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Few diabetes, hypertension patients get recommended testing for kidney disease

Only 21% of patients with diabetes, hypertension, or both underwent urine albumin-to-creatinine ratio testing in a year, despite guideline recommendations, a large recent study found.
https://diabetes.acponline.org/archives/2021/08/13/1.htm
13 Aug 2021

Recent-onset diabetes, weight loss associated with increased pancreatic cancer risk

Unintentional weight loss and weight loss in those with a body mass index already in the normal range were particularly associated with risk of pancreatic cancer among patients with recent-onset diabetes, a study found.
https://diabetes.acponline.org/archives/2020/09/11/2.htm
11 Sep 2020

Adverse events associated with SGLT-2 inhibitors do not appear dose-dependent

In a systematic review and meta-analysis, no difference was seen between high- and low-dose sodium-glucose cotransporter-2 (SGLT-2) inhibitors in overall safety or specific safety outcomes, other than a mild increased risk for adverse events with higher doses of canagliflozin.
https://diabetes.acponline.org/archives/2020/09/11/3.htm
11 Sep 2020

ADA updates 2021 Standards of Care to address latest research on diagnosis, treatment

The American Diabetes Association (ADA) 2021 Standards of Medical Care in Diabetes now reflect new data on teplizumab and sodium-glucose cotransporter-2 inhibitors, as well as the effects of dapagliflozin and finerenone on patients with chronic kidney disease.
https://diabetes.acponline.org/archives/2021/07/09/1.htm
9 Jul 2021

Patient-led titration of basal insulin appears effective in type 2 diabetes

A meta-analysis of six studies found that patient-led titration was associated with lower HbA1c and fasting plasma glucose levels than physician-led titration, although hypoglycemia risk and body weight were slightly higher.
https://diabetes.acponline.org/archives/2020/08/14/3.htm
14 Aug 2020

Review looks at metformin safety, effectiveness in patients with reduced renal function

Metformin appears to be associated with reduced mortality at estimated glomerular filtration rates as low as 45 mL/min/1.73 m2, but safety concerns arise with rates at or below 30 mL/min/1.73 m2.
https://diabetes.acponline.org/archives/2021/06/11/1.htm
11 Jun 2021

Spotlight on amputations

Recent studies analyzed data on lower-extremity amputations among patients with diabetes, including recent trends in this complication and its associated mortality, effects of the pandemic, and relationships with diabetes drugs.
https://diabetes.acponline.org/archives/2020/08/14/5.htm
14 Aug 2020

Health care organizations push for diabetes self-management education and support

A new consensus report urged clinicians to discuss self-management education and support with all diabetes patients and provide referrals at four critical points in care, including diagnosis.
https://diabetes.acponline.org/archives/2020/06/12/2.htm
12 Jun 2020

Meta-analysis quantifies survival gains from bariatric surgery

According to an analysis of studies of severely obese patients, metabolic-bariatric surgery was associated with median life expectancy gains of 9.3 years in patients with diabetes and 5.1 years in patients without diabetes.
https://diabetes.acponline.org/archives/2021/05/14/1.htm
14 May 2021

Patients with type 1 diabetes spending more on supplies than insulin

Mean out-of-pocket spending for all care among a national sample of insured patients with type 1 diabetes was nearly $2,500 in 2018, according to one study, while a second study found that commercially insured patients' out-of-pocket insulin costs have peaked.
https://diabetes.acponline.org/archives/2020/06/12/3.htm
12 Jun 2020

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