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"Don't Just Say, 'You Got Type 2 Diabetes' and Then Tell Me Nothing Else": Exploring Self-Management Challenges and Information Needs Among Low-Income Adults With Type 2 Diabetes. “不要只是说，‘你得了2型糖尿病’，然后什么都不告诉我”：探索自我管理挑战和信息需求在低收入成人2型糖尿病患者。
Clinical Diabetes Pub Date : 2025-10-14 DOI: 10.2337/cd25-0069
Eyitayo O Owolabi, Michelle D S Boakye, Advait Rajan, Anthony I Ajayi, Gabriel Q Shaibi
{"title":"\"Don't Just Say, 'You Got Type 2 Diabetes' and Then Tell Me Nothing Else\": Exploring Self-Management Challenges and Information Needs Among Low-Income Adults With Type 2 Diabetes.","authors":"Eyitayo O Owolabi, Michelle D S Boakye, Advait Rajan, Anthony I Ajayi, Gabriel Q Shaibi","doi":"10.2337/cd25-0069","DOIUrl":"10.2337/cd25-0069","url":null,"abstract":"<p><p>This qualitative study explored the self-management behaviors, challenges, motivations, and information needs of low-income people with type 2 diabetes. Four themes emerged: <i>1</i>) low-income adults are navigating behavioral modification amid challenges; <i>2</i>) low-income adults need comprehensive and personalized education for proficient self-management; <i>3</i>) digital health tools are desirable; and <i>4</i>) fear, support, and health aspirations drive self-management engagement. The findings of this study underscore the need for improved clinician awareness of evidence-based diabetes education and support programs, and for innovative approaches to bridge the gap between low-income patients' educational needs and their access to such services.</p>","PeriodicalId":39894,"journal":{"name":"Clinical Diabetes","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12610872/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145514529","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
Understanding Immediate Concerns at Type 2 Diabetes Diagnosis: A Qualitative Comparison of Perspectives From Newly Diagnosed Adults and Clinicians. 了解2型糖尿病诊断的直接关注点：新诊断成人和临床医生的定性比较
Clinical Diabetes Pub Date : 2025-10-14 eCollection Date: 2025-05-01 DOI: 10.2337/cd25-0049
Michelle D S Boakye, Rockson Ansong, Eyitayo O Owolabi, Shammah O Omololu, Hanan Abdelrahman, Christina R Whitehouse
{"title":"Understanding Immediate Concerns at Type 2 Diabetes Diagnosis: A Qualitative Comparison of Perspectives From Newly Diagnosed Adults and Clinicians.","authors":"Michelle D S Boakye, Rockson Ansong, Eyitayo O Owolabi, Shammah O Omololu, Hanan Abdelrahman, Christina R Whitehouse","doi":"10.2337/cd25-0049","DOIUrl":"10.2337/cd25-0049","url":null,"abstract":"<p><p>This study explored the immediate concerns of people at the time of type 2 diabetes diagnosis by comparing perspectives from 18 adults with a recent diagnosis and eight clinicians. Four key themes emerged: <i>1</i>) concerns about diabetes and its management, <i>2</i>) communication challenges at diagnosis, <i>3</i>) inconsistent identification of concerns, and <i>4</i>) discrepancies between clinicians' actions and patients' satisfaction. The findings highlight the need for improved communication, longer consultations, and personalized support during diagnosis to enhance patient satisfaction and engagement in care.</p>","PeriodicalId":39894,"journal":{"name":"Clinical Diabetes","volume":"43 5","pages":"746-756"},"PeriodicalIF":0.0,"publicationDate":"2025-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12719327/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145821489","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
Scaling the Diabetes Prevention Program and Diabetes Self-Management Education and Support Services Across a Health System. 扩大糖尿病预防计划和糖尿病自我管理教育和支持服务在整个卫生系统。
Clinical Diabetes Pub Date : 2025-10-10 eCollection Date: 2025-05-01 DOI: 10.2337/cd25-0043
Nisa M Maruthur, Siawlin Chan, Eugene Arnold, Megan Brown, Caitlin Nass, Eva Tseng, Scott A Berkowitz, Nae-Yuh Wang, Hsin-Chieh Yeh, Dingfen Han, Jason Fu, Mohammed S Abusamaan, Benjamin Lalani, Nestoras N Mathioudakis
