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Neonatal Outcomes and A1C Improved With Real-Time Continuous Glucose Monitoring in Pregnancy With Preexisting Type 2 Diabetes. 妊娠期已有2型糖尿病患者实时连续血糖监测可改善新生儿结局和糖化血红蛋白
Diabetes Spectrum Pub Date : 2025-09-08 eCollection Date: 2025-01-01 DOI: 10.2337/ds25-0034
Gail L Nunlee-Bland, Rochanda Mitchell, Inez V Reeves, Michal A Young
{"title":"Neonatal Outcomes and A1C Improved With Real-Time Continuous Glucose Monitoring in Pregnancy With Preexisting Type 2 Diabetes.","authors":"Gail L Nunlee-Bland, Rochanda Mitchell, Inez V Reeves, Michal A Young","doi":"10.2337/ds25-0034","DOIUrl":"10.2337/ds25-0034","url":null,"abstract":"<p><p>This study evaluated the use of real-time continuous glucose monitoring (CGM) versus blood glucose monitoring (BGM) with a glucose meter in pregnant patients with preexisting type 2 diabetes on insulin therapy. The use of CGM improved A1C and reduced infant morbidity and mortality compared with BGM alone.</p>","PeriodicalId":39737,"journal":{"name":"Diabetes Spectrum","volume":"38 4","pages":"461-466"},"PeriodicalIF":0.0,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12620745/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145551413","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Oral Hygiene Practices and Glucose Profiles Assessed Through Continuous Glucose Monitoring in Adults With Type 2 Diabetes. 通过持续血糖监测评估成人2型糖尿病患者的口腔卫生习惯和血糖状况。
Diabetes Spectrum Pub Date : 2025-08-28 eCollection Date: 2025-01-01 DOI: 10.2337/ds25-0015
Kayo Harada, Yasutaka Maeda, Dan Sekiguchi, Atsushi Ishikado, Mayu Hayashi Suzuki, Ayumi Tamura, Masae Minami
{"title":"Oral Hygiene Practices and Glucose Profiles Assessed Through Continuous Glucose Monitoring in Adults With Type 2 Diabetes.","authors":"Kayo Harada, Yasutaka Maeda, Dan Sekiguchi, Atsushi Ishikado, Mayu Hayashi Suzuki, Ayumi Tamura, Masae Minami","doi":"10.2337/ds25-0015","DOIUrl":"10.2337/ds25-0015","url":null,"abstract":"<p><strong>Objective: </strong>Taking into account the potential link between oral hygiene and glycemic management in individuals with type 2 diabetes, this study aimed to investigate the relationship between oral hygiene practices, namely, tooth brushing, interdental cleaning, dental visits, and remaining teeth, and glycemic variability measured by continuous glucose monitoring (CGM) in people with type 2 diabetes, with a particular focus on the role of inflammation.</p><p><strong>Research design and methods: </strong>This cross-sectional study included 104 adults with type 2 diabetes visiting an internal medicine clinic. Questionnaires were used to collect data on oral hygiene practices, dental visit frequency, and the number of remaining teeth. Blood and urine samples were obtained, and CGM was performed for 2 weeks. The relationship between oral hygiene practices and diabetes management indicators, as well as inflammation markers, was analyzed.</p><p><strong>Results: </strong>The frequency of tooth brushing was negatively correlated with BMI, inflammation-related markers such as high-sensitivity C-reactive protein and tumor necrosis factor-α, and urine albumin-to-creatinine ratio. Interdental cleaning three or more times per week compared with less frequent cleaning was associated with lower fasting blood glucose, lower A1C, and improve CGM-related metrics, including greater time in range (TIR), lower glucose management indicator (GMI), and lower time above range. In logistic regression analysis, interdental cleaning showed associations with achieving TIR and GMI goals, even after adjusting for background factors and inflammatory markers.</p><p><strong>Conclusion: </strong>This study highlights the crucial role of oral hygiene practices in type 2 diabetes. Regular dental visits and effective oral self-care are paramount for promoting optimal oral health and managing diabetes.</p>","PeriodicalId":39737,"journal":{"name":"Diabetes Spectrum","volume":"38 4","pages":"441-448"},"PeriodicalIF":0.0,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12620740/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145551405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Relationship Between Material Needs Security and Quality of Life in Adults With Type 2 Diabetes in Lebanon. 黎巴嫩成人2型糖尿病患者物质需求保障与生活质量的关系
Diabetes Spectrum Pub Date : 2025-08-27 eCollection Date: 2025-01-01 DOI: 10.2337/ds24-0055
Ola Sukkarieh, Maya Bassil, Leonard E Egede
