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Quantifying and Characterizing the Presence of Insulin Overbasalization in a Family Medicine Practice 在家庭医学实践中胰岛素过度碱性化的量化和表征
Clinical Diabetes Pub Date : 2023-11-10 DOI: 10.2337/cd23-0044
Autumn Stewart-Lynch, Rebekah Meyers, Dina Sidig, Sea-oh McConville, Lindsay Heiple
{"title":"Quantifying and Characterizing the Presence of Insulin Overbasalization in a Family Medicine Practice","authors":"Autumn Stewart-Lynch, Rebekah Meyers, Dina Sidig, Sea-oh McConville, Lindsay Heiple","doi":"10.2337/cd23-0044","DOIUrl":"https://doi.org/10.2337/cd23-0044","url":null,"abstract":"The American Diabetes Association advises clinicians of the potential for insulin overbasalization in the management of type 2 diabetes. Described as the titration of basal insulin beyond an appropriate dose, overbasalization increases risks for adverse effects such as hypoglycemia and weight gain without achieving the glycemic targets needed to optimally manage the disease. There is a need to determine the prevalence of and clinical factors that can lead to overbasalization. This study aimed to assess the prevalence of and characterize the patient variables associated with overbasalization in a family medicine practice.","PeriodicalId":39894,"journal":{"name":"Clinical Diabetes","volume":"5 4","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135136729","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Driving Equity and Innovation in the T1D Exchange Quality Improvement Collaborative: Advancing Outcomes Through Collaborative Change 在T1D交换质量改进协作中推动公平与创新:通过协作变革推进成果
Clinical Diabetes Pub Date : 2023-11-02 DOI: 10.2337/cd23-0070
Shivani Agarwal, Shideh Majidi, Nicole Rioles, Osagie Ebekozien
{"title":"Driving Equity and Innovation in the T1D Exchange Quality Improvement Collaborative: Advancing Outcomes Through Collaborative Change","authors":"Shivani Agarwal, Shideh Majidi, Nicole Rioles, Osagie Ebekozien","doi":"10.2337/cd23-0070","DOIUrl":"https://doi.org/10.2337/cd23-0070","url":null,"abstract":"","PeriodicalId":39894,"journal":{"name":"Clinical Diabetes","volume":"88 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135933200","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Benchmarking Diabetes Technology Use Among 21 U.S. Pediatric Diabetes Centers 美国21个儿童糖尿病中心对糖尿病技术使用的基准分析
Clinical Diabetes Pub Date : 2023-11-01 DOI: 10.2337/cd23-0052
Priya Prahalad, Holly Hardison, Ori Odugbesan, Sarah Lyons, Mohammed Alwazeer, Anna Neyman, Brian Miyazaki, Kristina Cossen, Susan Hsieh, Donna Eng, Alissa Roberts, Mark A. Clements, Osagie Ebekozien
{"title":"Benchmarking Diabetes Technology Use Among 21 U.S. Pediatric Diabetes Centers","authors":"Priya Prahalad, Holly Hardison, Ori Odugbesan, Sarah Lyons, Mohammed Alwazeer, Anna Neyman, Brian Miyazaki, Kristina Cossen, Susan Hsieh, Donna Eng, Alissa Roberts, Mark A. Clements, Osagie Ebekozien","doi":"10.2337/cd23-0052","DOIUrl":"https://doi.org/10.2337/cd23-0052","url":null,"abstract":"The American Diabetes Association’s Standards of Care in Diabetes recommends the use of diabetes technology such as continuous glucose monitoring systems and insulin pumps for people living with type 1 diabetes. Unfortunately, there are multiple barriers to uptake of these devices, including local diabetes center practices. This study aimed to examine overall change and center-to-center variation in uptake of diabetes technology across 21 pediatric centers in the T1D Exchange Quality Improvement Collaborative. It found an overall increase in diabetes technology use for most centers from 2021 to 2022 with significant variation.","PeriodicalId":39894,"journal":{"name":"Clinical Diabetes","volume":"17 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135271129","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Increasing Social Determinants of Health Screening Rates Among Six Endocrinology Centers Across the United States: Results From the T1D Exchange Quality Improvement Collaborative 美国六个内分泌中心中健康筛查率的社会决定因素增加:来自T1D交流质量改进协作的结果
Clinical Diabetes Pub Date : 2023-10-31 DOI: 10.2337/cd23-0060
Ori Odugbesan, Trevon Wright, Nana-Hawa Yayah Jones, Selorm Dei-Tutu, Mary Pat Gallagher, Emily DeWit, Roberto E. Izquierdo, Marisa Desimone, Nicole Rioles, Osagie Ebekozien
