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Association of Hypoglycemia With the Time to Dextrose in Treatment of Diabetes-Related Ketoacidosis. 低血糖与葡萄糖治疗糖尿病相关酮症酸中毒时间的关系。
Clinical Diabetes Pub Date : 2025-09-19 eCollection Date: 2025-05-01 DOI: 10.2337/cd25-0019
Anthony S Walls, Nathan J Carroll
{"title":"Association of Hypoglycemia With the Time to Dextrose in Treatment of Diabetes-Related Ketoacidosis.","authors":"Anthony S Walls, Nathan J Carroll","doi":"10.2337/cd25-0019","DOIUrl":"10.2337/cd25-0019","url":null,"abstract":"<p><p>Guidelines for the treatment of diabetes-related ketoacidosis (DKA) recommend adding i.v. dextrose or enteral glucose when a patient's blood glucose level has decreased sufficiently to help prevent hypoglycemia. This study sought to determine whether a delay in this intervention was associated with a higher incidence of hypoglycemia. It found that patients are at increased risk for hypoglycemia during the active treatment window of DKA, as well as during the entire hospitalization, when the addition of dextrose or glucose is delayed.</p>","PeriodicalId":39894,"journal":{"name":"Clinical Diabetes","volume":"43 5","pages":"696-702"},"PeriodicalIF":0.0,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12719316/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145821206","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
Child Opportunity Index: Does It Foretell Future Glycemic Control and Health Care Utilization in Youth With Type 1 or Type 2 Diabetes? 儿童机会指数：能否预测1型或2型糖尿病青少年未来的血糖控制和保健利用？
Clinical Diabetes Pub Date : 2025-09-08 eCollection Date: 2025-05-01 DOI: 10.2337/cd25-0051
Marianne Chebli, Silva Arslanian, Kim Hoyek, Caleb Harrison, Ingrid Libman, Xu Qin, Mary Ellen Vajravelu
{"title":"Child Opportunity Index: Does It Foretell Future Glycemic Control and Health Care Utilization in Youth With Type 1 or Type 2 Diabetes?","authors":"Marianne Chebli, Silva Arslanian, Kim Hoyek, Caleb Harrison, Ingrid Libman, Xu Qin, Mary Ellen Vajravelu","doi":"10.2337/cd25-0051","DOIUrl":"10.2337/cd25-0051","url":null,"abstract":"<p><p>This article reports on a retrospective study examining associations between neighborhood opportunity and glycemic trajectory and health care utilization among youth with diabetes using current Child Opportunity Index (COI) data linked to ZIP codes. The study found that glycemic control and health care utilization were worse in the setting of adverse COI and individual social determinants of health, but both were also independently associated with race.</p>","PeriodicalId":39894,"journal":{"name":"Clinical Diabetes","volume":"43 5","pages":"660-669"},"PeriodicalIF":0.0,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12719345/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145821356","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
Important Continuous Glucose Monitoring Attributes for Patients With Type 2 Diabetes. 2型糖尿病患者重要的连续血糖监测属性
Clinical Diabetes Pub Date : 2025-08-28 eCollection Date: 2025-05-01 DOI: 10.2337/cd25-0047
Tim C Lai, Heather P Whitley, Mesfin Genie, Robert H Eckel, Surachat Ngorsuraches
{"title":"Important Continuous Glucose Monitoring Attributes for Patients With Type 2 Diabetes.","authors":"Tim C Lai, Heather P Whitley, Mesfin Genie, Robert H Eckel, Surachat Ngorsuraches","doi":"10.2337/cd25-0047","DOIUrl":"10.2337/cd25-0047","url":null,"abstract":"<p><p>Although patient preferences are heterogeneous, the out-of-pocket cost and accuracy of continuous glucose monitoring (CGM) systems are the two most important attributes for patients with type 2 diabetes. Surprisingly, receiver screen information is not considered important when choosing a CGM system. Identifying important attributes could facilitate patient-provider communications in choosing a preferred CGM system and potentially increase adherence. Improving patient education on interpreting the information on the receiver screen could enhance the benefit of using CGM.</p>","PeriodicalId":39894,"journal":{"name":"Clinical Diabetes","volume":"43 5","pages":"670-680"},"PeriodicalIF":0.0,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12719324/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145821484","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
Clinician Guidance on the Benefits of Healthy Nutrition and Increased Physical Activity for People With Type 2 Diabetes Following Glucagon-Like Peptide 1 Receptor Agonist Initiation. 2型糖尿病患者开始使用胰高血糖素样肽1受体激动剂后，健康营养和增加体力活动的临床医生指南
Clinical Diabetes Pub Date : 2025-08-28 eCollection Date: 2025-05-01 DOI: 10.2337/cd25-0037
Pamela Kushner, Carlos Campos, Aaron King, Davida F Kruger, Javier Morales
