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
Help us build this page - Send us links to your favorite resources on treating diabetes. We welcome your comments and suggestions.
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
In their article, “Diabetes: How Early—and Aggressively—to Intervene?”
(CONSULTANT, November 2005, page 1416), Drs Thomas Clark and John R.
Holman discussed the results of the lifestyle intervention and metformin arms
of the Diabetes Prevention Program (DPP) study. However, the authors neglected
to include data from the troglitazone arm of the DPP... More »
Treating type 1 diabetes with pancreatic islet cell transplants has made progress; studies from both sides of the Atlantic show positive long-term results. Findings presented at the 2004 RSNA meeting added weight to existing data while hailing ultrasound's increasing role in guiding infusions and evaluating patients before and after intervention. More »
Although previous findings have suggested that certain gait impairments in patients with diabetes are specifically linked to neuropathy, researchers from Loma Linda University in California also have found gait abnormalities in patients with type 2 diabetes who did not have neuropathy. More »
A 53-year-old man with a 20-year history of type 2 diabetes mellitus (for which he required insulin) sought evaluation of a hot, swollen right foot that seemed to have become “flat.” He had no pain, fever, or chills.
The patient’s metatarsal bones were readily movable, consistent with Charcot joint. Further workup ruled out osteomyelitis. Plain... More »
A 67-year-old woman with insulin-dependent diabetes
mellitus and uncontrolled hyperglycemia complained of
fatigue and malaise. For 2 years, a draining ulcer had
been present on the bottom of her left foot. More »
High-grade fever, chills, fatigue, malaise, and anorexia developed in a 35-year-old man following subclavian catheterization because of chronic renal failure of unknown cause. The patient, who had long-standing diabetes mellitus, was admitted to the ICU with the diagnosis of possible sepsis. The next day, he was found to have a grade 2/6 systolic... More »
ABSTRACT: The early signs of diabetic neuropathy can be detected during a routine clinical examination. Inspect patients' feet for deformities and sensory loss, which indicate risk of ulceration. Prolonged poor glycemic control, alcohol abuse, and obesity increase the risk of amputation. Autonomic dysfunction, which can lead to sexual... More »
Apidra (insulin glulisine injection)
from Aventis is approved by the FDA
for use in adult patients with type 1 or
type 2 diabetes mellitus for the control
of hyperglycemia. Compared with
human insulin, Apidra has a more
rapid onset and a shorter duration of
action. The drug is designed to manage
mealtime spikes in glucose levels
by administration... 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
type="unord">
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. <strong>Diabetes</strong> Care2012;35:268–901.
Implications for practice and research
type="unord">
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
type="unord">
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
Five Steps to Improving Patient Access Judy Capko, May 21, 2013 Patient access is getting increased attention through reform initiatives. Here are five steps you can take to make sure patients get appropriate access to care in your office.
Growing HIPAA Threat – Ignore Windows XP at Your Own Peril Marion K. Jenkins, May 21, 2013 Chances are good that you have some major ticking software time bombs lurking in your medical practice's computer environment, namely Windows XP and Server 2003.
Three Areas to Reduce Costs at Your Medical Practice Greg Mertz, May 19, 2013 By taking a hard look at reducing costs for staffing, overhead, and technology at your medical practice, you may see increased physician compensation.
Dos and Don’ts for Starting a Physician Blog Michael Woo-Ming, MD, May 18, 2013 Starting a physician blog can provide your medical practice with marketing benefits, but it's important to do it right.
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.
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.
In his second podcast, Dr Louis Kuritzky discusses the classes of incretin-based therapies now available for patients with type 2 diabetes mellitus.
Louis Kuritzky, MD, talks about this relatively new treatment option.
How does the chronic care model of diabetes care differ from the acute care model—and how might this approach work for you and your patients?
Dr Robert Gabbay discusses strategies to improve patient compliance with insulin therapy.
How can you determine whether your patient with newly diagnosed diabetes has type I or type II disease?
PowerPoint Presentations from ADA