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May 13, 2013: Diabetes Clinical Mastery Series Issue 136 (Recommend Us)
Clinical Gems — The Best from Diabetes Texts
Diabetic Emergencies, Diagnosis and Clinical Management: Hyperosmolar Non-ketotic Hyperglycemia, Part 3
Disasters Averted — Cases to Learn From
Clarity in Insulin Coverage Orders, Part 2
Homerun Slides — Great Clinical Presentation Highlights
Quality Measures in Cholesterol and Diabetes Management, Part 3 of 4
Top Articles
Silva A. Arslanian, MD: What drugs can be prescribed to children with diabetes?

Letter From The Editor

We often talk about the value of controlling lipids and glucose and their relation to patient health. If patients would only do what we tell them then the results would be good and our jobs would be easier. With the recent changes in healthcare, however, going through the motions of requesting better control no longer is good enough. Five star quality ratings and the growth of ACO's mean that outcomes and patient satisfaction will drive all of us to better results. This week in part 3 of our Homerun Slides series on Quality Measures in Cholesterol and Diabetes Management, we discuss why these quality ratings are so important for our patients and our financial survival.

Our Disaster Averted looks at how hospital orders are often misinterpreted, and our Clinical Text delves further into the management of Hyperosmolar Non-ketotic Hyperglycemia. Be sure to see this week's Mastery In Minutes video on the use of diabetes medications in children. … Read More

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Clinical Gems — The Best from Diabetes Texts
Diabetic Emergencies, Diagnosis and Clinical Management: Hyperosmolar Non-ketotic Hyperglycemia, Part 3

Konstantinos Makrilakis, MD, PhD
Nikolaos Katsilambros, MD, PhD.
 

Clinical management

The management of HHS is similar to that of DKA. It includes correction of the fluid and electrolyte abnormalities that are typically present and administration of insulin. 1,3,15

Therapy should also aim at simultaneous identification and treatment of the precipitating factors that led to the hyperglycemic decompensation (Box 3.1). Frequent monitoring of the patient is essential (Table 1.3). Protocols for the management of HHS are summarized in Figure 3.1....

Click here for Diabetic Emergencies, Diagnosis and Clinical Management: Hyperosmolar Non-ketotic Hyperglycemia, Part 3
Disasters Averted — Cases to Learn From
Clarity in Insulin Coverage Orders, Part 2

From our partners at the Institute for Safe Medication Practices (ISMP): One problem often seen with coverage orders is the clarity of handwritten orders from physicians, a particular problem when an organization does not have a standardized protocol or order form to order insulin, including the type of coverage (e.g., low, high). Adding to the complexity of these orders are the multiple values often used for multiple ranges of blood sugars. Problems have also occurred when shortcuts are taken when writing these types of orders for insulin. For example, orders have been written stating doses of insulin as "6+1" or "6+2" instead of writing out "7" or "8" (see Figure 1)....

Click here for Clarity in Insulin Coverage Orders, Part 2
Homerun Slides — Great Clinical Presentation Highlights
Quality Measures in Cholesterol and Diabetes Management, Part 3 of 4

 

This week, we continue with our Homerun Slides series on quality reporting, with some facts and data to help you in further understanding how Accountable Care Organizations fit into the picture.

Click here for Quality Measures in Cholesterol and Diabetes Management, Part 3 of 4
Top Articles
Silva A. Arslanian, MD: What drugs can be prescribed to children with diabetes?

With all of the discussion in the medical community and beyond regarding new drug approvals for diabetes, it is easy to forget that many of these drugs are not approved for children and adolescents. Silva A. Arslanian, MD, Professor of Pediatrics, University of Pittsburgh School of Medicine, explains why this is and describes the treatment options available to pediatricans treating diabetes and one possibe medication which may be studied in the future....

Click here for Silva A. Arslanian, MD: What drugs can be prescribed to children with diabetes?

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Quote of the Week!

"It is one of the most beautiful compensations of life, that no man can sincerely try to help another without helping himself."

                ...............Ralph Waldo Emerson

 
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