{"title":"Clinician Guidance on the Benefits of Healthy Nutrition and Increased Physical Activity for People With Type 2 Diabetes Following Glucagon-Like Peptide 1 Receptor Agonist Initiation.","authors":"Pamela Kushner, Carlos Campos, Aaron King, Davida F Kruger, Javier Morales","doi":"10.2337/cd25-0037","DOIUrl":"10.2337/cd25-0037","url":null,"abstract":"<p><p>Glucagon-like peptide 1 (GLP-1) receptor agonists are prescribed as an adjunct to diet and exercise for the management of type 2 diabetes, yet adherence to healthy nutrition and physical activity is often suboptimal. As the use of these agents continues to rise, there are some concerns about the negative aspects of associated weight loss, including loss of muscle mass. This article highlights the benefits of healthy nutrition and physical activity for type 2 diabetes management irrespective of GLP-1 receptor agonist use or associated weight loss, identifies barriers to healthy nutrition and physical activity, and provides guidance for primary care clinicians to further educate and advise their patients on these important topics when initiating GLP-1 receptor agonist treatment.</p>","PeriodicalId":39894,"journal":{"name":"Clinical Diabetes","volume":"43 5","pages":"681-695"},"PeriodicalIF":0.0,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12719322/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145821334","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
Smartphone-Free Childhood? Monitoring the Implications of Initiatives to Remove Smartphones for Children With Type 1 Diabetes. Smartphone-Free童年?监测1型糖尿病儿童取消智能手机的举措的影响。
Clinical Diabetes Pub Date : 2025-08-27 eCollection Date: 2025-05-01 DOI: 10.2337/cd25-0065
Alice M Gregory, Partha Kar
{"title":"Smartphone-Free Childhood? Monitoring the Implications of Initiatives to Remove Smartphones for Children With Type 1 Diabetes.","authors":"Alice M Gregory, Partha Kar","doi":"10.2337/cd25-0065","DOIUrl":"10.2337/cd25-0065","url":null,"abstract":"","PeriodicalId":39894,"journal":{"name":"Clinical Diabetes","volume":"43 5","pages":"833-834"},"PeriodicalIF":0.0,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12719337/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145821494","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
Assessment of Large Language Models for Enhancing Diabetologist-Developed Personalized Treatment Plans in Complex Type 2 Diabetes. 大型语言模型在复杂2型糖尿病中增强糖尿病学家开发的个性化治疗计划的评估。
Clinical Diabetes Pub Date : 2025-08-20 eCollection Date: 2025-01-01 DOI: 10.2337/cd25-0015
Michelle Wang, Madhumita Sushil, Christopher Y K Williams, Brenda Y Miao, Sarah Kim, Umesh Masharani, Gregory Ku, Victoria Hsiao, Aloukika Shah, Suneil K Koliwad, Atul J Butte
{"title":"Assessment of Large Language Models for Enhancing Diabetologist-Developed Personalized Treatment Plans in Complex Type 2 Diabetes.","authors":"Michelle Wang, Madhumita Sushil, Christopher Y K Williams, Brenda Y Miao, Sarah Kim, Umesh Masharani, Gregory Ku, Victoria Hsiao, Aloukika Shah, Suneil K Koliwad, Atul J Butte","doi":"10.2337/cd25-0015","DOIUrl":"10.2337/cd25-0015","url":null,"abstract":"<p><p>Treatment decisions for type 2 diabetes are complex and multifactorial. This study evaluated the utility of OpenAI's generative pre-trained transformer-4 (GPT-4) large language model in enhancing treatment plans for people with diabetes. The authors assessed GPT-4's ability to extract and critically evaluate diabetologist-developed treatment plans from patients' clinical notes. GPT-4 accurately discerned personalized treatment goals but performed suboptimally when identifying plans that could be further improved and personalized. However, 40% of GPT-4's reasoning and explanations were still considered helpful by experienced academic diabetologists, suggesting a potential broad benefit to less expert physicians, such as those in primary care settings.</p>","PeriodicalId":39894,"journal":{"name":"Clinical Diabetes","volume":"43 4","pages":"545-553"},"PeriodicalIF":0.0,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12547058/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145379099","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
Breaking the Daily Routine With Insulin Efsitora Alfa, a Once-Weekly Basal Insulin. 用每周一次的基础胰岛素胰岛素Efsitora Alfa打破日常常规。
Clinical Diabetes Pub Date : 2025-08-18 eCollection Date: 2025-01-01 DOI: 10.2337/cd25-0073
Emmeline Tran
{"title":"Breaking the Daily Routine With Insulin Efsitora Alfa, a Once-Weekly Basal Insulin.","authors":"Emmeline Tran","doi":"10.2337/cd25-0073","DOIUrl":"10.2337/cd25-0073","url":null,"abstract":"","PeriodicalId":39894,"journal":{"name":"Clinical Diabetes","volume":"43 4","pages":"607-609"},"PeriodicalIF":0.0,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12547057/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145373264","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
A Systematic Review of Factors Associated With Transition Readiness and the Transfer to Adult Health Care for Young People With Diabetes. 与青少年糖尿病患者的过渡准备和向成人医疗保健转移相关因素的系统综述。
Clinical Diabetes Pub Date : 2025-08-15 eCollection Date: 2025-05-01 DOI: 10.2337/cd25-0048
