"Although it does appear that statins may increase the chance of diabetes in high-risk patients, this should not stop us from using these drugs, as this small risk is outweighed by the substantial reduction in cardiovascular events."…
Read More »Monthly Archives: November 2012
Retinopathy Improved with Ranibizumab
Researchers found that ranibizumab (Lucentis) may slow the progression of diabetic retinopathy….
Read More »Dose-Response Relationship between Vitamin D and Type 1 Diabetes
A correlation has been found between vitamin D3 serum levels and subsequent incidence of type 1 diabetes….
Read More »Editor’s Note DCMS #111
According to dictionary.com, "iatrogenic" is defined as an adverse effect induced in a patient as the result of a physician’s words or actions, especially as a consequence of taking a drug prescribed by the physician. No other drug causes more iatrogenic events than insulin. This week our Clinical Text discusses the …
Read More »Starting Basal and Bolus Insulins, Part 3
In this week’s Homerun Slides, we continue our series on new insulins and insulin delivery systems, with topics covered including insulin therapy in type 2 diabetes, the advantages of starting with basal insulin in DM2, and an examination of a treatment to target study (NPH vs glargine)…
Read More »Diabetic Emergencies: Hypoglycemia Caused By Insulin (Part 2)
Stavros Liatis, Nikolaos Katsilambros Classification of iatrogenic hypoglycemia A confirmatory blood glucose test during an episode of hypoglycemia is often unavailable while, in other cases, a discrepancy may be observed between self-measured blood glucose values and clinical presentation of hypoglycemia (usually due to defective counter-regulation).
Read More »Elaine Massaro, RN: What Is the Basic Concept of SMA’s?
Elaine Massaro, RN, explains how Shared Medical Appointments (SMA’s) benefit patients both because of the multidisciplinary approach, and socially. She talks about how patients seem to be more able and willing to ask questions in a group environment where there is more time, usually about 90 minutes. Ideally, that group …
Read More »Elaine Massaro, RN, Q2: Long-term Studies on the Efficacy of SMA’s
Elaine, Massaro, RN, explains how one of the longest operating systems of SMA’s has been in Torino, Italy, where she will be traveling later this year to study their methodology. She said they have been using an SMA system for seven years and emphasizing a truly multi-disciplinary team including a …
Read More »Elaine Massaro, RN, Q3: Who Should Be on the Team for SMA’s?
Elaine Massaro, RN, gives us some detail on who should and can be involved in Shared Medical Appointments. She says that it often depends on the individual medical center as well as the city and state. Some she has visited across the country have included podiatrists, and she has even …
Read More »Elaine Massaro, RN, Q4: What Are the Challenges of SMA’s?
Elaine Massaro, RN, talks about the many challenges facing practitioners setting up an Shared Medical Appointment (SMA) system, but also explains how, ultimately, the benefits outweigh the challenges and work of setting up. Smoothing out these challenges is also something that Diabetes Educators can excel at, making the transition process …
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