Nontraditional Considerations With Insulin Needle Length Selection
Ensuring the correct delivery of insulin is essential in the treatment of diabetes. Both proper injection technique and needle length are important considerations for adequate insulin delivery. There have been several studies demonstrating that BMI does not affect efficacy or insulin leakage with shorter pen needles (e.g., 4 or 5 mm vs. 12.7 mm). Additionally, the International Scientific Advisory Board for the Third Injection Technique Workshop released recommendations in 2010 on best practices for injection technique for patients with diabetes, which, with regard to needle length, concluded that 4-mm pen needles were eff...
Source: Diabetes Spectrum - November 16, 2015 Category: Endocrinology Authors: O'Neal, K. S.; Johnson, J.; Swar, S. Tags: Feature Articles Source Type: research
American Indian Diabetes Beliefs and Practices: Anxiety, Fear, and Dread in Pregnant Women With Diabetes
Diabetes among American Indian (AI) people is a health disparities condition that creates excessive morbidity and mortality. This research delineated culturally constructed models of type 2 diabetes among 97 pregnant women in two large AI nations in Oklahoma. The data analysis of explanatory models of type 2 diabetes revealed the participants’ intense anxiety, fear, and dread related to the condition. The sample was further stratified by combinations of diabetes status: 1) absence of type 2 diabetes (n = 66), 2) type 2 diabetes prior to pregnancy (n = 4), and 3) gestational diabetes (n = 27). Patients were interviewe...
Source: Diabetes Spectrum - November 16, 2015 Category: Endocrinology Authors: Carson, L. D.; Henderson, J. N.; King, K.; Kleszynski, K.; Thompson, D. M.; Mayer, P. Tags: Feature Articles Source Type: research
Does Kindness Matter? Diabetes, Depression, and Self-Compassion: A Selective Review and Research Agenda
This article reviews recent evidence for the benefits of self-compassion in chronically ill patients, suggesting its utility as a clinical tool for improving self-care, depression, and glycemic control in diabetes. Possible physical and psychological pathways by which self-compassion may promote better outcomes in diabetes patients are considered, with particular attention given to reductions in negative self-judgment and improved motivation to undertake self-care. (Source: Diabetes Spectrum)
Source: Diabetes Spectrum - November 16, 2015 Category: Endocrinology Authors: Friis, A. M.; Consedine, N. S.; Johnson, M. H. Tags: Feature Articles Source Type: research
Effect of Group Medical Appointments on Glycemic Control of Patients With Type 2 Diabetes
Conclusion. This study demonstrated that the concept of medical management delivered in a group approach had a positive effect on glycemic control in patients with type 2 diabetes. GMAs were found to be an effective approach to achieving patient-centered goals for improving the glycemic control of patients with type 2 diabetes. (Source: Diabetes Spectrum)
Source: Diabetes Spectrum - November 16, 2015 Category: Endocrinology Authors: Caballero, C. A.; Firek, A. F.; Kashner, T. M. Tags: Feature Articles Source Type: research
Maintenance of Goal Blood Pressure, Cholesterol, and A1C Levels in Veterans With Type 2 Diabetes After Discharge From a Pharmacist-Managed Ambulatory Care Clinic
Conclusion. Veterans with type 2 diabetes in this study demonstrated durable maintenance of their goal LDL cholesterol and A1C levels after being discharged from a pharmacist-managed ambulatory care clinic. However, maintenance of xSBP goals did not demonstrate the same durability. Patients who meet their SBP goal may benefit from receiving continued disease state management services from a pharmacist-managed ambulatory care clinic instead of being discharged to receive their usual care. (Source: Diabetes Spectrum)
Source: Diabetes Spectrum - November 16, 2015 Category: Endocrinology Authors: Erwin, P. B.; Pitlick, M. K.; Peters, G. L. Tags: Feature Articles Source Type: research
Evaluation of Diabetes Conversation Map™ Education Tools for Diabetes Self-Management Education
Conclusion. Diabetes Conversation Maps™ education tools are effective for diabetes self-management education and facilitating behavior change in people with type 2 diabetes. This, in turn, may improve patients’ chances of attaining desirable diabetes control. (Source: Diabetes Spectrum)
