Infection Linked to Injecting through Clothing
After extending incubation period for cultures, non-tuberculous mycobacteria cutaneous infection was found on woman injecting insulin through clothing....
AACE: Why Physicians Delay the Start of Insulin in Type 2 Diabetes Patients
The perception that insulin therapy may be too burdensome for patients has led primary care physicians to delay the use of insulin therapy in patient with type 2 diabetes....
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...
AACE - New Diabetes Guidelines Based on Tailored Approach
AACE calls for a new guideline based on a tailored approach to treating type 2 diabetes while maintaining the use of an algorithm-based model....
Screening Finds Retinopathy Early in Diabetes
A screening program for diabetic retinopathy diminished the likelihood of eye disease in patients with diabetes....
AACE Releases New Comprehensive Diabetes Management Algorithm
For treatment of diabetes and prediabetes patients....
Doubling Up Is Key to Dieting
People who tackle diet and exercise at the same time do better at making healthy changes....
Economic Costs of Diabetes in the U.S.
Report analyzes the direct and indirect cost burden of diagnosed diabetes and is published as a Scientific Statement in the April 2013 issue of Diabetes Care....
New Updated Hypoglycemia Classifications
A new report reviewing the impact of hypoglycemia on patients with diabetes will also provide guidance about how this new information should be incorporated into clinical practice....
Better Metrics than A1C?
Ambulatory Glucose Profiles includes four key metrics to improving glycemic control….
Newly Designed Primary Care Services to Optimize A1c
A cohort study of 727 African-American patients with type 2 diabetes was conducted using interventions such as point-of-care education, coaching, and medication intensification from a team of a nurse, pharmacist, and dietitian....
ISMP: Updating Your High-Alert Medication List
Because insulin is at the top of the "High-Alert Medication List," we are presenting this updated article from our partner at ISMP (Institute for Safe Medication Practices).
Mixed Views on Computer/Smart Phone-based Management for Diabetes
A study focused on social networking and support groups showed the effects of these programs on blood sugar levels are short-term....
Low Awareness of Prediabetes is a Problem
Awareness of prediabetes is low, less than 14% of people in the U.S. are aware of the condition....
Patients (and Caregivers) Must Demonstrate Insulin Injection Technique
A patient came into our emergency room recently with severe hypoglycemia (blood glucose of 34 mg/dl).
Lifestyle Intervention for Prediabetes Is Successful
A community-based diabetes-prevention program produced significant reductions in blood glucose and body mass index (BMI) among individuals with prediabetes, while also reducing costs at 2 years....
Clinic-based Peer Coaching Improves A1c
A1c's fall 1-3 points with coaching....
Small Lifestyle Changes Improve Outcomes for Diabetes Patients
Small changes have big impacts and knowledge is golden....
Determining Medical History in an Emergency
I work in an emergency room and more than once we have had patients with diabetes come in with either severe hypoglycemia, or hyperglycemia and DKA. It is very difficult at times for us to decide on treatment because we don't always have the...
Diabetes Health Record
Developed by the Diabetes Coalition of California, the...
Cost of Diabetes is Rising and Set to Explode
The cost of diabetes in the United States has climbed 41% since 2007....
Two-step Approach for Diagnosing GDM Supported By NIH
The two-step approach for diagnosing GDM is preferred over the single-step approach....
Insulin Pump Trainers and Training
An insulin pump trainer who worked with a pump company recently trained one of our patients in his home.
More Physician Time Provides Better Outcomes
Doubling the physician-patient encounter time can increase median time to target A1c, blood pressure, and LDL goals….
A New 3-Day Disposable Insulin Delivery Device for Type 2 Diabetic Patients
PaQ(TM) can help type 2 diabetic patients increase compliance as well as provide better and safer glycemic management….
Letter from the Editor #666: ARK-Care Real-time Data Management System
It seems like every day there is a new study that conflicts with the results released only a couple of days before. Over the past 3 months we have had 5 articles discussing whether diet drinks increase caloric intake, appetite and diabetes risk.
Top Ten Things to Know: 2011 Effectiveness-Based Guidelines for the Prevention of CVD in Women
In 2007, CVD caused about 1 death per minute among women in the US.
Incretin Mimetics Increase Pancreatitis Risk -- Don't Panic
A new study finds that those using incretin mimetics have a 2-fold increased risk of acute pancreatitis….
American Association of Clinical Endocrinologists, American Diabetes Association Issue Joint Response to Published JAMA Article
Recently published study does not provide the basis for changing treatment….
Study Explains Weight Gain with Diabetes Therapy
Weight gain from intensive glucose-lowering treatment is more likely in patients….
Good or Bad News for Medicare Diabetes Patients?
