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Monthly Archives: November 2012

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 …

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Starting Basal and Bolus Insulins, Part 3

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  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)…

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Diabetic Emergencies: Hypoglycemia Caused By Insulin (Part 2)

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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).

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Elaine Massaro, RN: What Is the Basic Concept of SMA’s?

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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 …

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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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