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Effect of a Dietary Intervention on Insulin Requirements and Glycemic Control in Type 1 Diabetes: A 12-Week Randomized Clinical Trial 饮食干预对 1 型糖尿病患者胰岛素需求和血糖控制的影响：为期 12 周的随机临床试验
Clinical Diabetes Pub Date : 2024-03-14 DOI: 10.2337/cd23-0086
H. Kahleová, Tatiana Znayenko-Miller, Karen Smith, Cyrus Khambatta, Robby Barbaro, Macy Sutton, D. Holtz, Mark Sklar, Desiree Pineda, Richard Holubkov, Neal D. Barnard
{"title":"Effect of a Dietary Intervention on Insulin Requirements and Glycemic Control in Type 1 Diabetes: A 12-Week Randomized Clinical Trial","authors":"H. Kahleová, Tatiana Znayenko-Miller, Karen Smith, Cyrus Khambatta, Robby Barbaro, Macy Sutton, D. Holtz, Mark Sklar, Desiree Pineda, Richard Holubkov, Neal D. Barnard","doi":"10.2337/cd23-0086","DOIUrl":"https://doi.org/10.2337/cd23-0086","url":null,"abstract":"This study compared the effects of a low-fat vegan diet to those of a portion-controlled diet in people with type 1 diabetes. Over 12 weeks, the average total daily dose of insulin decreased significantly and insulin sensitivity increased significantly in the vegan group, while no significant changes were observed in the group receiving the portion-controlled diet. Total and LDL cholesterol decreased in the vegan group, as did the ratio of blood urea nitrogen to creatinine. A1C decreased in both groups. These findings suggest that a low-fat vegan diet may yield improvements in insulin sensitivity, insulin requirements, glycemic control, and markers of cardiovascular and renal health compared with a portion-controlled diet in people with type 1 diabetes.","PeriodicalId":39894,"journal":{"name":"Clinical Diabetes","volume":"5 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140241759","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
Similarities and Differences in Diabetes Diagnosis Stories Among Adults With Type 1 or Type 2 Diabetes in Appalachian Ohio 俄亥俄州阿巴拉契亚地区 1 型或 2 型糖尿病成人糖尿病诊断故事的异同
Clinical Diabetes Pub Date : 2024-03-13 DOI: 10.2337/cd23-0081
Andrew Pugh, M. Ritholz, Elizabeth A. Beverly
{"title":"Similarities and Differences in Diabetes Diagnosis Stories Among Adults With Type 1 or Type 2 Diabetes in Appalachian Ohio","authors":"Andrew Pugh, M. Ritholz, Elizabeth A. Beverly","doi":"10.2337/cd23-0081","DOIUrl":"https://doi.org/10.2337/cd23-0081","url":null,"abstract":"This qualitative study examined adults’ recollections of their reactions to their diabetes diagnosis and explored the similarities and differences among those diagnosed with type 1 versus type 2 diabetes. Based on semistructured interviews, the authors identified three themes: 1) shared emotional reactions of fear, sadness, confusion, and worry; 2) perceived differences in expressing concerns for diabetes complications; and 3) differences in perceiving the diagnosis as a surprise versus an inevitability. How health care professionals deliver diabetes diagnoses may be crucial to individuals’ acceptance of the condition and coping strategies. HCPs should consider assessing people’s emotional reactions to their diagnosis.","PeriodicalId":39894,"journal":{"name":"Clinical Diabetes","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140245963","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
Dental Extractions Associated With Reduced Insulin Requirements in an Individual Using Concentrated Insulin: A Case Study 使用浓缩胰岛素的患者拔牙后胰岛素需求量减少：病例研究
Clinical Diabetes Pub Date : 2024-02-16 DOI: 10.2337/cd23-0101
Morgan P. Stewart, Roxanne Powers, Kathryn Litten