Medicare and Medicaid competitive bidding may result in limited options….
Diabetes Patients With Foot Ulcers May Receive Some Harm from Oxygen Chamber Treatment
Use of oxygen chambers to treat foot ulcers doubles the risk of amputation….
Diabetic Emergencies, Diagnosis and Clinical Management: Sick-Day Rules in Diabetes, Part 2
Konstantinos Makrilakis, Nikolaos Katsilambros
ISMP: A Clinical Reminder about the Safe Use of Insulin Vials
This feature article by our partner in diabetes safety, the Institute for Safe Medication Practices, summarizes the risks of insulin pen use in hospitals, the crucial importance of proper training for a safe transition to the use of insulin vials...
New DPP-4 Drug Combos for Type 2 Diabetes
Three New DPP-4 formuations approved by the FDA….
Provider Knowledge Gaps Identified in Diabetes Care
Findings presented for almost 1,000 health care providers who manage type 2 diabetes….
Elevated Troponin Levels Increase CV Risk in Diabetics
Increased Troponin levels require aggressive risk reduction efforts….
Mortality in Heart Failure Associated with Hyperglycemia
Elevated blood glucose level was an independent predictor of 30-day mortality in acute heart failure….
Testing More Often Leads to Better Control
Frequent blood sugar testing was strongly associated with better diabetes control….
Routine Screening for DPN in Children Needs to be Mandatory
Study calls for clinical guidelines for detecting DPN (diabetic peripheral neuropathy) in young patients….
Your Patients' Guide to Better Office Visits
Calcium Supplements May Increase Risk of CVD Death
A high intake of supplemental calcium appears to be associated with an increased risk of CVD death in men but….
New England Journal Refutes Weight-Loss Beliefs in New Review
With data from the scientific literature, some of the most firmly held beliefs about weight loss are unproven or downright untrue....
Parents of Baby Boomers Healthier than Their Kids
Today's baby boomers do not fare very well compared with….
GLP-1 Agonists May Be Effective for Obese Adolescents
Preliminary evidence from a clinical trial suggests that treatment with GLP-1 receptor agonists was associated with….
Diabetes Patients Can Eat Immediately After Taking Insulin
People with type 2 diabetes no longer have to wait to eat after taking insulin....
New First-ever Guidelines for Type 2 Kids
Step One – Start on insulin, according to the American Academy of Pediatrics which has issued guidelines for the management of type 2 diabetes in children and teenagers aged 10 to 18....
FDA Approves Nesina, Kazano and Oseni Oral Medications to Treat Diabetes
A new DPP-4 inhibitor is approved along with some combinations....
The Best Predictors of Heart Disease Death Risk
Combining two measurements to predict heart disease death risk is better than any one measurement....
Elderly Patients Benefit from Group Education
Compared with younger adults, older adults get greater glycemic benefit from participating in self-management interventions in small groups....
Drug Adherence Linked to Communication
Diabetic patients treated by healthcare professionals who had poor communication skills were less likely to refill their cardiometabolic medications by more than 30% than those whose doctors were good communicators....
Pear-Shaped Healthier than Apple-Shaped a Myth?
The protective benefits of having a pear-body shape over an apple-body shape may be more myth than reality....
Diabetes Screens May Not Help Heart Long Term
It remains unclear whether diabetes screening at routine primary care visits will ultimately improve cardiovascular outcomes for patients....
Is It OK to Eat before Cholesterol Testing?
A large community-based population study suggested that it may not be necessary to fast before a routine cholesterol check....
ADA Standards of Medical Care in Diabetes 2013
Updated evidence for diabetes care, including guidelines for self-monitoring glucose, new blood pressure targets, and other aspects of care, are presented in a major position statement from the American Diabetes Association....
Obstacles to ACO (Accountable Care Organization) Development
Six barriers encountered during early stages of development of accountable care organizations....
Medicare to Pay for Obesity Counseling in the Name of Prevention
A recent landmark decision by the Centers for Medicare and Medicaid Services (CMS) represents an important first step toward addressing one of the great ironies of American health care....
Clinicians and Patients Online Relationships Increase Office Visits
Letting patients email their clinician and access their records online was associated with more, not fewer, telephone calls, office visits, and clinical services in general....
Patients Searching Internet for Info on Their Docs
Physicians who don't manage their online presence run the risk of failing to attract new patients....
NDEP Fast Facts on Diabetes 2011
From the Centers for Disease Control and Prevention, this is the most recent National Diabetes Fact Sheet...
Web Browsing Improves Doctor-Patient Relationships
Before paying a visit to a general practitioner, searching for answers to health questions on the internet can help patients benefit more from the consultation....