{"title":"Relationship Between Material Needs Security and Quality of Life in Adults With Type 2 Diabetes in Lebanon.","authors":"Ola Sukkarieh, Maya Bassil, Leonard E Egede","doi":"10.2337/ds24-0055","DOIUrl":"10.2337/ds24-0055","url":null,"abstract":"<p><strong>Objective: </strong>Despite their documented significance in type 2 diabetes management, social determinants of health (SDOH), including material needs security and quality of life (QoL), are understudied in the Middle East and North Africa (MENA) region. Material needs security refers to the consistent availability of essential material resources required to sustain health and manage diseases. This study aimed to assess the relation between material needs security and QoL in Lebanese adults with type 2 diabetes.</p><p><strong>Research design and methods: </strong>Using convenience sampling, 300 participants with type 2 diabetes were recruited. Demographic and material need variables were self-reported, and QoL was assessed using the abbreviated World Health Organization Quality of Life Scale (WHOQOL-BREF). WHOQOL-BREF score was the outcome variable used. Regression models were used to examine associations between material needs security and WHOQOL-BREF score, controlling for relevant confounding variables.</p><p><strong>Results: </strong>Most of the participants were men and married and had lower education levels. Multivariate analyses revealed that having material needs security was associated with physical health (β = 0.32, 95% CI 0.14-0.51), psychological health (β = 0.33, 95% CI 0.15-0.50), social relationships (β = 0.29, 95% CI 0.08-0.50), environment (β = 0.53, 95% CI 0.39-0.67), and overall perception of QoL (β = 0.09, 95% CI 0.04-0.14) after controlling for all relevant confounding variables. Other significant correlates of good QoL included lower age, higher education, higher income, and being employed.</p><p><strong>Conclusion: </strong>This study highlights the important influence of material needs security on QoL in adults with type 2 diabetes in the MENA region. Further research is needed to understand potential pathways and mechanisms, as well as options for effective interventions.</p>","PeriodicalId":39737,"journal":{"name":"Diabetes Spectrum","volume":"38 4","pages":"449-454"},"PeriodicalIF":0.0,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12620758/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145551416","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Association of Social Support With Glycemic Control Among American Indians With Type 2 Diabetes: The Strong Heart Family Study. 美国印第安人2型糖尿病患者的社会支持与血糖控制的关系:强心脏家族研究
Diabetes Spectrum Pub Date : 2025-08-20 eCollection Date: 2025-01-01 DOI: 10.2337/ds25-0007
Lauren Sawyer, Astrid M Suchy-Dicey, Lonnie A Nelson, Michelle Sarche, Jessica A Reese, Shelley Cole, Colleen M Sitlani, Jason G Umans, Amanda M Fretts
{"title":"Association of Social Support With Glycemic Control Among American Indians With Type 2 Diabetes: The Strong Heart Family Study.","authors":"Lauren Sawyer, Astrid M Suchy-Dicey, Lonnie A Nelson, Michelle Sarche, Jessica A Reese, Shelley Cole, Colleen M Sitlani, Jason G Umans, Amanda M Fretts","doi":"10.2337/ds25-0007","DOIUrl":"10.2337/ds25-0007","url":null,"abstract":"<p><p>Few studies have examined associations of social support with blood glucose control in American Indians (AIs), a population with a high burden of type 2 diabetes and related complications. This study examined the association of perceived social support with A1C among AIs in the Strong Heart Study. This cross-sectional study included 431 AI participants. Social support was measured using questions adapted from the National Comorbidity Survey and validated for use in AIs. A1C was measured using high-performance liquid chromatography. Generalized estimating equations were used to examine the association of social support with A1C. Participants who reported greater levels of social support had lower A1C levels. After adjustment for potential confounders, for every 1-SD increase in social support (6.8 points), A1C was 0.21% lower (β = -0.21%, 95% CI -0.40 to -0.01, <i>P</i> = 0.04). These data suggest that higher levels of social support are associated with better control of blood glucose. Further studies are needed to determine the mechanism by which perceived social support affects A1C.</p>","PeriodicalId":39737,"journal":{"name":"Diabetes Spectrum","volume":"38 4","pages":"455-460"},"PeriodicalIF":0.0,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12620744/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145551367","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Automated Insulin Delivery for Type 1 Diabetes: Present and Future. 1型糖尿病的自动胰岛素输送:现在和未来。
Diabetes Spectrum Pub Date : 2025-08-15 eCollection Date: 2025-01-01 DOI: 10.2337/dsi25-0003
Tugce Akcan, Ming Yeh Lee, Leor Needleman, Rayhan A Lal
{"title":"Automated Insulin Delivery for Type 1 Diabetes: Present and Future.","authors":"Tugce Akcan, Ming Yeh Lee, Leor Needleman, Rayhan A Lal","doi":"10.2337/dsi25-0003","DOIUrl":"10.2337/dsi25-0003","url":null,"abstract":"<p><p>Advancements in automated insulin delivery (AID) systems have transformed type 1 diabetes management, making AID the most effective technology for improving metabolic outcomes and quality of life in individuals with the disease. In this article, we review the available AID systems and their key features through case vignettes that illustrate their real-world applications in type 1 diabetes management. We then examine existing gaps in technology and explore future advancements to further enhance AID functionality and adoption.</p>","PeriodicalId":39737,"journal":{"name":"Diabetes Spectrum","volume":"38 3","pages":"217-227"},"PeriodicalIF":0.0,"publicationDate":"2025-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12357200/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144875726","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Dosing Algorithms for Insulin Pumps. 胰岛素泵的剂量算法。