{"title":"Dental Extractions Associated With Reduced Insulin Requirements in an Individual Using Concentrated Insulin: A Case Study","authors":"Morgan P. Stewart, Roxanne Powers, Kathryn Litten","doi":"10.2337/cd23-0101","DOIUrl":"https://doi.org/10.2337/cd23-0101","url":null,"abstract":"","PeriodicalId":39894,"journal":{"name":"Clinical Diabetes","volume":"52 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139961464","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
Patterns and Trends in Continuous Glucose Monitoring Utilization Among Commercially Insured Individuals With Type 1 Diabetes: 2010–2013 to 2016–2019 2010-2013 年至 2016-2019 年商业保险 1 型糖尿病患者使用连续葡萄糖监测的模式和趋势
Clinical Diabetes Pub Date : 2024-01-19 DOI: 10.2337/cd23-0051
Mary E. Lacy, Katherine E. Lee, Omer Atac, Kory R Heier, John Fowlkes, Anna Kucharska-Newton, Daniela C. Moga
{"title":"Patterns and Trends in Continuous Glucose Monitoring Utilization Among Commercially Insured Individuals With Type 1 Diabetes: 2010–2013 to 2016–2019","authors":"Mary E. Lacy, Katherine E. Lee, Omer Atac, Kory R Heier, John Fowlkes, Anna Kucharska-Newton, Daniela C. Moga","doi":"10.2337/cd23-0051","DOIUrl":"https://doi.org/10.2337/cd23-0051","url":null,"abstract":"Prior studies suggest that only ∼30% of patients with type 1 diabetes use continuous glucose monitoring (CGM), but most studies to date focused on children and young adults seen by endocrinologists or in academic centers. This study examined national trends in CGM utilization among commercially insured children and adults with type 1 diabetes. Overall, CGM utilization was 20.12% in 2010–2013 and 49.78% in 2016–2019, reflecting a 2.5-fold increase in utilization within a period of <10 years. Identifying populations with low CGM use is a necessary first step in developing targeted interventions to increase CGM uptake.","PeriodicalId":39894,"journal":{"name":"Clinical Diabetes","volume":"2 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139525373","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
Lower Incidence of Hypoglycemia With Angiotensin Receptor Blocker Versus ACE Inhibitor Therapy in People With or Without Diabetes 血管紧张素受体阻滞剂与血管紧张素转换酶抑制剂相比，在糖尿病患者或非糖尿病患者中的低血糖发生率更低
Clinical Diabetes Pub Date : 2024-01-12 DOI: 10.2337/cd23-0039
I. Khanimov, B. Zingerman, B. Rozen-zvi, M. Shimonov, E. Leibovitz
{"title":"Lower Incidence of Hypoglycemia With Angiotensin Receptor Blocker Versus ACE Inhibitor Therapy in People With or Without Diabetes","authors":"I. Khanimov, B. Zingerman, B. Rozen-zvi, M. Shimonov, E. Leibovitz","doi":"10.2337/cd23-0039","DOIUrl":"https://doi.org/10.2337/cd23-0039","url":null,"abstract":"This article describes a study examining the association between treatment with ACE inhibitors or angiotensin receptor blockers (ARBs) and incident hypoglycemia in patients with or without diabetes who were admitted to the internal medicine departments of a tertiary hospital in the Tel Aviv district of Israel. The authors found that treatment with ARBs, but not ACE inhibitors, compared with treatment with neither, was associated with a reduced risk of hypoglycemia regardless of diabetes status.","PeriodicalId":39894,"journal":{"name":"Clinical Diabetes","volume":"42 23","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139531916","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
Best Practice Perspectives on Improving Early Detection and Management of Chronic Kidney Disease Associated With Type 2 Diabetes in Primary Care 从最佳实践角度看基层医疗机构如何改进 2 型糖尿病相关慢性肾病的早期检测和管理
Clinical Diabetes Pub Date : 2024-01-12 DOI: 10.2337/cd23-0074
J. Goldman, Robert Busch, Eden Miller
