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Jay Shubrook

Jay H Shubrook, DO, is a Board-Certified Family Physician and Diabetologist. 

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Latest contributions from Jay Shubrook

Jay Shubrook

06-14-2020 | ADA 2020 | Conference coverage | Video

Expert commentary: Icosapent ethyl lowers cardiovascular risk in people with diabetes

Jay Shubrook comments on a subgroup analysis of the REDUCE-IT trial demonstrating that icosapent ethyl reduces the risk for cardiovascular events in statin-treated patients with diabetes (3:39).

Jay Shubrook, Katherine Tuttle

11-27-2019 | Nephropathy | Video | Article

The revolution is here: New treatments for diabetic kidney disease

Katherine Tuttle and Jay Shubrook reconvene to discuss what the landmark findings from recent renal outcomes trials mean for clinical practice (16:51).

Elderly woman with medication (symbolic image with model)

11-06-2019 | Older adults | Case study | Article

Diabetes treatment in the elderly: Kathryn

Primary care physician Jay Shubrook shares his recommendations for diabetes management in a 72-year-old, multi-morbid patient.

Intermittent fasting

10-01-2019 | Diet | Case study | Article

A physician’s introduction to therapeutic fasting

Is this increasingly popular weight management tactic an option for your patients with type 2 diabetes? Primary care physician Jay Shubrook and Jamie Katuna explain in this illustrative case study.

Jay Shubrook, Katherine Tuttle

05-17-2019 | Nephropathy | Video | Article

Team-based care for patients with type 2 diabetes and kidney disease

Nephrologist Katherine Tuttle and Primary Care Physician Jay Shubrook discuss referrals to nephrology for patients with comorbid diabetes and kidney disease (8:38).

Assorted medications

04-24-2019 | Primary care | Commentary | Article

Diagnosis age matters when it comes to type 2 diabetes

Editorial board member Jay Shubrook explains how the aggressive course of young-onset type 2 diabetes affects clinical decision-making for primary care providers.

Jay Shubrook, Katherine Tuttle

04-13-2019 | Nephropathy | Video | Article

Diabetic kidney disease: A call to primary care

Nephrologist and Endocrinologist Katherine Tuttle joins Primary Care Physician Jay Shubrook to share best practice tips for kidney disease screening in patients with diabetes (8:16).

Diagnosis

05-09-2018 | Diagnosis | Case study | Article

Atypical diabetes: Case study 4

Can you diagnose the atypical form of diabetes presented in our fourth patient case study? Test your knowledge with Editorial Board member, Jay Shubrook.

Editorial Board member Jay Shubrook follows up with treatment individualization specialist David Strain on the treatment challenges presented by older adults, and the implications for tailoring hypertension therapy in this diverse population (11:08).



Learning points include:

  • The rationale for emphasizing quality over quantity of life in certain subsets of the elderly patient population.
  • The importance of incorporating understanding of key comorbidities into treatment planning, including:
    • Left ventricular and/or diastolic dysfunction
    • Chronic kidney disease 
    • Benign prostatic hyperplasia
    • Heart failure
  • Single/multi-agent therapies capable of targeting hypertension and its comorbidities.
  • The importance of early renal function testing in older adults initiated on treatments for hypertension and its comorbidities.
  • Understanding renal impairment risks in vulnerable adults treated with angiotensin-converting-enzyme (ACE) inhibitors in patients.
  • Understanding the relative risk of hyponatremia with generally well-tolerated treatments like as thiazide diuretics.
  • Best practice for avoiding adverse drug events in the acute setting.
  • The challenges associated with treating concomitant heart failure in older adults.

« Video 4: Individualization of diabetes treatment: Considerations for frail, elderly patients with heart failure

Editorial Board member Jay Shubrook talks to treatment individualization specialist David Strain about the treatment challenges presented by older adults, and the implications for tailoring hypertension therapy in this diverse population (11:40).


Learning points include:

  • The ways in which older adults are physiologically distinct from other populations and considerations for appropriate care based on anticipated lifestyle.
  • Expectations for systolic and diastolic blood pressure changes in older adults as well as the impacts they have on cardiovascular health.
  • The importance of specific measures including: pulse pressure, arterial compliance.
  • Risk factors associated with low diastolic blood pressure (<75mmHg) and prospective antihypertensive treatment strategies that may mitigate such risks.

