Posts Tagged ‘glycemic control’

Glycemic Control in Type 1 Diabetes

Posted by • November 21st, 2014

In a new study, patients with type 1 diabetes and a glycated hemoglobin level of 6.9% or lower (≤52 mmol per mole) were found to have a risk of death from any cause or from cardiovascular causes that was twice as high as that for matched controls. The excess risks of death from any cause and… Read More…

Mortality in Type 1 Diabetes

Posted by • November 19th, 2014

There are moments during every physician’s day when she or he gives medical advice based on well-established evidence– “The data show that starting medication A for this disease will reduce the risk of death by 20%.”   There are also moments when she or he may give advice just because it seems like the right thing… Read More…

After the STAMPEDE: Surgical versus Medical Treatment for Obese Patients with Diabetes

Posted by • May 21st, 2014

Today the perils of obesity hardly remain a mystery.  Many patients who are obese also have Type 2 diabetes, a condition that can be difficult and expensive to manage, and the search for effective treatment options has become a public health priority. In 2012, an article in NEJM reported the results of the Surgical Treatment and… Read More…

Medical Therapy vs. Bariatric Surgery in Type 2 Diabetes

Posted by • April 27th, 2012

In the 91 years since the discovery of insulin therapy for diabetes by Banting and Best in 1921, the prevalence of type 1 and especially type 2 diabetes has skyrocketed, tied to the ongoing epidemic of obesity. With the global prevalence of type 2 diabetes now expected to hit nearly 10 percent of the world’s population… Read More…

Surgery versus Medical Therapy in Obese Diabetics

Posted by • April 25th, 2012

In a randomized, controlled study of obese patients with type 2 diabetes, those who received medical therapy plus bariatric surgery had significantly better glycemic control at 12 months than did those who received medical therapy alone. The growing incidence of obesity and type 2 diabetes mellitus globally is widely recognized as one of the most challenging contemporary threats… Read More…

Type 2 Diabetes

Posted by • April 6th, 2012

The latest article in our Clinical Practice series provides a framework for establishing glycemic targets for patients with type 2 diabetes, taking into account both psychosocial and clinical factors, and discusses strategies to achieve the targets. First-line treatments and additional therapies are discussed. T2DM is the leading cause of blindness, nontraumatic lower-limb amputation, and chronic kidney disease… Read More…

Sweet Insight into Managing Type 1 Diabetes

Posted by • July 2nd, 2010

Anyone who has treated patients with Type 1 diabetes knows the challenges of optimizing glycemic control while trying to minimize the risk of severe hypoglycemia.  Some studies have suggested that in adults, insulin pumps may be more effective than multiple daily insulin injections at achieving this goal.  Other studies have pointed to continuous glucose monitoring… Read More…