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Drug: Insulin

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Clinician uptake of obesity-related drug information: A qualitative assessment using continuing medical education activities
Conclusions: Clinicians' knowledge of medication-related weight gain may lead them to overestimate the benefits of a drug in relation to its metabolic risks. The knowledge base of pediatricians appears comparable to their counterparts in adult medicine, even though metabolic drug effects in children have only become prevalent recently.
Source: Nutrition Journal - April 10, 2013 Category: Nutrition Authors: Ingrid KohlstadtGerold Wharton Source Type: research

Polycystic ovary syndrome: A review for dermatologists
Dermatologists are in a key position to treat the manifestations of polycystic ovary syndrome (PCOS). The management of PCOS should be tailored to each woman's specific goals, reproductive interests, and particular constellation of symptoms. Therefore, a multidisciplinary approach is recommended. In part II of this continuing medical education article, we present the available safety and efficacy data regarding treatments for women with acne, hirsutism, and androgenetic alopecia. Therapies discussed include lifestyle modification, topical therapies, combined oral contraceptives, antiandrogen agents, and insulin-sensitizing drugs.
Source: Journal of the American Academy of Dermatology - October 26, 2014 Category: Dermatology Authors: Elizabeth Buzney, Johanna Sheu, Catherine Buzney, Rachel V. Reynolds Tags: Continuing medical education Source Type: research

InsuOnline, an Electronic Game for Medical Education on Insulin Therapy: A Randomized Controlled Trial With Primary Care Physicians
Conclusions: The game InsuOnline was applicable, very well accepted, and highly effective for medical education on insulin therapy. In view of its flexibility and easy dissemination, it is a valid option for large-scale CME, potentially helping to reduce clinical inertia and to improve quality of care for DM patients. Trial Registration: Clinicaltrials.gov NCT001759953; https://clinicaltrials.gov/ct2/show/NCT01759953 (Archived by WebCite at http://www.webcitation.org/6oeHoTrBf)
Source: Journal of Medical Internet Research - March 8, 2017 Category: Journals (General) Authors: Leandro Arthur Diehl Rodrigo Martins Souza Pedro Alejandro Gordan Roberto Zonato Esteves Izabel Cristina Meister Coelho Source Type: research

General Practitioners' Knowledge and Clinical Practice in Management of People with Type 2 Diabetes in Iran; The Impact of Continuous Medical Education Programs.
CONCLUSION: The results of this study provide the evidence that the knowledge and clinical practice of Iranian GPs in management of type 2 diabetes were not satisfactory. Furthermore, traditional CME programs in diabetes management were not effective in changing the GPs' clinical practice. Consequently, designing and implementing more effective strategies are necessary for improving patient health related outcomes. PMID: 26317599 [PubMed - in process]
Source: Archives of Iranian Medicine - September 1, 2015 Category: Middle East Health Authors: Aghili R, Malek M, Baradaran HR, Peyvandi AA, Ebrahim Valojerdi A, Khamseh ME Tags: Arch Iran Med Source Type: research

Developing a complex systems perspective for medical education to facilitate the integration of basic science and clinical medicine
ConclusionsEach of the illustrated organizing principles offers a means to facilitate the weaving of basic science and clinical medicine throughout the course of study. The use of such an approach may promote systems thinking, which is a core competency for effective and capable medical practice.
Source: Journal of Evaluation in Clinical Practice - December 1, 2015 Category: Journals (General) Authors: David C. Aron Tags: Original Article Source Type: research

Needs assessment of general practitioners in Pakistan: A descriptive cross-sectional survey
CONCLUSION: Most GPs have no structured training and encounter gaps in knowledge and skills in clinical practice. Flexible, hybrid, and competency-based continuing medical education programs can be used to update knowledge and skills.PMID:36994035 | PMC:PMC10041007 | DOI:10.4103/jfmpc.jfmpc_1167_22
Source: Primary Care - March 30, 2023 Category: Primary Care Authors: Hamida Farazdaq Jaleed A Gilani Asra Qureshi Unab I Khan Source Type: research

Are residents receiving the training needed within their residency programs to optimally manage patients with diabetes?
Conclusions: Our study found that the current U.S. FM and IM residency program diabetes curricula are dominantly oriented toward cardiovascular disease and 'traditional' insulins. A variety of training materials and resources could help overcome some of the current barriers to curriculum expansion of other important components of diabetes care that may help future physicians successfully manage diabetes with newer generation insulin and glucose monitoring technologies. Abbreviations: U.S: United States; PCP: Primary Care Physician; FM: Family Medicine; IM: Internal Medicine; CGM: Continuous Glucose Monitor; AAFP: American ...
Source: Postgraduate Medicine - December 18, 2020 Category: Internal Medicine Tags: Postgrad Med Source Type: research

