David Levy, MD, FRCP Quantification of Urinary Albumin Excretion The following methods are in current use: Spot early-morning urine specimen expressed as ACR (mg/mmol or mg/g): albumin excretion corrected for urine output; 24-hour urinary albumin excretion (mg per 24 hours); Timed (usually overnight) AER (µg/min); Urinary albumin concentration uncorrected for creatinine …

David Levy, MD, FRCP Overview of Diabetic Kidney Disease End-stage renal disease (ESRD) is a common and terrible outcome of diabetes. However, recent data in both type 1 and type 2 diabetes are encouraging. In type 1 diabetes, where not long ago diabetic nephropathy was almost inevitable after 20–30 years, fewer …

In the state of Florida there is a law in the statehouse to give drug prescribing privileges to Nurse Practitioners and Physician Assistants. Supporters of the bill say there is an acute shortage of prescribers in many areas which prevents patients from getting care. This could be attributed to the …

Over the past few weeks Dr. Stanley Schwartz has been looking at the causes and reasons that insulin resistance and hyperinsulinemia go crazy when a patient develops diabetes. This week, in the last part of the series, he brings to light the use of a couple of older medications and …

Joseph Houmard, PhD, talks about how because diet is deemed so important in weight management that people often write off the benefits of exercise. He also talks about some of the various exercise strategies but notes that the best one is always the one that the patient will actually do. …

A woman, 59 years of age, was diagnosed with diabetes while in the hospital. She was discharged on basal bolus insulin. The diabetes educator (CDE) was contacted to teach insulin administration via insulin pens upon discharge. The patient was taught, and performed return demonstration correctly. She was sent home with …

  Nearly a century ago, the first patient was injected with insulin. Now, patients with diabetes are on the verge of being able to set their insulin doses using their smartphones. The progress in tech-based treatment in recent years is staggering, with wireless and implantable technologies emerging that just a …

Updated label information recommendation is in light of completed cardiovascular-outcomes studies.

USPSTF researchers find that screening for diabetes did not improve mortality rates after 10 years of follow-up but treatment of IFG or IGT was associated with delayed progression to type 2 diabetes….

Two-year study finds markedly increased C-reactive protein compared to those living in lower traffic areas… Individuals taking oral diabetes medications did not experience increases in CRP concentration. The study builds on the research team’s previous work suggesting that oral diabetes medications may provide a protective effect against inflammation for people …