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Partnering with Patients to Improve Therapeutic Outcomes: Incretin-Based Therapy for Type 2 Diabetes
Daniel A. Nadeau, MD
Extras: Video Podcast
The prevalence of type 2 diabetes mellitus has reached epidemic proportions. Current treatment options for patients with diabetes include lifestyle modifications (eg, diet and exercise) along with pharmacotherapy (eg, oral antidiabetic drugs [OADs], incretin-based therapies, and insulin). Despite the availability of effective and safe treatments, many patients…
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Effective Switch From Premixed to Basal-Prandial Insulin to Achieve Glycemic Goals in Type 2 Diabetes (case study)
Frank Lavernia, MD
This article describes a patient with type 2 diabetes mellitus achieving glycemic control after transitioning from premixed to basal-prandial insulin. A case report illustrates the challenges of achieving glycemic control in type 2 diabetes, and results of a literature search regarding premixed and basal-prandial insulins are presented….
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How to Obtain Appropriate Type 2 Diabetes Control in the First 180 Days of Treatment Initiation
Louis Kuritzky, MD; Benjamin J. Epstein, PharmD, BCPS; and Frank Lavernia, MD
Good control of diabetes provides meaningful microvascular risk reduction; yet, patients with type 2 diabetes mellitus commonly languish at unsatisfactory levels of glycated hemoglobin (HbA1c) for protracted periods. A variety of factors contribute to this clinical inertia, as clinicians tend to be too conservative in their treatment of patients who are not achieving glycemic control….
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A Review of Insulin Pen Devices
Emily K. McCoy, PharmD and Bradley M. Wright, PharmD, BCPS
Optimization of glycemic control is a fundamental aspect of diabetes management, and rates of diabetes-related microvascular complications are significantly decreased when glycemic control is improved. Currently, > 5 million Americans require insulin therapy to manage their diabetes, and this number is expected to multiply as the prevalence of type 2 diabetes increases secondary to several factors….
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Managing Type 2 Diabetes: Balancing HbA1c and Body Weight
Annie A. Mavian, DO; Stephan Miller, PhD; and Robert R. Henry, MD
Most patients with type 2 diabetes present with comorbid overweight or obesity. Reaching and maintaining acceptable glycemic control is more difficult in overweight and obese patients, and these conditions are associated with increased risk for cardiovascular and other diseases. Glycemic management for these patients is complicated….
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Over the past 5 weeks I have been in 13 different cities talking to medical professionals about such diabetes topics as incretin therapy, basal/bolus dosing, and how to encourage new patients to take their diabetes seriously. I got to interact with about 400 medical professionals and try to help them make a difference in their patient's care. After all this travel it dawned on me that I had not even touched the surface when it came to the number of medical professionals seeing diabetes patients. That is why for this month's special edition, we went to the writers of Postgraduate Medicine. Recently, they featured an issue covering diabetes care and we've chosen five of their top peer-reviewed articles for your practice.