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Yearly Archives: 2019

Jan. 1, 2019

Many times we think the best technology is what our patients want, but that is not always true. Many times advanced technology means more work, more efforts and a greater acknowledgement of the patient actually taking responsibility for their own care. If a patient is only on mixed insulin twice …

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Katherine Kreider 2018 Complete Interview

Kathryn Evans Kreider, DNP, FNP-BC, BC - ADM is an assistant professor of nursing at Duke University School of Nursing (DUSON). She is the lead faculty member for the new endocrinology specialty for nurse practitioners at DUSON, the first program of its kind for nurse practitioners in the Unites States. She has an active clinical practice as a nurse practitioner in adult endocrinology at Duke and is board-certified in advanced diabetes management. She currently serves as the director for advanced practice providers in the division.

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International Textbook of Diabetes Mellitus, 4th Ed., Excerpt #158: Immunopathogenesis of Type 1 Diabetes in Western Society Part 1

Introduction: Type 1 diabetes (T1DM), formerly referred to as insulin dependent diabetes mellitus (IDDM) and juvenile diabetes, is considered a chronic autoimmune disease. Over time, the disease process results in the virtually complete elimination of pancreatic beta cells and lifelong insulin deficiency. In turn, patients become dependent on daily insulin injections to maintain an acceptable level of metabolic control. It is widely accepted that T1DM is a complex, multifactorial disease in which genetic predisposition and environmental exposures promote the triggering of multiple autoimmune responses against beta cells.

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