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Diabetes

HbA1c not reliable for diagnosing diabetes

August 03, 2010

A new analysis found that this measure is inferior to the oral glucose tolerance test for screening.

CVD prevention: tighter aspirin recs for diabetics

July 15, 2010

In a joint statement, published online, the American College of Cardiology Foundation, American Diabetes Association, and American Heart Association updated their recommendations for primary-prevention aspirin use in people with diabetes.

Diabetes, high LDL speed Alzheimer's decline

July 13, 2010

A history of diabetes or high cholesterol (especially LDL) can speed cognitive decline in patients with Alzheimer's disease.

PSA rises more slowly with age in diabetics

June 08, 2010

Men with diabetes experience significantly smaller increases in PSA level as they age.

Shiny, waxy patches on the shins

By Craig G. Burkhart, MD, MPH May 05, 2010

A woman with a history of type 2 diabetes presented with a recent onset of asymptomatic, shiny, waxy, round patches on her shins that turned from red to yellow.

Anti-diabetes measures have lasting payoff

April 28, 2010

Intensive lifestyle changes aimed at modest weight loss and increased physical activity continue to reduce the rate of type 2 diabetes after 10 years.

Keep using statins despite diabetes risk

April 07, 2010

Although new research shows that the use of statins increases risk of developing type 2 diabetes, the absolute risk is low—particularly in the context of...

Study challenges benefits of intensive BP control in patients with diabetes

March 22, 2010

Research shows that intensive BP control does not reduce the rate of a composite outcome of fatal and nonfatal cardiovascular events in patients with type 2 diabetes.

Self-monitoring in non-insulin-dependent diabetes

March 11, 2010

Should non-insulin-dependent patients with type 2 diabetes be self-monitoring? See what the latest report from Germany has to say.

Med combo averts MI and stroke in some

December 23, 2009

A simplified method for bundling fixed doses of a generic statin and an ACE inhibitor or angiotensin II receptor blocker (ARB) reduced the risk of hospitalization for MI and stroke in 170,024 people aged 55 years and older who had diabetes, coronary artery disease, or both.

Lower diabetes risk by eating fish?

October 28, 2009

Higher consumption of shellfish, however, was associated with an increased risk, British study shows.

Tight glucose control cuts heart risk

August 10, 2009

Intensive treatment to lower glucose levels in patients with type 2 diabetes does appear to significantly reduce coronary events without increasing the risk of death.

FDA accepts application for once-weekly exenatide

July 13, 2009

The agency will review the New Drug Application submitted for once-weekly exenatide as a subcutaneous injectable treatment of type 2 diabetes.

Triglycerides linked to diabetic neuropathy and amputations

June 24, 2009

Serum triglyceride levels may allow clinicians to predict which patients with type 2 diabetes will develop neuropathy, while fenofibrate therapy can reduce the risk of diabetes-related amputations by more than a third.

Boosting pancreatic beta cells

Question by Shah Niranjan, MD, Roslyn Heights, N.Y.; response by Lyle Mitzner, MD April 20, 2009

Is there a role for sitagliptin in enhancing pancreatic beta-cell function or quantity? Our expert discusses the issue.

Switch meds for this patient with diabetes?

Question from Mostafa M. Rehab, MD, Greensburg, Ind; response by Lyle D. Mitzner, MD March 27, 2009

Can this patient's insulin glargine dose be increased? If so, how high? Should he be switched to insulin detemir?

The links between oral and systemic health

By Jeffrey Astroth, DDS, MSPH March 05, 2009

While research into specific cause-and-effect relationships continues, there are still plenty of reasons to encourage patients to take care of their mouth.

Apidra SoloSTAR insulin pen approved

February 27, 2009

The FDA has approved a new prefilled disposable insulin pen from sanofi-aventis.

Erectile dysfunction common in men with diabetes

February 20, 2009

Nearly 25% of type 2 diabetic men in the Action for Health in Diabetes study reported having complete erectile dysfunction, according to a new article.

From the Editorial Board: I thought I knew how to manage diabetes

By Daniel G. Federman, MD February 19, 2009

The ACCORD, ADVANCE, and other trials have suggested a shifting landscape in diabetes treatment. After you read what this physician thinks, let us know your thoughts.

Subcutaneous vs. IV insulin

Question from Dennis A. Fito, MD, Oklahoma City; response by Lyle Mitzner, MD February 17, 2009

Can administering subcutaneous insulin every one to two hours substitute of IV insulin therapy?

Correcting diabetic ketoacidosis

Question by Dennis A. Fito, MD, Oklahoma City; response by Lyle Mitzner, MD February 17, 2009

Which is better for correcting the potassium level in diabetic ketoacidosis—potassium phosphate or potassium chloride?

Early recognition of diabetes complications

Lyle Mitzner, MD February 06, 2009

Too often patients focus on daily goals of diabetes management, but don't let them lose sight of the ultimate goal: preventing end-organ damage.

Contemporary insulin administration

Question asked by Steven Schwartz, MD, Bronx, N.Y., and answered by Lyle Mitzner, MD February 05, 2009

An update on administering insulin

ARBs and ACE inhibitors for proteinuria

Question asked by Absar Qureshi, MD, Columbus, Ohio, and answered by Edgar V. Lerma, MD January 09, 2009

Can we prescribe the ARBs and the ACE inhibitors in insurance company formularies for the treatment of diabetic nephropathy, or must we push for specific agents?

Kidney marker warns of heart disease, diabetes

November 20, 2008

A new meta-analysis confirmed "a strong and continuous association between urinary proteinuria and subsequent risk of coronary heart disease (CHD)." Meanwhile, a team of French scientists has tied excessive UAE levels to substantially higher risks of developing diabetes in men.

Study redeems tight glucose control

October 15, 2008

After being called into question by two large studies earlier this year, the benefits of intensive glycemic control in type 2 diabetes recently got some support from another long-term trial.

Pre-glucose tolerance test diet

Question submitted by G. Tadros, MD, Wilmington, Del., and answered by Daniel G. Tobin, MD October 06, 2008

What are the dietary recommendations for the three days preceding the oral glucose tolerance test (OGTT)? Many centers offering the OGTT...

Dyslipidemia in a diabetic patient

Question raised by William E. Feeman Jr, MD, Bowling and answered by Christopher Ruser, MD September 18, 2008

I would like to comment on treatment of dyslipidemia in the diabetic patient with total cholesterol 195 mg/dL, HDL 32 mg/dL, LDL 98 mg/dL, and triglycerides 195 mg/dL...