Specialties

Criteria for a diabetic patient’s therapeutic footwear. Since 1993 Medicare has covered therapeutic shoes for diabetic patients. Within 5 years of the benefit’s availability, a report from the Office of the Inspector General of the United States found that 57% of paid claims had missing or inadequate documentation, while an …

In the Pre-POINT pilot study, five of six children who were at extremely high risk of developing type 1 diabetes and who received a high dose of oral insulin had a protective immune response, and the insulin did not cause hypoglycemia… Children at risk for type 1 diabetes, who were …

Controlling factors such as HbA1c, LDL cholesterol, blood pressure, and smoking can all help to reduce risk… Researchers assessed the incidence of major cardiovascular (CV) hospitalization events and all-cause deaths among adults with diabetes with or without CV disease (CVD) associated with inadequately controlled glycated hemoglobin (A1C), high LDL cholesterol …

Dapagliflozin could be used effectively in patients with type 2 diabetes, CVD, and hypertension, according to a new study…. Dapagliflozin is a selective sodium-glucose cotransporter 2 inhibitor used in the management of type 2 diabetes. Not many studies have been conducted on the efficacy of this medication on patients with …

Gastrointestinal microbiome modulator may help alleviate the side effects of metformin and improve glucose control in patients with type 2 diabetes… Metformin’s main side effects are gastrointestinal and this limits the use of the medication either by not reaching the maximum dose or discontinued use altogether. The most common adverse …

Some positive effects seen but no decrease in pain intensity was observed…. A common complication of diabetes is painful diabetic peripheral neuropathy (P-DPN). Current standard of care for patients with P-DPN involves pharmacological interventions that are limited by their potential adverse side effects. Numerous drugs are still being developed and …

SLE (Stressful Life Events) experienced by child during first 14 years of life associated with higher risk of diabetes… Genetic and environmental factors are involved in the development of type 1 diabetes. Multiple environmental factors have been studied, such as viral infections, dietary habits in infancy, birthweight, early weight gain, …

David Levy, MD, FRCP Management of diabetic nephropathy Investigations Mid-stream urine if leucocytes on routine urinalysis. Renal tract ultrasound scan: a. Normal renal length is about 11 cm, correlating weakly with height and BMI; it is about 10 cm in South Asian and oriental subjects. Kidneys are large in the poorly …

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 …

Greater supply, mail order pharmacy use, lower copays, lower out-of-pocket expense shown effective…. The Center for Medicare and Medicaid Services (CMS) uses a STAR program to monitor the quality of care in Medicare Advantage health plans. Researchers from Kaiser Permanente examined the relationship between those STAR medication adherence metrics and …