Diabetes In Control. A free weekly diabetes newsletter for Medical Professionals. News and information for Medical Professionals.
TOP STORIES — Diabetes News and Research
The Effect of Dapagliflozin on Renal Disease Progression
Long-Term Effects of Lifestyle Modifications in Children with Normal Weight
Letter from the Editor
Non-alcoholic fatty liver disease, NAFLD, is often talked about when we look at diabetes patients. Many studies have looked at the effects of NAFLD on patients with diabetes, and how this disease is a component of metabolic syndrome.
Unfortunately there are no ADA or AASLD guidelines for testing in type 2 patients, so oftentimes this test is not done. This week our South College Intern Shadrielle Robbins takes a look at a study that examines all possible combinations of testing in order to find out what is most cost effective; if the testing was worth the money spent on it; and if younger patients could benefit from testing sooner rather than later.
What she found out may totally surprise you.
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We can make a difference!
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Dave Joffe
Editor-in-chief
TOP STORIES -- Diabetes News and Research
There is a potential role in using dapagliflozin in patients with CKD.
How physical activity and dietary intervention affect fasting insulin levels and insulin resistance in children.
How NAFLD screenings can be cost-effective in people with type 2 diabetes.
Did You Know? The Relationship Between Diabetes And Death
We are experiencing a paradigm shift in treating diabetes mellitus when it comes to preventing cardiac failure and stroke, as most patients with diabetes do not die from diabetes, but cardiac failure and stroke.
Randomized trials have shown that if you treat hypertension in people with diabetes mellitus who had a stroke, you can decrease the risk for a recurrent stroke by about 40%. If patients with diabetes and high cholesterol get a statin, the chance for a recurrent stroke is reduced by 21%.
Diabetes has two consequences: small- and large-vessel disease. Small-vessel disease affects the retina, kidney, and brain. Large-vessel disease leads to a higher risk for ischemic stroke, myocardial infarction, and peripheral arterial disease. We now have two new classes of drugs, sodium-glucose cotransporter 2 (SGLT2) inhibitors and glucagon-like peptide 1 (GLP-1) receptor agonists. In six randomized trials where SGLT2 inhibitors were compared with placebo, they significantly impacted cardiac failure and associated deaths. GLP-1 receptor agonists not only reduce blood glucose and body weight, but they also have a positive impact on the risk for major adverse cardiac events such as myocardial infarction, stroke, and vascular death. Two randomized controlled trials of GLP-1 receptor agonists showed that they had a significant benefit in preventing stroke, with one study indicating that they even impacted cognitive impairment in patients with diabetes mellitus.
Diabetes in Control gratefully acknowledges the assistance of the following pharmacy doctoral candidates in the preparation of this week’s newsletters:
Abdullah Al-Ajmi, PharmD Candidate, Skaggs School of Pharmacy and Pharmaceutical Sciences
Tarshay Boyd, PharmD. Candidate, LECOM School of Pharmacy
Louise Brown, PharmD Candidate, University of Colorado Skaggs School of Pharmacy and Pharmaceutical Sciences
Destiny Reed, PharmD. Candidate, Florida A&M College of Pharmacy and Pharmaceutical Sciences
Shadrielle Robbins, PharmD Candidate, South College School of Pharmacy
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Steve and Dave
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