Original Article

CME Article: Reducing Infection Rates with Enhanced Preoperative Diabetes Mellitus Diagnosis and Optimization Processes

Objectives: Hyperglycemia and increased preoperative hemoglobin A1c (HbA1c) are associated with perioperative morbidity and death. For nonurgent operations, adequate glycemic control before surgery is recommended. Our surgical practice needed a process for preoperative diabetes mellitus (DM) diagnosis and glycemic optimization. Methods: Our review of the existing preoperative evaluation process found…

Posted in: diabetes mellitus 34 glycemic control 4 hemoglobin A1c 5 hyperglycemia 8

Review Article

Limitations of A1c Interpretation

Hemoglobin A1c is the measurement of glycated hemoglobin and can aid in both the diagnosis and continued management of diabetes mellitus. Accurate glycosylated hemoglobin A1c (A1c) measurements are an essential part of decision making in the diagnosis and treatment of type 2 diabetes mellitus. Although national standards exist to eliminate…

Posted in: comorbidities 4 diabetes mellitus 34 Diagnosis 17 hemoglobin A1c 5

Original Article

Retrospective Chart Review of Children With Type 2 Diabetes Mellitus Evaluating the Efficacy of Metformin vs. Insulin vs. Combination Insulin/Metformin

Objectives: Type 2 diabetes mellitus is a growing problem in pediatrics and there is no consensus on the best treatment. We conducted this chart review on newly diagnosed pediatric patients with type 2 diabetes mellitus to compare the effect of treatment regimen on body mass index (BMI) and hemoglobin A1c…

Posted in: hemoglobin A1c 5 insulin 8 metformin 5 Obesity 70 pediatrics 33 type 2 diabetes mellitus 13

Review Article

Consequences of Delaying Progression to Optimal Therapy in Patients with Type 2 Diabetes Not Achieving Glycemic Goals

Key PointsInsulin is the most efficacious therapy for diabetes.Patients with diabetes are not initiated on insulin therapy soon enough.A range of modern insulin formulations and delivery devices are available to help improve tolerability and patient compliance.The State of DiabetesDiabetes is a major and rapidly growing world health problem. In the…

Posted in: hemoglobin A1c 5 type 2 diabetes 7

Original Article

Diabetes on a Cardiovascular Ward: Adherence to Current Recommendations

Objectives: Improving diabetes and blood pressure control decreases the incidence and progression of microvascular disease. Likewise, screening for microvascular complications is beneficial in the early detection and treatment of these disorders. However, adherence to practice guidelines for screening and treatment in patients with diabetes is suboptimal. This study describes a…

Posted in: diabetes mellitus 34 hemoglobin A1c 5
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