 

« Video 3: When to intervene in patients with diabetes and high blood pressure?



Video 5: Diabetes and blood pressure in the elderly: Which medications to use when; tips for achieving target »

 

Editorial Board member Jay Shubrook and Advisory Board member Robert Chilton get together once more to discuss best practice tips for identifying and treating hypertension in patients with pre-existing diabetes (12:17).



Learning points include:

  • Strategies to avoid common pitfalls when performing blood pressure measurements.
  • The importance of the blood pressure measurements in determining the risk of cardiovascular events.
  • The benefits of dual-action and preload-targeted therapies in hypertensive patients.
  • Why potassium levels are an important factor to consider before initiating treatment.

« Video 2: Why aren't we reaching blood pressure goals, despite the raised target?



Video 4: Individualization of diabetes treatment: Considerations for frail, elderly patients with heart failure »

In the wake of the revised blood pressure targets, recommended by the American Diabetes Association's 2017 Position Statement and 2018 Standards of Care, Editorial Board member Jay Shubrook and Advisory Board member Robert Chilton discuss clinical approaches to get hypertensive diabetes patients to target more consistently (12:29).


Learning points include:

  • The atherogenic risk posed by diabetes and why blood pressure measurements from the arm-alone may not be sufficient to evaluate the threat in all patients.
  • The benefits and drawbacks of the medication classes indicated for hypertension treatment, such as:
    • Diuretics
    • β-blockers
    • Calcium channel blockers
  • The impact and rationale for targeting blood pressures lower than those indicated in the ADA position statement. 

« Video 2: What are the current recommendations for managing high blood pressure in diabetes patients?



Video 3: When to intervene in patients with diabetes and high blood pressure? »

Diabetes Care cover

12-14-2017 | Guidelines | Editorial | Article

What is new in the 2018 American Diabetes Association Standards of Medical Care in Diabetes?

Jay Shubrook, Chair of the American Diabetes Association’s Primary Care Advisory Group, outlines what's new in 2018's ADA Standards of Care update. 

Case study keyboard

12-13-2017 | Diagnosis | Case study | Article

Atypical diabetes: Case study 3

How would you diagnose and treat the third patient in our series of case studies on atypical forms of diabetes? Editorial board member Jay Shubrook challenges you.

Puzzle piece

11-01-2017 | Diagnosis | Case study | Article

Atypical diabetes: Case study 2

The second case study in our series on atypical forms of diabetes from Jay Shubrook presents a highly distinct variation of the disease and challenges you to make the correct diagnosis.

Stethoscope and question mark

10-04-2017 | Diagnosis | Case study | Article

Atypical diabetes: Case study 1

Editorial Board member Jay Shubrook highlights an easy-to-miss form of the disease and challenges you to make the correct diagnosis.

Jay pic

09-17-2017 | Primary care | Video | Article

ADA session overview: Diabetes Is Primary

Jay Shubrook talks about the Diabetes Is Primary session - an educational program designed specifically for practitioners working with patients with diabetes in primary care (2:26).

Counting on hands (one to five)

08-22-2017 | Primary care | View from the clinic | Article

Five things you can do to make your diabetes visits more efficient

Diabetes check-ups can be multifaceted and time-consuming. Editorial Board member and Family Physician, Jay Shubrook, presents his practical recommendations for making the most of your patient visits.

Prevent diabetes

07-05-2017 | Diabetes prevention | Editorial | Article

Type 2 diabetes can be prevented in your patients

Editorial Board member Jay Shubrook and his colleague Alegria Cantillep discuss the National Diabetes Prevention Program, how you might find eligible patients, and how you can refer them to the program.

Editor's pick Holiday image

06-25-2017 | Hyperglycemia | View from the clinic | Article

What to do when your patient takes a diabetes holiday

Jay Shubrook reflects on a case concerning a patient who came into his clinic after taking a 'diabetes holiday' and discusses some of the practical ways in which you might prevent such holidays in your patients.