Jaclyn L Papadakis, Sean DeLacey, Frank J Snoek, Steven James, Eva Toft, Laura Cudizio, Aleksandra Araszkiewicz, Carine de Beaufort, Apoorva Gomber, Sarah K Lyons, Nisa M Maruthur, Sze May Ng, Jill Weissberg-Benchell
{"title":"A Systematic Review of Factors Associated With Transition Readiness and the Transfer to Adult Health Care for Young People With Diabetes.","authors":"Jaclyn L Papadakis, Sean DeLacey, Frank J Snoek, Steven James, Eva Toft, Laura Cudizio, Aleksandra Araszkiewicz, Carine de Beaufort, Apoorva Gomber, Sarah K Lyons, Nisa M Maruthur, Sze May Ng, Jill Weissberg-Benchell","doi":"10.2337/cd25-0048","DOIUrl":"10.2337/cd25-0048","url":null,"abstract":"<p><p>This systematic review describes factors associated with transition readiness and the transfer of care from pediatric to adult health care services among adolescents and young adults with diabetes. Overall, thirty-three international nonintervention, nonqualitative studies were identified between 2018 and 2023. Collectively, this review's findings identify targets for intervention and may inform policies and care practices related to transition, such as transition readiness, family and peer support, mental health support, and engagement in pediatric care.</p>","PeriodicalId":39894,"journal":{"name":"Clinical Diabetes","volume":"43 5","pages":"703-722"},"PeriodicalIF":0.0,"publicationDate":"2025-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12719331/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145821242","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
Management of Atherosclerotic Cardiovascular Disease and Chronic Kidney Disease Risk in People With Type 2 Diabetes: Collaborative Care Plans for Primary Care Physicians Using Effective Communication Styles. 2型糖尿病患者动脉粥样硬化性心血管疾病和慢性肾脏疾病风险的管理：初级保健医生使用有效沟通方式的协作护理计划
Clinical Diabetes Pub Date : 2025-08-13 eCollection Date: 2025-05-01 DOI: 10.2337/cd25-0040
Carlos Campos, Aaron King, Eden Miller, Javier Morales
{"title":"Management of Atherosclerotic Cardiovascular Disease and Chronic Kidney Disease Risk in People With Type 2 Diabetes: Collaborative Care Plans for Primary Care Physicians Using Effective Communication Styles.","authors":"Carlos Campos, Aaron King, Eden Miller, Javier Morales","doi":"10.2337/cd25-0040","DOIUrl":"10.2337/cd25-0040","url":null,"abstract":"<p><p>This article provides an overview for primary care physicians of recently published evidence-based clinical practice guidelines for managing the risks of atherosclerotic cardiovascular disease and chronic kidney disease in people with type 2 diabetes. The authors also share practical guidance and example case studies on how to initiate effective communication with patients to mitigate these risks.</p>","PeriodicalId":39894,"journal":{"name":"Clinical Diabetes","volume":"43 5","pages":"638-652"},"PeriodicalIF":0.0,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12719326/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145821418","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
Youth With Type 2 Diabetes Have Low Rates of Contraception and Preconception Counseling Documentation Compared With Adults With Diabetes. 与成人糖尿病患者相比，青少年2型糖尿病患者避孕和孕前咨询的比例较低。
Clinical Diabetes Pub Date : 2025-08-08 eCollection Date: 2025-05-01 DOI: 10.2337/cd25-0046
McKenna L Kelly, Lauren Sayres, Erin Finn, Kristen J Nadeau, Layla Abushamat, Adnin Zaman, Linda A Barbour, Shannon Leigh Son
{"title":"Youth With Type 2 Diabetes Have Low Rates of Contraception and Preconception Counseling Documentation Compared With Adults With Diabetes.","authors":"McKenna L Kelly, Lauren Sayres, Erin Finn, Kristen J Nadeau, Layla Abushamat, Adnin Zaman, Linda A Barbour, Shannon Leigh Son","doi":"10.2337/cd25-0046","DOIUrl":"10.2337/cd25-0046","url":null,"abstract":"<p><p>Youth with type 2 diabetes are at a higher risk of adverse pregnancy outcomes than their adult counterparts, and addressing contraception in this population at puberty onset is strongly recommended. This retrospective study at an academic pediatric type 2 diabetes clinic found that 30% of youth achieved the primary composite outcome of documented preconception and contraceptive counseling, contraception prescription, and gynecology referral. Only 1.4% of youth aged 12-21 years had documented preconception counseling, and 27% had documented contraception counseling. By comparison, 18% of adults with preexisting diabetes at the same academic campus met the primary outcome. Adults had a higher rate of preconception counseling (14%) but a lower rate of contraception counseling (4%). This study identifies major gaps in preconception counseling and contraception education for youth with type 2 diabetes.</p>","PeriodicalId":39894,"journal":{"name":"Clinical Diabetes","volume":"43 5","pages":"653-659"},"PeriodicalIF":0.0,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12719334/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145821471","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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