{"title":"Increasing Social Determinants of Health Screening Rates Among Six Endocrinology Centers Across the United States: Results From the T1D Exchange Quality Improvement Collaborative","authors":"Ori Odugbesan, Trevon Wright, Nana-Hawa Yayah Jones, Selorm Dei-Tutu, Mary Pat Gallagher, Emily DeWit, Roberto E. Izquierdo, Marisa Desimone, Nicole Rioles, Osagie Ebekozien","doi":"10.2337/cd23-0060","DOIUrl":"https://doi.org/10.2337/cd23-0060","url":null,"abstract":"Social determinants of health (SDOH) are strongly associated with outcomes for people with type 1 diabetes. Six centers in the T1D Exchange Quality Improvement Collaborative applied quality improvement principles to design iterative Plan-Do-Study-Act cycles to develop and expand interventions to improve SDOH screening rates. The interventions tested include staff training, a social risk index, an electronic health record patient-facing portal, partnerships with community organizations, and referrals to community resources. All centers were successful in improving SDOH screening rates, with individual site improvements ranging from 41 to 70% and overall screening across the six centers increasing from a baseline of 1% to 70% in 27 months.","PeriodicalId":39894,"journal":{"name":"Clinical Diabetes","volume":"148 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135870886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
New York Presbyterian-Brooklyn Methodist Hospital’s Quality Improvement Project to Targeting High A1C Levels 纽约长老会-布鲁克林卫理公会医院针对高糖化血红蛋白水平的质量改进项目
Clinical Diabetes Pub Date : 2023-10-30 DOI: 10.2337/cd22-0109
Stephanie Zilberman, Jovana Vidovic, Nay Min Tun, Thwe Thwe Tun, Alfred Leong, David Conner
{"title":"New York Presbyterian-Brooklyn Methodist Hospital’s Quality Improvement Project to Targeting High A1C Levels","authors":"Stephanie Zilberman, Jovana Vidovic, Nay Min Tun, Thwe Thwe Tun, Alfred Leong, David Conner","doi":"10.2337/cd22-0109","DOIUrl":"https://doi.org/10.2337/cd22-0109","url":null,"abstract":"Quality Improvement Success Stories are published by the American Diabetes Association in collaboration with the American College of Physicians and the National Diabetes Education Program. This series is intended to highlight best practices and strategies from programs and clinics that have successfully improved the quality of care for people with diabetes or related conditions. Each article in the series is reviewed and follows a standard format developed by the editors of Clinical Diabetes. The following article describes a Brooklyn. N.Y. hospital’s initiative to reduce high A1C rates among its patients.","PeriodicalId":39894,"journal":{"name":"Clinical Diabetes","volume":"59 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136022539","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Bexagliflozin 贝沙格列净
Clinical Diabetes Pub Date : 2023-10-26 DOI: 10.2337/cd23-0085
Megan Giruzzi, Ashley Worthey
{"title":"Bexagliflozin","authors":"Megan Giruzzi, Ashley Worthey","doi":"10.2337/cd23-0085","DOIUrl":"https://doi.org/10.2337/cd23-0085","url":null,"abstract":"Clinical Pharmacology Update| October 26 2023 Bexagliflozin Megan Giruzzi; Megan Giruzzi 1Washington State University, College of Pharmacy and Pharmaceutical Sciences, Spokane, WA Corresponding author: Megan Giruzzi, megan.giruzzi@wsu.edu Search for other works by this author on: This Site PubMed Google Scholar Ashley Worthey Ashley Worthey 2MultiCare Yakima Memorial Hospital, Yakima, WA Search for other works by this author on: This Site PubMed Google Scholar Corresponding author: Megan Giruzzi, megan.giruzzi@wsu.edu Clin Diabetes cd230085 https://doi.org/10.2337/cd23-0085 Views Icon Views Article contents Figures & tables Video Audio Supplementary Data Peer Review Share Icon Share Facebook Twitter LinkedIn Email Cite Icon Cite Get Permissions Citation Megan Giruzzi, Ashley Worthey; Bexagliflozin. Clin Diabetes 2023; cd230085. https://doi.org/10.2337/cd23-0085 Download citation file: Ris (Zotero) Reference Manager EasyBib Bookends Mendeley Papers EndNote RefWorks BibTex toolbar search Search Dropdown Menu toolbar search search input Search input auto suggest