Diabetes Spectrum Pub Date : 2025-08-15 eCollection Date: 2025-01-01 DOI: 10.2337/dsi25-0004
Ali Cinar
{"title":"Dosing Algorithms for Insulin Pumps.","authors":"Ali Cinar","doi":"10.2337/dsi25-0004","DOIUrl":"10.2337/dsi25-0004","url":null,"abstract":"<p><p>Advances in insulin pumps and dosing algorithms have improved the regulation of blood glucose concentrations, reduced the frequency of hyperglycemic and hypoglycemic episodes, and improved quality of life for people with diabetes and their families. Whereas nonautomated or standard insulin pumps may work with a smartphone app to provide information to reduce the workload of users, major advances have been made in automated insulin delivery (AID) system pumps that adjust insulin infusion rates via proprietary algorithms in real time based on data from a continuous glucose monitoring sensor that communicates with the AID pump to take over additional tasks. Improvements in these algorithms are reducing the burden on users today, while the next generation of AID systems, with full automation, are under development.</p>","PeriodicalId":39737,"journal":{"name":"Diabetes Spectrum","volume":"38 3","pages":"209-216"},"PeriodicalIF":0.0,"publicationDate":"2025-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12357213/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144875729","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Automating Insulin Dosing and Delivery: The Latest in Algorithms, Calculators, and Devices. 自动化胰岛素剂量和输送:最新的算法,计算器和设备。
Diabetes Spectrum Pub Date : 2025-08-15 eCollection Date: 2025-01-01 DOI: 10.2337/dsi25-0006
Rebecca Rick Longo
{"title":"Automating Insulin Dosing and Delivery: The Latest in Algorithms, Calculators, and Devices.","authors":"Rebecca Rick Longo","doi":"10.2337/dsi25-0006","DOIUrl":"10.2337/dsi25-0006","url":null,"abstract":"","PeriodicalId":39737,"journal":{"name":"Diabetes Spectrum","volume":"38 3","pages":"205-207"},"PeriodicalIF":0.0,"publicationDate":"2025-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12357198/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144875727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
About Rebecca Rick Longo: Guest Editor. 关于丽贝卡·里克·朗戈:客座编辑。
Diabetes Spectrum Pub Date : 2025-08-15 eCollection Date: 2025-01-01 DOI: 10.2337/ds25-ge03
{"title":"About Rebecca Rick Longo: Guest Editor.","authors":"","doi":"10.2337/ds25-ge03","DOIUrl":"10.2337/ds25-ge03","url":null,"abstract":"","PeriodicalId":39737,"journal":{"name":"Diabetes Spectrum","volume":"38 3","pages":"208"},"PeriodicalIF":0.0,"publicationDate":"2025-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12357192/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144875723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Inpatient Insulin Dosing Calculators. 住院病人胰岛素剂量计算器。
Diabetes Spectrum Pub Date : 2025-08-15 eCollection Date: 2025-01-01 DOI: 10.2337/dsi25-0002
Jessica J Hansen, Grace M Bacani, Patricia S Juang, Kristen M Kulasa
{"title":"Inpatient Insulin Dosing Calculators.","authors":"Jessica J Hansen, Grace M Bacani, Patricia S Juang, Kristen M Kulasa","doi":"10.2337/dsi25-0002","DOIUrl":"10.2337/dsi25-0002","url":null,"abstract":"<p><p>Inpatient insulin calculators offer the potential to improve blood glucose management, simplify workflow, and address the growing demand for inpatient diabetes care. Implementation of computerized insulin protocols remains a challenge at individual institutions.</p>","PeriodicalId":39737,"journal":{"name":"Diabetes Spectrum","volume":"38 3","pages":"249-258"},"PeriodicalIF":0.0,"publicationDate":"2025-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12357204/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144875789","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Insulin Pumps for Individuals With Type 2 Diabetes. 2型糖尿病患者的胰岛素泵。
Diabetes Spectrum Pub Date : 2025-08-15 eCollection Date: 2025-01-01 DOI: 10.2337/dsi25-0005
Sean Brown, Giulio R Romeo, Elena Toschi
{"title":"Insulin Pumps for Individuals With Type 2 Diabetes.","authors":"Sean Brown, Giulio R Romeo, Elena Toschi","doi":"10.2337/dsi25-0005","DOIUrl":"10.2337/dsi25-0005","url":null,"abstract":"<p><p>In recent years, an increasing number of studies have focused on the use of insulin pump therapy for managing type 2 diabetes. This article explores the various insulin pump therapy options, summarizes the current literature, and discusses key clinical considerations, including device selection, patient eligibility, and special populations such as young adults, older adults, and women during pregnancy. The authors provide a table outlining the benefits and barriers of commercially available pump systems to assist clinicians in making informed decisions about starting insulin pump therapy in adults with type 2 diabetes.</p>","PeriodicalId":39737,"journal":{"name":"Diabetes Spectrum","volume":"38 3","pages":"228-238"},"PeriodicalIF":0.0,"publicationDate":"2025-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12357196/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144875790","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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