April 3, 2018 : DCMS #391

DISASTERS AVERTED — Near Miss Case Studies

Diabetes Wisdom Comes with Practice, Not Age

EXCLUSIVE INTERVIEW — Candid Video Interviews with Top Practitioners

Swapnil N. Rajpathak Part 3, Defining Hypoglycemia For DPP-4 Inhibitors Research

HOMERUN SLIDES — Great Clinical Presentation Highlights

Hypertension Update 2018 Part 4

CLINICAL GEMS — The Best from Diabetes Texts

International Textbook of Diabetes Mellitus, 4th Ed., Excerpt #119: Diabetes and Sleep Apnea Part 9

MOST POPULAR ARTICLES OF THE MONTH

#1 How Many Types of Diabetes Are There? Two? Five? Or Eleven?
#2 A Summary of ADA’s New 2018 Standards of Medical Care in Diabetes
#3 American College of Physicians Recommending Controversial Increase in A1c of 7% to 8%

This year the ACC and AHA announced new Blood Pressure guidelines that have been shared by every medical newsletter and journal. The idea is to reduce heart failure and death by improving patient care. Not only were there new guidelines, there were also new definitions and descriptions as to what heart failure looks like. This week we have part 4 of our Homerun slide series on the 2018 Hypertension update and we hone in on Heart Failure. Click here to see all 4 parts so you can quickly get up to speed.

Dave Joffe

Editor-in-chief

As I am working with patients, I have so many thoughts about how different each patient is. I also have thoughts about how in this day and age, with all we have available, some people who have had diabetes for oh so many years still have no clue how to manage their diabetes.

In part 3 of this Exclusive Interview, Dr. Swapnil N Rajpathak talks with Diabetes in Control Publisher Steve Freed during the ADA 2017 Scientific Sessions in San Diego, CA about patient claims of hypoglycemia while on DPP4 treatment.

In this week’s Homerun Slides, a closer look at heart failure.

OSA management: OSA should be treated promptly and the aim of treatment is to reduce the morbidity and mortality associated with this condition. Weight loss and positional treatment (i.e., avoiding the position in which most episodes occur, which is usually the supine position) are important aspects of treatment. As with all obesity-related disorders, weight loss (regardless of the means) can result in significant improvements in OSA. In a randomized controlled trial of intensive lifestyle intervention in 264 patients with OSA and T2DM (the Sleep AHEAD study), weight loss of 11 kg on average in the treatment group resulted in a reduction in the AHI of about 10 events per hour.

More specific classifications for the disease could lead to more personalized treatments in the future. Is it time?

Comprehensive recommendations feature notable new recommendations for people with cardiovascular disease and diabetes.

Organization says adults with type 2 diabetes can aim for an easier-to-achieve blood sugar target than what’s been used to guide treatment in the past.