Prevalence of Diabetes in Patients with Hyperuricemia and Gout: A Systematic Review and Meta-analysis
AbstractPurpose of ReviewTo perform a systematic review and meta-analysis of the prevalence of diabetes in patients with hyperuricemia and gout.Recent FindingsPrevious studies have confirmed that hyperuricemia and gout are associated with an increased risk of diabetes. A previous meta-analysis indicated that the prevalence of diabetes in patients with gout is 16%.SummaryThirty-eight studies (458,256 patients) were included in the meta-analysis. The combined prevalence of diabetes among patients with hyperuricemia and gout were 19.10% (95% confidence interval [CI]: 17.60-20.60; I2 = 99.40%) and 16.70% (95% CI: 15.10-18....
Source: Current Diabetes Reports - April 26, 2023 Category: Endocrinology Source Type: research

Using Mixed Methods Research in Children with Type 1 Diabetes: a Methodological Review
AbstractPurpose of ReviewMany factors influence disease management and glycemic levels in children with type 1 diabetes (T1D). However, these concepts are hard to examine in children using only a qualitative or quantitative research paradigm. Mixed methods research (MMR) offers creative and unique ways to study complex research questions in children and their families.Recent FindingsA focused, methodological literature review revealed 20 empirical mixed methods research (MMR) studies that included children with T1D and/or their parents/caregivers. These studies were examined and synthesized to elicit themes and trends in M...
Source: Current Diabetes Reports - April 25, 2023 Category: Endocrinology Source Type: research

Glucometrics: Where Are We Now?
AbstractPurpose of ReviewInpatient glucose data analysis, or glucometrics, has developed alongside the growing emphasis on glycemic control in the hospital. Shortcomings in the initial capabilities for glucometrics have pushed advancements in defining meaningful units of measurement and methods for capturing glucose data. This review addresses the growth in glucometrics and ends with its promising new state.Recent FindingsStandardization, allowing for benchmarking and purposeful comparison, has been a goal of the field. The National Quality Foundation glycemic measures and recently enacted Center for Medicare and Medicaid ...
Source: Current Diabetes Reports - April 13, 2023 Category: Endocrinology Source Type: research

Implementation of Continuous Glucose Monitoring in Critical Care: A Scoping Review
AbstractPurpose of ReviewThe aim of this review is to identify the implementation approaches, strategies, and outcomes for continuous glucose monitoring (CGM) in the intensive care unit (ICU). Medline and Web of Science databases were searched to report relevant literature published between September 12, 2016 and September 12, 2021. Implementation outcomes and strategies, defined by the Expert Recommendations for Implementing Change (ERIC) project, were extracted.Recent FindingsOf the 324 titles reviewed, 16 articles were included in the review. While no studies were identified as implementation research, 14 of 16 identifi...
Source: Current Diabetes Reports - April 13, 2023 Category: Endocrinology Source Type: research

Team-Based Diabetes Care in Ontario and Hong Kong: a Comparative Review
AbstractPurpose of ReviewThere are gaps in implementing and accessing team-based diabetes care. We reviewed and compared how team-based diabetes care was implemented in the primary care contexts of Ontario and Hong Kong.Recent FindingsOntario ’s Diabetes Education Programs (DEPs) were scaled-up incrementally. Hong Kong’s Multidisciplinary Risk Assessment and Management Program for Diabetes Mellitus (RAMP-DM) evolved from a research-driven quality improvement program. Each jurisdiction had a mixture of non-team and team-based primary care with variable accessibility. Referral procedures, follow-up processes, and financi...
Source: Current Diabetes Reports - April 12, 2023 Category: Endocrinology Source Type: research

Surgical Management of Diabetic Macular Edema
AbstractPurpose of ReviewDiabetic macular edema (DME) is the accumulation of fluid in the extracellular space within the macula and is a major cause of visual impairment among patients with diabetes. First-line treatment for DME includes pharmacotherapy with intravitreal anti-vascular endothelial growth factor medications and intravitreal corticosteroids. Alternative therapeutic strategies include laser photocoagulation for non-center involving DME, and surgical options such as pars plana vitrectomy (PPV) with or without internal limiting membrane (ILM) peel in cases with vitreoretinal interface anomalies or DME refractory...
Source: Current Diabetes Reports - April 12, 2023 Category: Endocrinology Source Type: research

