SMJ // Endocrinology, Diabetes, and Metabolism

SMJ Article | Review Article

When HbA1c Lies: Recognizing and Managing HbA1c-Glucose Discordance in Clinical Practice

Hemoglobin A1c (HbA1c) remains a cornerstone of glycemic assessment in diabetes mellitus care, yet discordance between HbA1c and measured glucose values is common in clinical practice. Failure to recognize this discordance can lead to inappropriate treatment escalation, increased hypoglycemia risk, and patient distress. This article reviews the biological and clinical...

Posted in: Endocrinology, Diabetes, and Metabolism22

SMJ Article | Review Article

Continuous Glucose Monitoring in Primary Care: A Practical, Multidisciplinary Review of Data Interpretation and Billing Updates

Continuous glucose monitoring (CGM) offers real-time and longitudinal insights into glycemic patterns, time in range, and hypoglycemia. Adopting CGMs into practice can improve clinical outcomes while strengthening patient engagement and enabling data-driven care across routine visits and population health programs. Despite strong evidence of benefit, CGM remains underused in primary...

Posted in: Endocrinology, Diabetes, and Metabolism22

SMJ Article | Original Article

Perceived Barriers and Needs Related to Chronic Disease Self-Management among Rural Appalachian Kentucky Residents

Objectives: In rural Appalachian Kentucky, managing chronic conditions presents a challenge due to limited healthcare access, inadequate health education, and poor dietary resources. This study explores factors contributing to healthcare barriers and examines how social support may help individuals better manage chronic illness.Methods: We interviewed residents of rural Appalachian Kentucky...

Posted in: Endocrinology, Diabetes, and Metabolism22

SMJ Article | Original Article

Evaluation of the Efficacy of Artificial Intelligence-Based Screening for Diabetic Retinopathy in a Predominantly Non-White Population

Objective: To evaluate the diagnostic accuracy of Luminetics Core, a Food and Drug Administration-cleared artificial intelligence-based screening system, in the detection of diabetic retinopathy (DR) in a predominately non-White population and identify potential shortcomings in clinical implementation that should be addressed to mitigate disparities in health care. Methods: Data were...

Posted in: Endocrinology, Diabetes, and Metabolism22 Retinal Disease1

SMJ Article | Original Article

New-Onset Type 2 Diabetes Mellitus in Critical Illness Survivors and after Hospitalization

Objectives: Recent literature suggests that hospitalization may lead to new-onset type 2 diabetes mellitus (NODM2). Understanding this relationship is crucial for developing interventions that could reduce long-term complications and healthcare costs associated with DM2 and major adverse cardiovascular events (MACE). This systematic review and meta-analysis aims to assess the incidence...

Posted in: Endocrinology, Diabetes, and Metabolism22

SMJ Article | Original Article

Improving Hypertension and Diabetes Mellitus Control with a Dedicated Patient Navigator

Objectives: Hypertension and diabetes mellitus (DM) are the leading causes of cardiovascular, cerebrovascular, and chronic kidney diseases. They affect an estimated 47% and 11% of Americans, respectively. In this study, we assessed whether a dedicated patient navigator embedded within a patient-centered medical home (PCMH) using a structured panel management and...

Posted in: Endocrinology, Diabetes, and Metabolism22 Hypertension11

SMJ Article | Original Article

Predictors of Blood Transfusion in Patients Undergoing Cytoreductive Surgeries for Ovarian Malignancy

Objectives: The aims of this study were to describe the baseline estimated blood loss (EBL) in surgery and transfusion rate in patients undergoing cytoreductive surgeries for ovarian malignancy, and identify perioperative variables associated with blood loss and transfusion. Methods: A retrospective cohort study at a single institution was performed that...

Posted in: Ovarian Disorders And Female Reproductive Health3 Ovarian Disorders3

SMJ Article | Perspectives

Know Your Guidelines Series: Diagnosis and Management of Nonalcoholic Fatty Liver Disease in Primary Care and Endocrinology Clinical Settings

Nonalcoholic fatty liver disease (NAFLD) represents a spectrum of liver disease without ongoing or significant alcohol use that ranges from hepatic steatosis to cirrhosis. NAFLD is associated with obesity, insulin resistance, type 2 diabetes mellitus (T2DM), hypertension, and dyslipidemia.1,2 Nonalcoholic steatohepatitis (NASH) represents the progression of NAFLD with at least...

Posted in: Endocrinology, Diabetes, and Metabolism22

SMJ Article | Original Article

Type 2 Diabetes Mellitus and Helicobacter pylori Eradication in a Clinical Population

Objectives: Eradication of Helicobacter pylori reduces the risk of gastric cancer (GC). Individuals with type 2 diabetes mellitus (T2DM) are known to be at increased risk for GC. In a cohort of H. pylori-positive individuals, we assessed whether those with T2DM were at risk of persistent infection following H. pylori...

Posted in: Endocrinology, Diabetes, and Metabolism22

SMJ Article | Review Article

A Comprehensive Review of COVID-19–Associated Endocrine Manifestations

Coronavirus disease 2019 (COVID-19) has played a significant part in systematic damage, affecting lives and leading to significant mortality. The endocrine system is one of the systems affected by this pandemic outbreak. The relationship between them has been identified in previous and ongoing research. The mechanism through which severe acute...

Posted in: Endocrinology, Diabetes, and Metabolism22 Infectious Disease144

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