A primary care-based diabetes quality improvement initiative using a shared medical appointment approach leads to increased insulin use and reduced glycated hemoglobin in patients with poorly controlled type 2 diabetes, research shows.
The short-term risk for developing diabetes is very high in primary care patients with impaired fasting glucose who also have elevated triglycerides and a large waist circumference, report researchers.
Nearly half of the patients helped to follow a very-low-calorie diet for at least 3 months achieved and maintained remission of type 2 diabetes over the 12 months of the DiRECT trial, the investigators report.
Advisory Board member Pamela Dyson underlines the key features for healthcare professionals working in diabetes education, diabetes management, type 2 diabetes prevention, and cardiovascular risk reduction.
Awareness and education about compassion fatigue can help to limit its incidence and severity. Sanjay Kalra outlines strategies to identify and manage the emotional exhaustion that often affects diabetes caregivers.
The drive to achieve lower HbA1c targets in older patients is not without concern or risk. Our UK Board address concerns highlighted by recent trials and discuss whether current guidelines do enough to mitigate the risks of overtreatment.