Source: Diabetes Spectrum - November 16, 2015 Category: Endocrinology Authors: Ghafoor, E.; Riaz, M.; Eichorst, B.; Fawwad, A.; Basit, A. Tags: Feature Articles Source Type: research
The Need for a Tool to Assist Health Care Professionals and Patients in Making Medication Treatment Decisions in the Clinical Management of Type 2 Diabetes
(Source: Diabetes Spectrum)
Source: Diabetes Spectrum - November 16, 2015 Category: Endocrinology Authors: Reaney, M. Tags: Editorial Source Type: research
Hypertension and Diabetic Kidney Disease in Children and Adolescents
(Source: Diabetes Spectrum)
Source: Diabetes Spectrum - August 14, 2015 Category: Endocrinology Authors: Chiang, J. Tags: Lifestyle and Behavior Source Type: research
Management of Hyperglycemia in Diabetic Kidney Disease
(Source: Diabetes Spectrum)
Source: Diabetes Spectrum - August 14, 2015 Category: Endocrinology Authors: Neumiller, J. J.; Hirsch, I. B. Tags: Pharmacy and Therapeutics Source Type: research
Clinical Insights Into a New, Disposable Insulin Delivery Device
(Source: Diabetes Spectrum)
Source: Diabetes Spectrum - August 14, 2015 Category: Endocrinology Authors: Knutsen, P. G.; Voelker, C. Q.; Nikkel, C. C. Tags: Care Innovations Source Type: research
Selecting an A1C Point-of-Care Instrument
This article compares the three available NGSP-certified POC products in terms of accuracy, precision, ease of use, cost, and additional features. Its goal is to aid health care facilities in conveniently identifying the A1C POC product that best meets their needs. It additionally reviews evidence that supports the continued use of A1C POC instruments in the clinical arena. (Source: Diabetes Spectrum)
Source: Diabetes Spectrum - August 14, 2015 Category: Endocrinology Authors: Whitley, H. P.; Yong, E. V.; Rasinen, C. Tags: Feature Articles Source Type: research
Care Utilization Patterns and Diabetes Self-Management Education Duration
Conclusion. These data reveal a positive relationship between DSME duration and utilization of some diabetes clinical care services. (Source: Diabetes Spectrum)
Source: Diabetes Spectrum - August 14, 2015 Category: Endocrinology Authors: Johnson, T. M.; Richards, J.; Churilla, J. R. Tags: Feature Articles Source Type: research
Comprehensive Care for People With Diabetic Kidney Disease
IN BRIEF Diabetic kidney disease carries a heavy burden, both economically and in terms of quality of life, largely because of its very high risk for vascular disease. Coordinated, multidisciplinary care with attention to appropriate, timely screening and preventive management is crucial to reducing the morbidity and mortality of this devastating disease. (Source: Diabetes Spectrum)
Source: Diabetes Spectrum - August 14, 2015 Category: Endocrinology Authors: Jain, K.; Mottl, A. K. Tags: From Research to Practice Source Type: research
Nutrition Intervention for Advanced Stages of Diabetic Kidney Disease
This article discusses selected nutrients that have a role in affecting DKD outcomes and introduces application of newer, individualized concepts for healthful eating, as supported by clinical evidence relevant to patients with DKD. Selected aspects of management of advanced DKD are also reviewed. (Source: Diabetes Spectrum)
Source: Diabetes Spectrum - August 14, 2015 Category: Endocrinology Authors: Goldstein-Fuchs, J.; Kalantar-Zadeh, K. Tags: From Research to Practice Source Type: research
Hypertension Management in Diabetic Kidney Disease
IN BRIEF Hypertension is prevalent in most individuals with diabetic kidney disease (DKD). Failure to treat hypertension appropriately in this subgroup of patients results in an increased risk of cardiovascular morbidity and mortality, as well as a faster progression of kidney disease. The current guidance for appropriate treatment of hypertension in this high-risk population provides an opportunity to improve both kidney and cardiovascular outcomes. This review discusses the current state of evidence-based hypertension management in patients with DKD. (Source: Diabetes Spectrum)
Source: Diabetes Spectrum - August 14, 2015 Category: Endocrinology Authors: Patney, V.; Whaley-Connell, A.; Bakris, G. Tags: From Research to Practice Source Type: research
