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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

Cardiology guidance supports use of SGLT-2 inhibitors, GLP-1 receptor agonists for CV benefits in diabetes

Evidence on sodium-glucose cotransporter-2 (SGLT-2) inhibitors and glucagon-like peptide-1 (GLP-1) receptor agonists indicates that these drugs can be used not just for glucose control but for cardiovascular (CV) risk reduction in patients with type 2 diabetes, according to a new expert pathway.
https://diabetes.acponline.org/archives/2020/08/14/1.htm
14 Aug 2020

CGM improves glucose control in high-risk groups with type 1 diabetes, studies find

Continuous glucose monitoring (CGM) was associated with improved HbA1c levels among adolescents and young adults in one trial and less hypoglycemia among older adults in another.
https://diabetes.acponline.org/archives/2020/07/10/2.htm
10 Jul 2020

Pain in diabetes-related polyneuropathy associated with adverse events, death

Patients with type 2 diabetes who had no diabetes-related polyneuropathy, diabetes-related polyneuropathy with pain, and diabetes-related polyneuropathy without pain were compared in an industry-funded retrospective study.
https://diabetes.acponline.org/archives/2020/07/10/3.htm
10 Jul 2020

Lowering serum urate levels with allopurinol did not improve kidney outcomes in patients with type 1 diabetes

Randomized trial participants with type 1 diabetes and mild-to-moderate diabetic kidney disease who received allopurinol or placebo had similar estimated glomerular filtration rates after three years.
https://diabetes.acponline.org/archives/2020/07/10/1.htm
10 Jul 2020

Influenza vaccination decreased risk of influenza hospitalization in patients with diabetes

On average during six influenza seasons, the protective effect of the vaccine in preventing influenza hospitalization was 46% for current-season vaccination and 44% for vaccination in prior seasons only, a Spanish study found.
https://diabetes.acponline.org/archives/2020/06/12/4.htm
12 Jun 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

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

DPP-4 inhibitors may be effective for some cases of inpatient hyperglycemia

A narrative review considered the available evidence on use of metformin, thiazolidinediones, sulfonylureas, sodium-glucose cotransporter-2 inhibitors, and dipeptidyl peptidase-4 (DPP-4) inhibitors in the hospital.
https://diabetes.acponline.org/archives/2020/06/12/1.htm
12 Jun 2020

Preop metformin associated with better postop outcomes in type 2 diabetes

A retrospective cohort study used electronic health record data from one health care system to assess postoperative mortality and readmission rates in adults who had major surgery.
https://diabetes.acponline.org/archives/2020/05/08/3.htm
8 May 2020

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