Rationalization, Development, and Implementation of a Preoperative Diabetes Optimization Program Designed to Improve Perioperative Outcomes and Reduce Cost
(Source: Diabetes Spectrum)
Source: Diabetes Spectrum - August 15, 2017 Category: Endocrinology Authors: Setji, T.; Hopkins, T. J.; Jimenez, M.; Manning, E.; Shaughnessy, M.; Schroeder, R.; Mendoza-Lattes, S.; Spratt, S.; Westover, J.; Aronson, S.; on behalf of the Duke Perioperative Enhancement Team (POET) Tags: Care Innovations Source Type: research
A Quality Improvement Program to Reduce Potential Overtreatment of Diabetes Among Veterans at High Risk of Hypoglycemia
Conclusions.. A clinical reminder helps clinicians identify and reduce the number of potentially overtreated patients. The large number of screened patients whose treatment was not de-intensified suggests that a clinical reminder should be combined with provider education, national guidelines, and performance measures aligned in the interest of reducing potential overtreatment. (Source: Diabetes Spectrum)
Source: Diabetes Spectrum - August 15, 2017 Category: Endocrinology Authors: Vimalananda, V. G.; DeSotto, K.; Chen, T.; Mullakary, J.; Schlosser, J.; Archambeault, C.; Peck, J.; Cassidy, H.; Conlin, P. R.; Evans, S.; McConnell, M.; Shirley, E. Tags: Feature Articles Source Type: research
Glucagon-Like Peptide 1 Receptor Agonists for Type 2 Diabetes
The incretin system has become an important target in the treatment of type 2 diabetes in recent years, and glucagon-like peptide 1 (GLP-1) is of particular interest for its glucose-lowering effects. The physiological response to oral ingestion of nutrients, involving the incretin system, is reduced in some patients with type 2 diabetes but may be augmented by administration of GLP-1 receptor agonists. The GLP-1 receptor agonists currently approved in the United States for the treatment of type 2 diabetes include exenatide (administered twice daily), liraglutide and lixisenatide (administered once daily), and the once-week...
Source: Diabetes Spectrum - August 15, 2017 Category: Endocrinology Authors: Hinnen, D. Tags: Feature Articles Source Type: research
Interventions to Improve Adherence to a Hypoglycemia Protocol
Conclusion.. This project demonstrated that the use of timers can be an effective and efficient way to remind busy hospital staff to recheck a patient’s blood glucose after hypoglycemia treatment. (Source: Diabetes Spectrum)
Source: Diabetes Spectrum - August 15, 2017 Category: Endocrinology Authors: Destree, L.; Vercellino, M.; Armstrong, N. Tags: Feature Articles Source Type: research
Lessons Learned From a Life With Type 1 Diabetes: Adult Perspectives
This study was undertaken to gain a better understanding of the challenges of growing up and living with type 1 diabetes from adults who have experienced those challenges and to recommend strategies for parents, caregivers, and HCPs who work with children or adolescents with type 1 diabetes. Thirty-five adults with type 1 diabetes participated in this qualitative study consisting of two in-depth interviews with each participant. Six themes emerged: 1) It’s not who you are. 2) Don’t let it limit you. 3) Get involved in diabetes support groups. 4) It’s going to be OK. 5) Teach them; don’t scare them. ...
Source: Diabetes Spectrum - August 15, 2017 Category: Endocrinology Authors: Freeborn, D.; Dyches, T.; Roper, S. O. Tags: Feature Articles Source Type: research
Identifying User Preferences for a Digital Educational Solution for Young Seniors With Diabetes
This article describes the identification of user preferences for the development of such solutions. Young seniors (aged 50–65 years) with type 2 diabetes were chosen as the target group because they are likely to have more affinity with digital devices than older people and because 88% of the Dutch diabetes population is >50 years of age. Data about the target group were gathered through literature research and interviews. The literature research covered data about their device use and education preferences. To gain insight into the daily life of diabetes patients and current diabetes education processes, 20 diab...
Source: Diabetes Spectrum - August 15, 2017 Category: Endocrinology Authors: van der Molen, P.; Maas, A. H.; Chen, W.; van Pul, C.; Cottaar, E. J. E.; van Riel, N. A. W.; Hilbers, P. A. J.; Haak, H. R. Tags: Feature Articles Source Type: research
In-Hospital Administration of Insulin by Nurses in Northern Greece: An Observational Study
Conclusion.