{"title":"Scaling the Diabetes Prevention Program and Diabetes Self-Management Education and Support Services Across a Health System.","authors":"Nisa M Maruthur, Siawlin Chan, Eugene Arnold, Megan Brown, Caitlin Nass, Eva Tseng, Scott A Berkowitz, Nae-Yuh Wang, Hsin-Chieh Yeh, Dingfen Han, Jason Fu, Mohammed S Abusamaan, Benjamin Lalani, Nestoras N Mathioudakis","doi":"10.2337/cd25-0043","DOIUrl":"10.2337/cd25-0043","url":null,"abstract":"<p><p>This article describes and evaluates a multipronged strategy to expand use of the Diabetes Prevention Program (DPP) and diabetes self-management education and support (DSMES) services across a large academic health system. Strategies included streamlining referral processes, embedding diabetes educators in primary care, leveraging consistent leadership messaging, and building partnerships with community organizations. These interventions led to substantial increases in referrals, with 10.8% of 4,397 patients enrolling in DPP and 35.9% of 10,210 enrolling in DSMES. Coordinated, multilevel interventions can effectively increase engagement in these underutilized, evidence-based diabetes care programs.</p>","PeriodicalId":39894,"journal":{"name":"Clinical Diabetes","volume":"43 5","pages":"757-771"},"PeriodicalIF":0.0,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12719329/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145821440","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
Tirzepatide-Induced Weight Loss and Normalization of Glycemia With Nerve Regeneration in Type 2 Diabetes: A Case Report. 替西肽诱导的2型糖尿病患者体重减轻和血糖正常化伴神经再生1例报告。
Clinical Diabetes Pub Date : 2025-10-09 eCollection Date: 2025-05-01 DOI: 10.2337/cd25-0066
Hoda Y Gad, Rayaz A Malik
{"title":"Tirzepatide-Induced Weight Loss and Normalization of Glycemia With Nerve Regeneration in Type 2 Diabetes: A Case Report.","authors":"Hoda Y Gad, Rayaz A Malik","doi":"10.2337/cd25-0066","DOIUrl":"10.2337/cd25-0066","url":null,"abstract":"","PeriodicalId":39894,"journal":{"name":"Clinical Diabetes","volume":"43 5","pages":"861-864"},"PeriodicalIF":0.0,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12719335/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145821426","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
Blueprint for Comprehensive Diabetes Care in Student-Run Free Clinics: A Model for Accessible Health Care. 在学生经营的免费诊所全面糖尿病护理蓝图：一个可获得的医疗保健模式。
Clinical Diabetes Pub Date : 2025-10-09 eCollection Date: 2025-05-01 DOI: 10.2337/cd24-0097
Zaina S Kret, Kaylee N Scarnati, Aya Dakroub, Katherine L Esser, Coral D Matus, Richard Paat
{"title":"Blueprint for Comprehensive Diabetes Care in Student-Run Free Clinics: A Model for Accessible Health Care.","authors":"Zaina S Kret, Kaylee N Scarnati, Aya Dakroub, Katherine L Esser, Coral D Matus, Richard Paat","doi":"10.2337/cd24-0097","DOIUrl":"10.2337/cd24-0097","url":null,"abstract":"","PeriodicalId":39894,"journal":{"name":"Clinical Diabetes","volume":"43 5","pages":"835-842"},"PeriodicalIF":0.0,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12719318/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145821335","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
Impact of Pharmacist-Led Deprescribing on Inappropriate Rapid-Acting Insulin Use Among Admitted Older Adults. 在住院的老年人中，药师主导的处方减少对不适当使用速效胰岛素的影响。
Clinical Diabetes Pub Date : 2025-10-07 eCollection Date: 2025-05-01 DOI: 10.2337/cd25-0062
Gabriela Alvarez, Ljubica Minova, Jessica Bente
{"title":"Impact of Pharmacist-Led Deprescribing on Inappropriate Rapid-Acting Insulin Use Among Admitted Older Adults.","authors":"Gabriela Alvarez, Ljubica Minova, Jessica Bente","doi":"10.2337/cd25-0062","DOIUrl":"10.2337/cd25-0062","url":null,"abstract":"<p><p>This article describes a pharmacist-led deprescribing initiative to reduce the incidence of inappropriate rapid-acting insulin use among admitted older adults at an acute care community hospital. Inappropriate use was defined as at least one episode of severe hypoglycemia (blood glucose <b><</b>40 mg/dL) within 24 hours of insulin lispro administration, two or more episodes of hypoglycemia (blood glucose <b><</b>70 but <b>></b>40 mg/dL) within 24 hours of insulin lispro administration, or five or more held administrations of insulin lispro because of euglycemia in a 48-hour period. The initiative led to a 66% observed relative reduction of inappropriate rapid-acting insulin use over 7 months.</p>","PeriodicalId":39894,"journal":{"name":"Clinical Diabetes","volume":"43 5","pages":"805-812"},"PeriodicalIF":0.0,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12719314/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145821330","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
Increasing Lipid Profile Screening in Youth With Type 2 Diabetes. 增加青少年2型糖尿病患者的血脂筛查。
Clinical Diabetes Pub Date : 2025-10-06 eCollection Date: 2025-05-01 DOI: 10.2337/cd25-0059
Puja Singh, Christy Byer-Mendoza, Kim McNamara, Andrea Huber, Jennifer Ruiz, Mario Bialostozky, Carla Demeterco-Berggren
