Diabetes and results in the need for Insulin treatment.  Persons with Type 2 Diabetes may also need Insulin as their cell’s ability to make it wears out but they are still Type 2 and are taking Insulin for control of their blood sugar. I personally have Type 1 with onset at age 30 and do my best to control it with an Insulin Pump.

What is a Diabetes Specialist?

A Diabetes Specialist is a physician dedicated to providing the most current, up-to-date care for patients with diabetes and their families.

Dr. Brand is certified by the National Board of Diabetes Educators.  He is the director of the Diabetes Education and Nutrition Services (DEANS) program.  Also, Dr. Brand is a consultant to the Healthy Beginnings Program at St. John’s Regional Medical Center for women who develop diabetes during pregnancy.

As a person living with diabetes for over 25 years, Dr. Brand understands the needs of individuals with this condition.  He believes through up-to-date diabetes education and care, individuals can significantly reduce the complications of diabetes and maintain a healthy and active lifestyle.

What is An Internal Medicine Doctor?

An Internal Medicine physician is a personal physician who deals with the diagnosis and non-surgical treatment of adult diseases.  An Internal Medicine doctor is skilled in disease prevention and in managing complex disorders of the body.  The “internist” provides long term comprehensive care in both the office and hospital settings often serving as a consultant to family practitioners and obstetrician-gynecologists.