Study: Too Much Hypoglycemia in Diabetic Hospice Patients
(MedPage Today) -- This despite guidelines calling for relaxed glycemic control in hospice
CONCLUSIONS: In patients with T2DM and CKD, SGLT2 inhibitors have a decreased glucose-lowering effect compared to patients without CKD. Renal benefits among patients with CKD are similar to those without CKD and include a significant reduction in albuminuria and reduced incidence of worsening albuminuria. Given that CKD and T2DM are both associated with increased cardiovascular risk, we believe these agents should considered as preferred add-on agents in most patients with uncontrolled T2DM and eGFR>30 ml/min/1.73m2. Ongoing studies will provide additional information as to whether these agents should be added to the cu...
CONCLUSIONS: Only women showed an income-based gradient in diabetes. Monitoring income gradient in diabetes is important in public health actions, even in older populations. Future longitudinal and intervention studies should evaluate the causal link of income to diabetes onset, determine the mechanisms of the potential sex differences in the income/diabetes association, and identify ways to mitigate the income-based inequality. PMID: 30449769 [PubMed - as supplied by publisher]
High-deductible insurance plans delay the time patients take to seek healthcare services, potentially compromising health outcomes for those with diabetes, but the differences were modest.Medscape Medical News
Eric Bartholomae, Zachary Johnson, Jeffery Moore, Kathryn Ward, Jochen Kressler
Clinicians should continue to emphasize the importance of weight loss, say US scientists after showing in a meta-analysis that obesity itself increases the risk of type 2 diabetes and heart disease.Medscape Medical News
Thanksgiving is a time for gratitude, good-will and gluttony. While many people enjoy the holiday feast with abandon, some dieters and healthy eaters stress over the idea of consuming a huge number of calories in one sitting. But is it worth the worry? Here’s what eating one enormous meal actually does to your body, according to experts. The short-term effects of a big meal When you consume lots of food, your stomach has to physically expand to accommodate the additional volume, potentially leading to some discomfort, says Dr. Stephen Juraschek, an internist and primary care physician at Beth Israel Deaconess Medical...
Conditions: Hyperlipidemias; Hypertension; Diabetes; Medication Nonadherence Interventions: Other: Adherence-enhanced clinical decision support; Behavioral: ReachOut Adherence intervention Sponsors: HealthPartners Institute; National Heart, Lung, and Blood Institute (NHLBI) Not yet recruiting
Conditions: Diabetes Mellitus, Type 2; Hypertension Interventions: Drug: Perindopril and Amlodipine; Drug: Perindopril-indapamide Sponsors: Yaounde Central Hospital; University of Yaounde 1 Completed
Conditions: Diabetes Mellitus; Diabetes; Self Efficacy; Diabetes Mellitus, Type 2 Intervention: Behavioral: Diabetic Conversation Map Sponsor: Rubina Qasim Not yet recruiting
Franziska Schleger, Katarzyna Linder, Laura Walter, Martin Heni, Johanna Br ändle, Sara Brucker, Jan Pauluschke-Fröhlich, Magdalene Weiss, Hans-Ulrich Häring, Hubert Preissl, Andreas Fritsche