Contract for Starting a New Habit
Diabetes Screening May Not Reduce Death Rates
Without the knowledge of what to do once diagnosed, nothing really happens....
Importance of Physical Activity Studies (pdf)
Show your patients this short list of some of the studies demonstrating...
EASD: New EASD/ADA Position Paper Shifts Treatment Goals with 7 Key Points
A new position statement for treatment of type 2 diabetes treatment focuses on the individual patient rather than a "one number fits all" HbA1c target....
Electronic Health Records Linked to Better Diabetes Outcomes
The use of an outpatient electronic health record (EHR) system, rolled out across 17 medical centers, was associated with improvements in clinical outcomes and health care utilization in a study population of nearly 170,000 people with...
Lilly & Boehringer Ingelheim introduce the My Well Planner Lifestyle Improvement Program for All Type 2's
The new, personalized online resource is designed for adult patients with type 2 diabetes to set and reach their health goals.....
Important Labs in Diabetes Control
Phone Intervention Cost-Effective for Glycemic Control
Modest cost achieves small decrease in A1c; higher cost achieves goal of less than 7 A1c....
Quality of Care Investments Reduce Costs for Diabetes Patients
Medical group practices can reduce costs for patients with diabetes by investing in improved quality of care....
Physicians Recommending Apps to Their Baby Boomer Patients
Sixty percent of boomers are likely to download an app recommended by a physician, but the question is how to get them to use it....
New Diabetes Model Delivers Better Healthcare
Using patient-reported outcomes, US clinicians could provide more cost-effective treatment options for patients with diabetes, through the new Southeast Minnesota Beacon Program diabetes model....
Endocrine Society Chemical Screening Recommendations
David Joffe, BSPharm, CDE, Editor-in-chief, Diabetes In Control
The Endocrine Society has published a new set of recommendations on the definition of endocrine-disrupting chemicals (EDC) and screening programs for such...
Free Safe at School HCP Toolkit
ADA: Nurse Telehealth Intervention Lowers HbA1c Levels by 2 Points
A nurse-led telephone intervention program for patients with diabetes resulted in a significant reduction in HbA1c levels, with successfully treated patients reporting reductions of more than 3.0% from baseline....
The EmPower Diabetes Emergency Plan
ACE and Lilly Diabetes have launched the "EmPower Diabetes Emergency Plan" with comprehensive tips to help...
AACE: New Team Approach Improves Diabetes Outcomes and Lowers Medication Costs
An integrated wellness team approach to diabetes care is helping patients lower their prescription costs and improve their condition....
The Virtual Examination Room: How New Technology Can Improve Diabetes Care
Telemedicine has proven to be an acceptable means of providing affordable and accessible care to patients in remote areas where endocrine care is not available....
Keep Your Waist Circumference to Less than Half Your Height
According to new research presented at a scientific meeting, waist to height ratio better is a better predictor of CVD and diabetes than BMI....
ADA Standards of Care Check List (pdf)
A1C is just one of the criteria for the diagnosis of type 2 diabetes and prediabetes. On this...
AACE/ACE Diabetes Algorithm for Glycemic Control
View or download the American Association of Clinical Endocrinologists diabetes...
My Medication List
Give patients this one-page printout (pdf) from Merck's Journey for Control...
Letter from the Editor: Shrink and Move Video, Telehealth
This week finishes off National Diabetes Month, and over the past few weeks I have received countless videos, emails and tweets about diabetes. I have also noticed that more and more of my patients are watching You Tube, Netflix, sports or TV on...
Managing Clinical Problems in Diabetes, Case Study #18: Complementary and Alternative Therapies
Edited by Trisha Dunning AM, RN, MEd, PhD, CDE, FRCNA and Glenn Ward MBBS, BSc, DPhil (Oxon), FRACP, FRCPath
Managing Clinical Problems in Diabetes, Case Study #17: Health Assessment, Management Targets, and Deciding on a Management Plan
Edited by Trisha Dunning AM, RN, MEd, PhD, CDE, FRCNA and Glenn Ward MBBS, BSc, DPhil (Oxon), FRACP, FRCPath
Managing Clinical Problems in Diabetes, Case Study #14: Diagnosis and Classification
Edited by Trisha Dunning AM, RN, MEd, PhD, CDE, FRCNA and Glenn Ward MBBS, BSc, DPhil (Oxon), FRACP, FRCPath
Achieving and Outperforming Type 2 Diabetes HEDIS Measures
A Guide for Managed Care to Provide Clinicians with Tools to Support the Delivery of Consistent High-Quality Care
Reviewed by Daniel Schultz, Doctor of Pharmacy Candidate,...