filter your search All ContentAll JournalsClinical Diabetes Search Advanced Search This content is only available via PDF. ©2023 by the American Diabetes Association2023Readers may use this article as long as the work is properly cited, the use is educational and not for profit, and the work is not altered. More information is available at https://www.diabetesjournals.org/journals/pages/license. Article PDF first page preview Close Modal You do not currently have access to this content.","PeriodicalId":39894,"journal":{"name":"Clinical Diabetes","volume":"48 12","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136376321","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Implementation of Diabetic Retinopathy Screening in Adult Patients With Type 2 Diabetes in a Primary Care Setting 初级保健机构对成年2型糖尿病患者糖尿病视网膜病变筛查的实施
Clinical Diabetes Pub Date : 2023-10-25 DOI: 10.2337/cd23-0032
Katherine K. Clark, Javier Gutierrez, Jessica R. Cody, Blanca Iris Padilla
{"title":"Implementation of Diabetic Retinopathy Screening in Adult Patients With Type 2 Diabetes in a Primary Care Setting","authors":"Katherine K. Clark, Javier Gutierrez, Jessica R. Cody, Blanca Iris Padilla","doi":"10.2337/cd23-0032","DOIUrl":"https://doi.org/10.2337/cd23-0032","url":null,"abstract":"Diabetic retinopathy (DR) is a microvascular complication of type 2 diabetes and the leading cause of blindness globally. Although diabetes-related eye exams are widely recognized as an effective method for early detection of DR, which can help to prevent eventual vision loss, adherence to screening exams in the United States is suboptimal. This article describes a quality improvement project to increase DR screening rates and increase knowledge and awareness of DR in adults with type 2 diabetes in a primary care setting using mobile DR screening units. This project addressed gaps of care and demonstrated that primary care settings can increase access to DR screening through a patient-centered process and thereby help to prevent irreversible outcomes of DR and improve quality of life.","PeriodicalId":39894,"journal":{"name":"Clinical Diabetes","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135112582","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A1C: Episode 1 A1C：第 1 集
Clinical Diabetes Pub Date : 2023-10-24 DOI: 10.2337/cd23-0084
Nay Linn Aung
{"title":"A1C: Episode 1","authors":"Nay Linn Aung","doi":"10.2337/cd23-0084","DOIUrl":"https://doi.org/10.2337/cd23-0084","url":null,"abstract":"Diabetes by the Numbers| October 24 2023 A1C: Episode 1 Nay Linn Aung 0000-0002-1468-8534 Nay Linn Aung Mohawk Valley Health System, Utica NY Corresponding author: Nay Linn Aung, naylin9@gmail.com Search for other works by this author on: This Site PubMed Google Scholar Corresponding author: Nay Linn Aung, naylin9@gmail.com Clin Diabetes cd230084 https://doi.org/10.2337/cd23-0084 Views Icon Views Article contents Figures & tables Video Audio Supplementary Data Peer Review Share Icon Share Facebook Twitter LinkedIn Email Cite Icon Cite Get Permissions Citation Nay Linn Aung; A1C: Episode 1. Clin Diabetes 2023; cd230084. https://doi.org/10.2337/cd23-0084 Download citation file: Ris (Zotero) Reference Manager EasyBib Bookends Mendeley Papers EndNote RefWorks BibTex toolbar search Search Dropdown Menu toolbar search search input Search input auto suggest filter your search All ContentAll JournalsClinical Diabetes Search Advanced Search This content is only available via PDF. ©2023 by the American Diabetes Association2023Readers may use this article as long as the work is properly cited, the use is educational and not for profit, and the work is not altered. More information is available at https://www.diabetesjournals.org/journals/pages/license. Article PDF first page preview Close Modal You do not currently have access to this content.","PeriodicalId":39894,"journal":{"name":"Clinical Diabetes","volume":"42 7","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135266432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Patient Perspectives on the Benefits and Challenges of Diabetes and Digital Technology 患者对糖尿病和数字技术的益处和挑战的看法
Clinical Diabetes Pub Date : 2023-10-19 DOI: 10.2337/cd23-0003
