Diabetes is one of the most common and most challenging diseases in primary care. How best to help your patients achieve glycemic control? To that end, we have created this resource page.
In addition to articles from Consultantlive.com and PediatricsConsultantlive.com, you'll find the latest news on treating diabetes from around the web. We encourage you to check back regularly because this information is updated often.
—Susan Kweskin, Editor of Consultantlive.com
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As early as 1932, physicians noticed an apparent association between type 2 diabetes and increased cancer risk. In recent years, the epidemiological evidence of such an association has mounted steadily—especially with the emergence of large databases, which have allowed us to document the link.
A recent study provides empirical evidence supporting the widely shared view that persons with diabetes mellitus should engage in regular physical activity.Read More
What is known about diabetes mellitus in older adults? How does it affect them differently than younger adults? What can be done to prevent or manage the disease? These questions and more discussed in this report.Read More
Up to 10% of Americans older than 20 years have type 2 diabetes, and more than 20% have the metabolic syndrome. The prevalence of both diseases has risen by 33% over the past decade as a result of an increasingly sedentary lifestyle, the obesity epidemic, the growth of ethnic groups at risk for the disease, and the aging of the population. More »
Researchers in the Netherlands investigating the relative risks of common infections in patients with type 1 or type 2 diabetes mellitus (DM1 or DM2, respectively) determined that both groups are at increased risk for lower respiratory tract infection, urinary tract infection, and skin and mucous membrane infection. More »
The growing epidemic of type 2 diabetes makes it imperative to identify persons at risk, screen for impaired glucose tolerance (IGT), and treat to prevent progression. Calculation of body mass index (BMI) is an appropriate starting point for identification of patients with possible IGT. More »
Cutaneous manifestations develop in approximately 30% of persons with diabetes. Premature atherosclerosis is a common complication of the disease that can cause peripheral... More »
Diabetes mellitus recently had been diagnosed in a 58-year-old woman. The patient claims that her skin had darkened significantly over the past 5 years. More »
A 32-year-old woman with insulin-dependent diabetes noted a painful erosion at the site of "the rose tattoo," which she had gotten 5 days before. More »
Type 2 diabetes was recently diagnosed in a 59-year-old woman whose vision in both eyes had been impaired for about 1 month. She had experienced fatigue and malaise for 4 to 6 weeks but... More »
An obese 52-year-old woman with a 5-year history of type II diabetes mellitus had odynophagia and dysphagia for several days. She described the sensation as food “sticking” in her chest.... More »
A 55-year-old woman, who had fairly well-controlled type 2 diabetes for 15 years, noticed a slow, progressive decrease in the visual acuity of her right eye during the past 6 to... More »
Only 7% of patients with diabetes have reached goals for hemoglobin A1c, LDL cholesterol, and blood pressure. What can be done to help more patients achieve their goals? In this 2-part interview, Dr Edward Shahady shows how group visits can help your patients with diabetes better control their disease and reduce their risk of diabetic complications.
Commentary on Chuang CM, Lin IF, Horng HC, et al. The impact of gestational diabetes mellitus on postpartum urinary incontinence: a longitudinal cohort study on singleton pregnancies. BJOG 2012;119:1334–43.
Implications for practice and research
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Gestational diabetes mellitus (GDM) is an independent risk factor for stress, urge and mixed urinary incontinence (UI), up to 2 years postpartum.
Commentary on: KrogsbøllLTJørgensenKJGrønhøjLarsen C. General health checks in adults for reducing morbidity and mortality from disease. Cochrane Database Syst Rev2012;10:CD009009.
Commentary on: McCoyRGVan HoutenHKZiegenfussJY. Increased mortality of patients with diabetes reporting severe hypoglycemia. Diabetes Care2012;35:268–901.
Implications for practice and research
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This retrospective survey of ambulatory patients with diabetes indicates that self-reported sever
Commentary on: Mayberry LS, Osborn CY. Family support, medication adherence, and glycemic control among adults with type 2 diabetes. Diabetes Care 2012;35:1239–45.
Implications for practice and research
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Understanding the family dynamics is crucial to improve diabetes management.
Family members can both support and sabotage the patient's self-management efforts.
Reviews the evidence for and against hundreds of preventive health services, recommending tests, and counseling interventions when evidence exists that it is effective.
Reviews the evidence for and against hundreds of preventive health services, recommending tests, and counseling interventions when evidence exists that it is effective.
This is followed by the Expert Panel's summary of the evidence review relative to diabetes, separated for type 1 and type 2 diabetes mellitus, and then by a subsection on ... Metabolically, diabetes is characterized by hyperglycemia due to defects in
More recently, the Nurses' Health Study, using data based on self-reported weights, found that the risk of developing type 2 diabetes increases as BMI increases. ... An association between type 2 diabetes and increasing relative weight is also observed
Primary Care Can't Thrive Without Nurse Practitioners Courtney H. Lyder, ND, May 17, 2013 With a projected shortfall of primary-care physicians, it's time for alternate solutions to patient care. Nurse practitioners are one logical remedy.