Healthcare systems

Diabetologist Pratik Choudhary and Nurse Consultant Lori Berard discuss inpatient use of continuous glucose monitoring (CGM) devices and insulin dosing apps (8:14).

Compulsory enrollment in a high-deductible health insurance plan is associated with significant delays in seeking care for macrovascular complications among people with diabetes, US research shows.

Kalra S et al. Diabetes Ther 2018. doi: 10.1007/s13300-018-0521-2

Is the medical model of care failing diabetes patients in its current form? Advisory Board member Katharine Barnard considers this, and the future of clinical decision support.

Thompson B et al. Curr Diab Rep 2018; 18: 81. doi: 10.1007/s11892-018-1056-7

Yeh T, Yeung M, Mendelsohn Curanaj FA. Curr Diab Rep 2018; 18: 73. doi: 10.1007/s11892-018-1045-x

The presence of mild-to-moderate anemia or chronic kidney disease does not have a clinically significant effect on the interpretation of glycated hemoglobin as a marker of glycemic control, Danish research shows.

Carmen Soto and David Strain provide their insights on clinical inertia in diabetes care and present the co-production model of open communication as an innovative means to address this widespread clinical issue.

Agarwal S, Hilliard M, Butler A. Curr Diab Rep 2018; 18: 65. doi: 10.1007/s11892-018-1037-x

Ronda MCM et al. BMC Fam Pract 2018; 19: 94. doi: 10.1186/s12875-018-0781-y

Everett E, Mathioudakis N. Curr Diab Rep 2018; 18: 49. doi: 10.1007/s11892-018-1026-0

Ambulance call-outs for episodes of severe hypoglycemia do not consistently result in reviews of patients’ care, despite guideline recommendations, shows a study of diabetes patients in England and Wales.

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.

Desai D et al. Diabetes Care 2018. doi: 10.2337/dc17-1379

Fatehi F, Menon A, Bird D. Curr Diab Rep 2018; 18: 38. doi: 10.1007/s11892-018-1013-5

Prospective Studies Collaboration and Asia Pacific Cohort Studies Collaboration. Lancet Diabetes Endocrinol 2018; Advance online publication. doi: 10.1016/S2213-8587(18)30079-2

Students with type 1 diabetes report increased difficulties with managing their condition when they start at university, with consequences for glycemic control and acute complications.

Bekiari E et al. BMJ 2018; 361: k1310. doi: 10.1136/bmj.k1310 

Children are less likely to present with diabetic ketoacidosis at the time of type 1 diabetes diagnosis if they previously had regular access to a healthcare provider, research published in CMAJ suggests.

Wan W et al. Diabetes Care 2018. doi: 10.2337/dc17-1821