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Spotlight on dementia and glycemic control

Prediabetes and diabetes were associated with development of dementia in a South Korean study, and poorly controlled diabetes was tied to increased risk of incident cognitive impairment or progression to dementia in a Swedish study.
https://diabetes.acponline.org/archives/2021/11/12/5.htm
12 Nov 2021

Rates of hypoglycemic, hyperglycemic crises high in patients with diabetes and ESKD

The results of a retrospective study of U.S. data in patients with both diabetes and end-stage kidney disease (ESKD) indicate that current glycemic monitoring and treatment in this population are suboptimal, the authors said.
https://diabetes.acponline.org/archives/2021/11/12/3.htm
12 Nov 2021

No long-term disruption of glycemic control seen after COVID-19, study finds

The authors of a small Italian study of hospitalized COVID-19 patients speculated that reversible transient factors, such as inflammation-induced insulin resistance, may cause the hyperglycemia that occurs in some patients with and without diabetes during infection.
https://diabetes.acponline.org/archives/2021/11/12/2.htm
12 Nov 2021

Nearly 5% of adults diagnosed with type 2 diabetes in Scotland were in remission in 2019

Compared with people who did not achieve remission, those in remission tended to be older, to have a lower HbA1c level at diagnosis, to have never taken any glucose-lowering medication, to have lost weight since diabetes diagnosis, and to have had bariatric surgery.
https://diabetes.acponline.org/archives/2021/11/12/1.htm
12 Nov 2021

Type 1 and type 2 diabetes associated with increased risk of herpes zoster

Results of a systematic review and meta-analysis were consistent across age groups, diabetes types, and regions of the world. The study authors suggested that earlier vaccination against herpes zoster in all patients with diabetes, regardless of age, be considered.
https://diabetes.acponline.org/archives/2021/10/08/2.htm
8 Oct 2021

Statins associated with progression of diabetes

A retrospective study of veterans with diabetes found that those who started statin therapy were more likely to meet criteria for diabetes progression, such as initiation of insulin or an additional antihyperglycemic drug class, over time.
https://diabetes.acponline.org/archives/2021/10/08/3.htm
8 Oct 2021

Consensus report issued on management of type 1 diabetes in adults

The report from the American Diabetes Association and European Association for the Study of Diabetes offers guidance on diagnosis, management, and treatment, among other topics. Their recommendations are evidence-based where possible but represent the consensus opinion of the authors.
https://diabetes.acponline.org/archives/2021/10/08/1.htm
8 Oct 2021

Physician-patient discussions may decrease unnecessary self-monitoring of blood glucose levels

In a cross-sectional survey at an Ohio health system, 67% of respondents with non-insulin-controlled type 2 diabetes said they monitored their blood glucose levels because their physician had asked them to, and 50% said they would stop if given permission.
https://diabetes.acponline.org/archives/2021/09/10/2.htm
10 Sep 2021

GLP-1 receptor agonists improved cardiovascular, kidney outcomes in type 2 diabetes

In a systematic review and meta-analysis of eight randomized controlled trials, glucagon-like peptide-1 (GLP-1) receptor agonists reduced major adverse cardiovascular events by 14%, all-cause mortality by 12%, hospital admission for heart failure by 11%, and a composite kidney outcome by 21%, with no increase in safety outcomes.
https://diabetes.acponline.org/archives/2021/09/10/3.htm
10 Sep 2021

Consensus report aims to define remission of diabetes

An international expert group convened by the American Diabetes Association proposed that the criterion for diabetes remission be an HbA1c level below 6.5%, measured at least three months after glucose-lowering drugs are stopped.
https://diabetes.acponline.org/archives/2021/09/10/1.htm
10 Sep 2021

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