Current Issue


VA's patient-centered model may not aid glycemic or lipid control

A retrospective cohort analysis assessed the impact of a change in primary care model on diabetes outcomes among patients receiving care at seven Midwestern Veterans Affairs facilities.

Beta-blockers associated with mortality risk in patients with diabetes, study finds

Patients with diabetes who were taking any beta-blocker, a beta-1 selective beta-blocker, or a specific beta-blocker had significantly higher risk for all-cause mortality versus patients with diabetes who were not taking a beta-blocker.

Inpatient management by a diabetes team associated with improved readmissions, reduced cost

The retrospective study at a single tertiary care referral medical center compared cost-effectiveness of care from a specialized diabetes team with care from a primary service team.

MKSAP quiz: Burning sensation in feet

This month's quiz asks readers to determine the appropriate management of a 57-year-old man with type 2 diabetes mellitus and a burning sensation in his feet.

Spotlight on demographic trends in diabetes

Recent studies looked at prevalence of diagnosed diabetes in the U.S.; trends in hospitalization for diabetic ketoacidosis; and the prevalence of obesity, metabolic syndrome, and diabetes.

First continuous glucose monitoring system approved to be used with other devices

The system is the first approved to be used with other diabetes devices, such as automated insulin-dosing systems, insulin pumps, or blood glucose meters, according to the FDA.

Review: Adding a DPP-4 inhibitor to an SGLT-2 inhibitor reduces genital, but not genitourinary, tract infections

The authors of an accompanying ACP Journal Club commentary noted that although the risk for bias in the five reviewed studies was reportedly low, the results were imprecise and inconsistent, leaving little confidence in the evidence of an apparent reduction in infection risk with dipeptidyl peptidase-4 (DPP-4) inhibitors.

Intensive weight management in primary care improved weight loss and remission of type 2 diabetes

The author of an ACP Journal Club commentary said that the intervention effect was strong enough to prompt a reconsideration of primary care management of obesity and that the results of the trial may motivate patients to lose enough weight to reverse diabetes.

Taking glucose management online

An article in the April ACP Hospitalist reviews mixed results of research on electronic systems for glucose management and the potential challenges to implementing them.

Liberal glucose control worked well for ICU patients with diabetes, study finds

ICU patients who were given insulin only when glucose exceeded 14 mmol/L (>252 mg/dL) had slightly less hypoglycemia and similar creatinine levels, white cell counts, and mortality rates versus those treated with insulin when glucose exceeded 10 mmol/L (>180 mg/dL).