Managing Clinical Problems in Diabetes, Case Study #10: Osteomyelitis
Edited by Trisha Dunning AM, RN, MEd, PhD, CDE, FRCNA and Glenn Ward MBBS, BSc, DPhil (Oxon), FRACP, FRCPath
The ADA Simulation Case Program
GLUCOCARD®YouChoose™ Wellness Program
Managing diabetes is easier through small, simple...
Editor's Note: Saline Pen Problem, More on SMA's
Since insulin is new to many of our patients we often train them with saline. Many of them are trained with pens containing saline regardless of the manufacturer. These pens contain the same preservatives as regular insulin and smell exactly the...
Understanding Shared Medical Appointments, Implementation Guide, Part 4
SMA Model Walk-Through
Understanding Shared Medical Appointments, Implementation Guide, Pt 3
Roles and Responsibilities
Understanding Shared Medical Appointments, Implementation Guide, Pt 2
"Once the providers who will participate in the SMA pilot have ...
Editor's Note:
I spent five days last week flying and saw a lot of bags on luggage carrousels. People did some amusing things to make their bags easier to spot. There were red ribbons, fluorescent green straps and even one bag wrapped in a big pink outer cover...
Understanding Shared Medical Appointments, Implementation Guide, Part 1
This week we begin to delve into the logistics of setting up Shared Medical...
Understanding Shared Medical Appointments, Part 1
An Introduction to Group Visits
The...
Editor's Note: New Series on SMA's, Unexpected Side-Effects and More
According to almost every clinician I talk to, it is becoming harder and harder to have enough time with our patients and get reimbursed for it. This is especially true for diabetes patients and is bound to get worse as patients only want to come...
Tool for your Practice: juvenation
juvenation
"juvenation" is a new online social network community of the...
Tool for Your Practice: Medicare Part D Pharmacist Quick Reference Guide
2011 Medicare Part D Pharmacist Quick Reference Guide
C
Tool for Your Practice: Free Database -- eMPR Drug Monographs
Free Database -- eMPR Drug Monographs
eMPR (electronic Monthly Prescribing Reference) is...
Tools for Your Practice: Two Smartphone Apps
File Organization and Access for your computer and cell phone:
Dropbox™
Tool for Your Practice: It's Not Too Late To Prevent Diabetes
It's Not Too Late To Prevent Diabetes
Do This, Don’t Do That, Can’t You Read the Sign?
Dr. Jen Nash, Clinical Psychologist
Master Clinician Programs and Bridges to Excellence
At the 37th Annual AADE meeting in San Antonio, Texas, Dr. Edward Shahady, who developed the Florida Academy of Family Physicians' "Diabetes Master Clinician Program," discussed methods used to improve diabetes care.
When is good enough, good enough?
When is good enough, good enough?
This past month I have been working on a CE/CME for pharmacists and physicians. The focus has been on diabetes control in the long term care and assisted living facilities....
Provider Networks To join or not to join-that is the question?
To join or not to join-that is the question. What is the answer? Provider networks are fairly new in the dietitian-world. They're not a cult; they're not a conspiracy. In fact, they are a great business opportunity that a dietitian's practice can...
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...
Challenges in Identifying Postprandial Hypoglycemia, Part 2 of 4
With this week's Homerun Slides series, we present the second set of a four part series which...
Quality Measures In Cholesterol and Diabetes Management, Part 1 of 4
This week we have the first set of slides in a three-part series examining current treatment practices...
Diabetes Update, Part 1 of 3
In this week's Homerun Slides, we have an update on the state of diabetes in the U.S, courtesy of...
Hypertension in the Medicare Population, Part 2 of 2
In this second set of Homerun Slides on Hypertension in the Medicare Population, we review some...
Hypertension in the Medicare Population, Part 1 of 2
In this week's Homerun Slides set, we take a look at the challenges posed by an increasingly...
Achieving Glycemic Control in the Hospital Setting, Part 4 of 4
In this week's set of Homerun Slides, we wrap up this short series on glycemic control in...
Achieving Glycemic Control in the Hospital Setting, Part 3 of 4
In this week's set of Homerun Slides, our topics include IV Insulin Protocols, Considerations when...
Achieving Glycemic Control in the Hospital Setting, Part 2 of 4
In this week's Homerun Slides, we present the second of four parts on glycemic control in...
A Teaching Resource Guide, Part 2 of 2
In this week's Homerun Slides, we provide you with Part 2 of A Teaching Resource...
Shared Medical Appointments Presentation Slides, Part 2 of 2
"First, we will take a look at what in today's practice environment is stimulating a...
Shared Medical Appointments Presentation Slides, Part 1 of 2
"At this meeting, we are examining a concept called shared medical...
Cost-Effectiveness Strategies, Part 2 of 4
The systems in which most physicians work do not...