{"title":"Increasing Lipid Profile Screening in Youth With Type 2 Diabetes.","authors":"Puja Singh, Christy Byer-Mendoza, Kim McNamara, Andrea Huber, Jennifer Ruiz, Mario Bialostozky, Carla Demeterco-Berggren","doi":"10.2337/cd25-0059","DOIUrl":"10.2337/cd25-0059","url":null,"abstract":"<p><p>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 <i>Clinical Diabetes</i>. The following article describes an initiative to improve the rate of lipid profile screening in youth with type 2 diabetes at a tertiary children's hospital in Southern California.</p>","PeriodicalId":39894,"journal":{"name":"Clinical Diabetes","volume":"43 5","pages":"853-857"},"PeriodicalIF":0.0,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12719313/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145821479","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
Glycemic Management in Adults With Diabetes During Illness. 成人糖尿病患者疾病期间的血糖管理。
Clinical Diabetes Pub Date : 2025-09-26 eCollection Date: 2025-05-01 DOI: 10.2337/cd25-0056
Kimberly Yuang, Anna L Espinoza, Rozalina G McCoy
{"title":"Glycemic Management in Adults With Diabetes During Illness.","authors":"Kimberly Yuang, Anna L Espinoza, Rozalina G McCoy","doi":"10.2337/cd25-0056","DOIUrl":"10.2337/cd25-0056","url":null,"abstract":"<p><p>Optimal management of hyperglycemia during illness has been hindered by a lack of comprehensive sick-day guidance, particularly for adults with diabetes. Managing glycemia can be challenging during illness because of adaptive counterregulatory hormonal changes, acute stress of illness, altered dietary intake, and effects of medications. People with diabetes may be at risk for severe hypoglycemia and hyperglycemic crisis during illness unless mitigated by close monitoring and medication adjustment. This article provides practical guidance to health care professionals and people with diabetes for safe glycemic management during illness, including considerations for insulin and noninsulin medications, use of insulin technologies, prevention of hypoglycemia and ketoacidosis, steroid use, and pregnancy.</p>","PeriodicalId":39894,"journal":{"name":"Clinical Diabetes","volume":"43 5","pages":"735-745"},"PeriodicalIF":0.0,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12719323/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145821350","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
Reducing Diabetic Ketoacidosis Incidence in Children With Type 1 Diabetes Through Wraparound Services at Texas Children's Hospital: The REACH Program. 通过德克萨斯儿童医院的综合服务降低1型糖尿病儿童的糖尿病酮症酸中毒发生率：REACH项目
Clinical Diabetes Pub Date : 2025-09-25 eCollection Date: 2025-05-01 DOI: 10.2337/cd25-0053
Selorm Dei-Tutu, Fulfilled Ighalo, Pavandeep Rakhra, Rebecca Butler, Amelia Martinez, Kelly Timmons, Don Buckingham, David D Schwartz, Meghan Craven
{"title":"Reducing Diabetic Ketoacidosis Incidence in Children With Type 1 Diabetes Through Wraparound Services at Texas Children's Hospital: The REACH Program.","authors":"Selorm Dei-Tutu, Fulfilled Ighalo, Pavandeep Rakhra, Rebecca Butler, Amelia Martinez, Kelly Timmons, Don Buckingham, David D Schwartz, Meghan Craven","doi":"10.2337/cd25-0053","DOIUrl":"10.2337/cd25-0053","url":null,"abstract":"<p><p>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 <i>Clinical Diabetes</i>. The following article describes an initiative to reduce the incidence of diabetic ketoacidosis in children with type 1 diabetes at high risk for complications.</p>","PeriodicalId":39894,"journal":{"name":"Clinical Diabetes","volume":"43 5","pages":"847-852"},"PeriodicalIF":0.0,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12719336/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145821476","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
Capillary Ketone Monitoring-Guided Adaptation of Automated Insulin Delivery to Accommodate a Ketogenic Diet in an Individual With Type 1 Diabetes: Case Study and Literature Review. 毛细管酮监测引导的1型糖尿病患者自动胰岛素输送适应生酮饮食：案例研究和文献综述
Clinical Diabetes Pub Date : 2025-09-25 eCollection Date: 2025-05-01 DOI: 10.2337/cd25-0068
Ashley S Lin, William B Horton, Marc D Breton, Meaghan M Stumpf
{"title":"Capillary Ketone Monitoring-Guided Adaptation of Automated Insulin Delivery to Accommodate a Ketogenic Diet in an Individual With Type 1 Diabetes: Case Study and Literature Review.","authors":"Ashley S Lin, William B Horton, Marc D Breton, Meaghan M Stumpf","doi":"10.2337/cd25-0068","DOIUrl":"10.2337/cd25-0068","url":null,"abstract":"","PeriodicalId":39894,"journal":{"name":"Clinical Diabetes","volume":"43 5","pages":"858-860"},"PeriodicalIF":0.0,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12719317/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145821321","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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