Factors Impacting Adherence to Diabetes Medication Among Urban, Low Income Mexican-Americans with Diabetes
AbstractMexican-Americans carry a high burden of type 2 diabetes and are disproportionately affected by diabetes related mortality and morbidity. Poor adherence to medication is an important barrier to achieving metabolic control and contributes to adverse health outcomes and health disparities. Little is known about barriers and facilitators to medication adherence among Mexican-Americans with diabetes. This is a qualitative study of semi-structured interviews with a sample of 27 adults (25 Mexican-Americans and 2 Latinos of other origin) with self-reported type 2 diabetes who were recruited as part of a church-based, ran...
Source: Journal of Immigrant and Minority Health - February 23, 2019 Category: International Medicine & Public Health Source Type: research

Exam 1: Association of Serum Levels of Adipokines and Insulin With Risk of Barrett's Esophagus: A Systematic Review and Meta-analysis
Source: Clinical Gastroenterology and Hepatology - October 19, 2015 Category: Gastroenterology Tags: Continuing Medical Education (CME) Activities Source Type: research

Exam 2: Association of Serum Levels of Adipokines and Insulin With Risk of Barrett's Esophagus: A Systematic Review and Meta-analysis
Source: Clinical Gastroenterology and Hepatology - October 19, 2015 Category: Gastroenterology Tags: Continuing Medical Education (CME) Activities Source Type: research

Frequency of blood glucose testing in well educated patients with diabetes mellitus type 1: How often is enough?
Conclusions: Good diabetes control can be achieved in routine diabetes care with flexible intensified insulin therapy based on continuing patients’ education and with a minimum of 4 SMBGs per day.
Source: Diabetes Research and Clinical Practice - May 31, 2013 Category: Endocrinology Authors: Anna Elisabeth Minder, Dominique Albrecht, Juliane Schäfer, Henryk Zulewski Tags: Clinical care and education Source Type: research

Patient and prescriber characteristics among patients with type 2 diabetes mellitus continuing or discontinuing sulfonylureas following insulin initiation: data from a large commercial database.
CONCLUSIONS: About half of commercially-insured T2DM patients discontinued SU within one year after insulin initiation, and SU discontinuation was not strongly associated with a range of patient and provider characteristics. PMID: 29264933 [PubMed - as supplied by publisher]
Source: Current Medical Research and Opinion - December 23, 2017 Category: Research Tags: Curr Med Res Opin Source Type: research

Effectiveness of Shared Medical Appointments Versus Traditional Clinic Visits for Adolescents With Type 1 Diabetes
The objective of this study was to compare the effectiveness of traditional clinic visits with shared medical appointments for adolescents with type 1 diabetes in terms of hemoglobin A1c (HbA1c) improvement. Eighty ESCALAIT patients, aged 11 to 19 years were compared with 516 clinic controls of the same age. Visits were approximately 3 months apart for both patient groups. Changes in HbA1c between groups were calculated from the first to fourth visits. There was a statistically significant difference between the ESCALAIT clinic patients and the control patients. Our results revealed that the group visit patients had less i...
Source: Quality Management in Healthcare - July 1, 2016 Category: Health Management Tags: Quality Improvement - Shared Medical Appointments: Original Article Source Type: research

Prevalence, Characteristics and Clinical Diagnosis of Maturity Onset Diabetes of the Young Due to Mutations in HNF1A, HNF4A, and Glucokinase: Results from the SEARCH for Diabetes in Youth.
Conclusions/Interpretation:In this systematic study of MODY in a large pediatric US diabetes cohort, unselected by referral pattern or family history, MODY was usually misdiagnosed and incorrectly treated with insulin. While many type 2 diabetes-like metabolic features were less common in the mutation-positive group, no single characteristic identified all patients with mutations. Clinicians should be alert to the possibility of MODY diagnosis, particularly in antibody negative youth with diabetes. PMID: 23771925 [PubMed - as supplied by publisher]
Source: The Journal of Clinical Endocrinology and Metabolism - June 14, 2013 Category: Endocrinology Authors: Gilliam LK, Pihoker C, Ellard S, Hattersley AT, Dabelea D, Davis C, Dolan LM, Greenbaum CJ, Imperatore G, Lawrence JM, Marcovina SM, Mayer-Davis E, Rodriguez BL, Steck AK, Williams DE, for the SEARCH for Diabetes in Youth Study Group Tags: J Clin Endocrinol Metab Source Type: research

The use of clinical guidelines highlights ongoing educational gaps in physicians' knowledge and decision making related to diabetes
Background: Clinical guidelines for type 2 diabetes are a resource for providers to manage their patients and may help highlight specific areas in need of further education and training. We sought to determine how often guidelines are used and the relationship to physicians' diabetes-related knowledge and decision making. Methods: Existing users of electronic clinical support tools were invited to complete an online questionnaire. A knowledge score was calculated for five questions related to prevention of diabetes and treatment of its complications. We explored the association of clinical guideline use with diabetes-relat...
Source: BMC Medical Education - September 8, 2014 Category: Universities & Medical Training Authors: Mark CorriereLaura MinangStephen SissonFrederick BrancatiRita Kalyani Source Type: research