Team-Based Diabetes Care in Ontario and Hong Kong: a Comparative Review
AbstractPurpose of ReviewThere are gaps in implementing and accessing team-based diabetes care. We reviewed and compared how team-based diabetes care was implemented in the primary care contexts of Ontario and Hong Kong.Recent FindingsOntario ’s Diabetes Education Programs (DEPs) were scaled-up incrementally. Hong Kong’s Multidisciplinary Risk Assessment and Management Program for Diabetes Mellitus (RAMP-DM) evolved from a research-driven quality improvement program. Each jurisdiction had a mixture of non-team and team-based primary care with variable accessibility. Referral procedures, follow-up processes, and financi...
Source: Current Diabetes Reports - April 12, 2023 Category: Endocrinology Source Type: research

The Role of Habit Formation and Automaticity in Diabetes Self-Management: Current Evidence and Future Applications
AbstractPurpose of ReviewDiabetes is a chronic condition that requires consistent self-management for optimal health outcomes. People with diabetes are prone to burnout, cognitive burden, and sub-optimal performance of self-management tasks. Interventions that focus on habit formation have the potential to increase engagement by facilitating automaticity of self-management task performance. The purpose of this review is to (1) clarify the conceptualizations of habit formation and behavioral automaticity in the context of health behavior interventions, (2) review the evidence of habit in relation to behaviors relevant to di...
Source: Current Diabetes Reports - April 1, 2023 Category: Endocrinology Source Type: research

Youth-Onset Type 2 Diabetes: Burden of Complications and Socioeconomic Cost
AbstractPurpose of ReviewWith the rise in prevalence of youth-onset type 2 diabetes (T2DM), it is imperative to understand the clinical burden of the disease and the socioeconomic burden this disease imposes. We review the most recent data on youth-onset T2DM, including its pathophysiology, complications, and treatment. We also review existing data to determine the socioeconomic burden of youth-onset T2DM.Recent FindingsThe incidence of youth-onset T2DM is rising, and significantly accelerated following the COVID-19 pandemic. Youth with T2DM are more frequently from families of racial/ethnic minorities and lower socioecono...
Source: Current Diabetes Reports - March 24, 2023 Category: Endocrinology Source Type: research

Correction: Applying Behavioral Economics Theories to Interventions for Persons with Diabetes
(Source: Current Diabetes Reports)
Source: Current Diabetes Reports - March 3, 2023 Category: Endocrinology Source Type: research

Weight Regain After Bariatric Surgery: Scope of the Problem, Causes, Prevention, and Treatment
AbstractPurpose of ReviewAlthough bariatric surgery is the most effective treatment of severe obesity, a proportion of patients experience clinically significant weight regain (WR) with further out from surgery. The purpose of this review is to summarize the prevalence, predictors, and causes of weight regain.Recent FindingsEstimating the prevalence of WR is limited by a lack of consensus on its definition. While anatomic failures such as dilated gastric fundus after sleeve gastrectomy and gastro-gastric fistula after Roux-en-Y gastric bypass can lead to WR, the most common causes appear to be dysregulated/maladaptive eati...
Source: Current Diabetes Reports - March 1, 2023 Category: Endocrinology Source Type: research

Weight Regain After Bariatric Surgery: Scope of the Problem, Causes, Prevention, and Treatment
AbstractPurpose of ReviewAlthough bariatric surgery is the most effective treatment of severe obesity, a proportion of patients experience clinically significant weight regain (WR) with further out from surgery. The purpose of this review is to summarize the prevalence, predictors, and causes of weight regain.Recent FindingsEstimating the prevalence of WR is limited by a lack of consensus on its definition. While anatomic failures such as dilated gastric fundus after sleeve gastrectomy and gastro-gastric fistula after Roux-en-Y gastric bypass can lead to WR, the most common causes appear to be dysregulated/maladaptive e...
Source: Current Diabetes Reports - February 8, 2023 Category: Endocrinology Source Type: research