Steve Edelman, Wayman W. Cheatham, Anna Norton, Kelly L. Close
{"title":"Patient Perspectives on the Benefits and Challenges of Diabetes and Digital Technology","authors":"Steve Edelman, Wayman W. Cheatham, Anna Norton, Kelly L. Close","doi":"10.2337/cd23-0003","DOIUrl":"https://doi.org/10.2337/cd23-0003","url":null,"abstract":"Diabetes technology continues to evolve, advancing with our understanding of human biology and improving our ability to treat people with diabetes. Diabetes devices are broadly classified into the following categories: glucose sensors, insulin delivery devices, and digital health care technology (i.e., software and mobile applications). When supported by education and individually tailored, technology can play a key role in optimizing outcomes. Digital devices assist in diabetes management by tracking meals, exercise, sleep, and glycemic measurements in real time, all of which can guide physicians and other clinicians in their decision-making. Here, as people with diabetes and patient advocates, as well as diabetes specialists, primary care providers, and diabetes care and education specialists, we present our perspectives on the advances, benefits, and challenges of diabetes technology in primary care practices.","PeriodicalId":39894,"journal":{"name":"Clinical Diabetes","volume":"69 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135778688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
When Type 1 Diabetes Meets Dementia: Practical Strategies to Help Patients and Their Loved Ones 当1型糖尿病遇到痴呆:实用的策略来帮助患者和他们的亲人
Clinical Diabetes Pub Date : 2023-10-18 DOI: 10.2337/cd23-0058
Ian R. Blumer, Medha N. Munshi, William H. Polonsky
{"title":"When Type 1 Diabetes Meets Dementia: Practical Strategies to Help Patients and Their Loved Ones","authors":"Ian R. Blumer, Medha N. Munshi, William H. Polonsky","doi":"10.2337/cd23-0058","DOIUrl":"https://doi.org/10.2337/cd23-0058","url":null,"abstract":"Practical Pointers| October 18 2023 When Type 1 Diabetes Meets Dementia: Practical Strategies to Help Patients and Their Loved Ones Ian R. Blumer 0000-0002-0451-678X ; Ian R. Blumer 1University of Toronto, Temerty Faculty of Medicine, Toronto, Ontario, Canada Corresponding author: Ian R. Blumer, ian@ianblumer.com Search for other works by this author on: This Site PubMed Google Scholar Medha N. Munshi 0000-0001-6917-4197 ; Medha N. Munshi 2Joslin Geriatric Diabetes Programs, Beth Israel Deaconess Medical Center, Boston, MA3Harvard Medical School, Boston, MA Search for other works by this author on: This Site PubMed Google Scholar William H. Polonsky 0000-0001-9064-6144 William H. Polonsky 4Behavioral Diabetes Institute, San Diego, CA5University of California, San Diego, San Diego, CA Search for other works by this author on: This Site PubMed Google Scholar Corresponding author: Ian R. Blumer, ian@ianblumer.com Clin Diabetes cd230058 https://doi.org/10.2337/cd23-0058 Views Icon Views Article contents Figures & tables Video Audio Supplementary Data Peer Review Share Icon Share Facebook Twitter LinkedIn Email Cite Icon Cite Get Permissions Citation Ian R. Blumer, Medha N. Munshi, William H. Polonsky; When Type 1 Diabetes Meets Dementia: Practical Strategies to Help Patients and Their Loved Ones. Clin Diabetes 2023; cd230058. https://doi.org/10.2337/cd23-0058 Download citation file: Ris (Zotero) Reference Manager EasyBib Bookends Mendeley Papers EndNote RefWorks BibTex toolbar search Search Dropdown Menu toolbar search search input Search input auto suggest filter your search All ContentAll JournalsClinical Diabetes Search Advanced Search This content is only available via PDF. ©2023 by the American Diabetes Association2023Readers may use this article as long as the work is properly cited, the use is educational and not for profit, and the work is not altered. More information is available at https://www.diabetesjournals.org/journals/pages/license. Article PDF first page preview Close Modal You do not currently have access to this content.","PeriodicalId":39894,"journal":{"name":"Clinical Diabetes","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135824374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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