Overall, compliance with international guidelines regarding insulin administration techniques, as observed in these sample wards, is not satisfactory. Nurses in this Greek hospital tend to administer subcutaneous injections in ways not reflected in current research findings, practice guidelines, or evidence-based care recommendations. Evidently, Greek nurses in this sample require updating on current evidence-based practice, clinical guidelines, and protocols of care regarding routine insulin administration. (Source: Diabetes Spectrum)
Source: Diabetes Spectrum - August 15, 2017 Category: Endocrinology Authors: Theofanidis, D. Tags: Feature Articles Source Type: research
Mindful Eating: The Art of Presence While You Eat
This article describes mindful eating and offers ideas for how to teach the basics of this practice. (Source: Diabetes Spectrum)
Source: Diabetes Spectrum - August 15, 2017 Category: Endocrinology Authors: Nelson, J. B. Tags: From Research to Practice Source Type: research
The Look AHEAD Trial: Translating Lessons Learned Into Clinical Practice and Further Study
IN BRIEF Although the Look AHEAD (Action for Health in Diabetes) trial, which spanned more than 8 years, did not find significant differences in cardiovascular morbidity and mortality between study groups, it did demonstrate significant differences in weight loss and maintenance. Using lessons learned from the Look AHEAD protocol, clinicians can help people with type 2 diabetes lose weight, improve glucose management, increase physical activity, alter eating patterns, and support long-term positive health outcomes. It remains important, however, to avoid assigning a higher priority to weight loss goals than to improvements...
Source: Diabetes Spectrum - August 15, 2017 Category: Endocrinology Authors: Salvia, M. G. Tags: From Research To Practice Source Type: research
Comparative Effectiveness of Clinic-Based Intensive Behavioral Therapy for Obese Adults With Type 2 Diabetes
This study compared weight change over 1 year between obese adults with type 2 diabetes who did receive IBT to those who did not. Findings indicated that IBT was modestly effective, resulting in ~3% weight loss over 1 year compared to 1% weight loss in the matched comparison group who did not receive IBT. (Source: Diabetes Spectrum)
Source: Diabetes Spectrum - August 15, 2017 Category: Endocrinology Authors: Hill, T. L.; VanWormer, J. J. Tags: From Research to Practice Source Type: research
Role of Physical Activity for Weight Loss and Weight Maintenance
This article reviews the impact of exercise on weight loss and weight maintenance and the possible reasons that weight loss outcomes resulting from exercise are not consistently realized. (Source: Diabetes Spectrum)
Source: Diabetes Spectrum - August 15, 2017 Category: Endocrinology Authors: Cox, C. E. Tags: From Research To Practice Source Type: research
Why Weight Loss Maintenance Is Difficult
This article reviews studies related to biological mechanisms that make weight loss maintenance difficult. Approximately 50% of weight variance is reported to be determined by genetics and 50% by the environment (energy-dense foods and reduced physical activity). Body weight is tightly regulated by hormonal, metabolic, and neural factors. Hormonal adaptations (decreases in leptin, peptide YY, cholecystokinin, and insulin and increases in ghrelin, glucagon-like peptide 1, gastric inhibitory polypeptide, and pancreatic polypeptide) encourage weight gain after diet-induced weight loss and continue for at least 1 year after in...
Source: Diabetes Spectrum - August 15, 2017 Category: Endocrinology Authors: Evert, A. B.; Franz, M. J. Tags: From Research To Practice Source Type: research
Weight Management: Obesity to Diabetes
IN BRIEF Evidence supports the effectiveness of nutrition therapy across the continuum of diabetes management—obesity to prediabetes to diabetes. For people who are overweight/obese or diagnosed with prediabetes, modest weight loss is important. However, the goals of nutrition therapy for type 2 diabetes are improved glycemia, lipids, and blood pressure. To achieve these goals, a reduced energy intake is essential. For some, reducing energy intake may lead to weight loss, while for others, it may maintain weight loss or prevent weight gain. Weight loss medications and metabolic surgery have been shown to be effective...
Source: Diabetes Spectrum - August 15, 2017 Category: Endocrinology Authors: Franz, M. J. Tags: Weight Management Source Type: research
About Marion J. Franz, MS, RDN, CDE: Guest Editor, The Role of Weight Management in Diabetes
(Source: Diabetes Spectrum)
Source: Diabetes Spectrum - August 15, 2017 Category: Endocrinology Tags: From Research to Practice Source Type: research
Lifestyle Strategies for Diabetes Management: The Role of Weight Management
(Source: Diabetes Spectrum)
Source: Diabetes Spectrum - August 15, 2017 Category: Endocrinology Authors: Freeman, J. Tags: From Research To Practice Source Type: research