{"title":"Best Practice Perspectives on Improving Early Detection and Management of Chronic Kidney Disease Associated With Type 2 Diabetes in Primary Care","authors":"J. Goldman, Robert Busch, Eden Miller","doi":"10.2337/cd23-0074","DOIUrl":"https://doi.org/10.2337/cd23-0074","url":null,"abstract":"","PeriodicalId":39894,"journal":{"name":"Clinical Diabetes","volume":"55 25","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139533136","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
Lack of Association of A1C With Postoperative Complications in Children With Type 1 or Type 2 Diabetes. A1C缺乏与1型或2型糖尿病儿童术后并发症的相关性
Clinical Diabetes Pub Date : 2024-01-01 Epub Date: 2023-08-01 DOI: 10.2337/cd23-0002
Grace Kim, McKenna C Richards, Abigail B Smith, Kathleen M Strybos, Xiaofan Huang, Kristen Staggers, Stephen A Stayer, Rahul G Baijal
{"title":"Lack of Association of A1C With Postoperative Complications in Children With Type 1 or Type 2 Diabetes.","authors":"Grace Kim, McKenna C Richards, Abigail B Smith, Kathleen M Strybos, Xiaofan Huang, Kristen Staggers, Stephen A Stayer, Rahul G Baijal","doi":"10.2337/cd23-0002","DOIUrl":"10.2337/cd23-0002","url":null,"abstract":"<p><p>Not meeting recommended A1C targets may be associated with postoperative complications in adults, but there are no studies reporting on the relationship between preoperative A1C and postoperative complications in children with type 1 or type 2 diabetes. The objective of this study was to determine whether elevated A1C levels were associated with an increased incidence of postoperative complications in children with diabetes presenting for elective noncardiac surgery or diagnostic procedures. It found no such association, suggesting no need to delay elective surgery in children with diabetes until A1C is optimized.</p>","PeriodicalId":39894,"journal":{"name":"Clinical Diabetes","volume":" ","pages":"65-73"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10788671/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49517743","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
Factors Associated With Improved A1C Values Among People Using High-Dose Insulin With Uncontrolled Type 2 Diabetes. 使用大剂量胰岛素的2型糖尿病患者A1C值改善的相关因素
Clinical Diabetes Pub Date : 2024-01-01 Epub Date: 2023-08-21 DOI: 10.2337/cd23-0006
Wuenseslao Hernandez, Shannon R Walter, Ryan A Popp
{"title":"Factors Associated With Improved A1C Values Among People Using High-Dose Insulin With Uncontrolled Type 2 Diabetes.","authors":"Wuenseslao Hernandez, Shannon R Walter, Ryan A Popp","doi":"10.2337/cd23-0006","DOIUrl":"10.2337/cd23-0006","url":null,"abstract":"<p><p>Uncontrolled diabetes negatively affects millions of people in the United States and contributes to significant health burden. Many people with diabetes require high insulin doses to achieve glycemic control, but glycemia in this group has historically been difficult to manage. This retrospective, case-control study evaluated which therapeutic interventions and patient factors were associated with an improvement in A1C in people with type 2 diabetes using high-dose insulin at a county health system serving primarily low-income patients. Medication nonadherence was found to be the most influential factor affecting glycemic control in these individuals.</p>","PeriodicalId":39894,"journal":{"name":"Clinical Diabetes","volume":" ","pages":"87-95"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10788650/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43936935","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
Good To Know: Continuous Glucose Monitoring and Nutrition. 了解更多信息：持续葡萄糖监测与营养。
Clinical Diabetes Pub Date : 2024-01-01 Epub Date: 2024-07-15 DOI: 10.2337/cd24-pe03
{"title":"Good To Know: Continuous Glucose Monitoring and Nutrition.","authors":"","doi":"10.2337/cd24-pe03","DOIUrl":"https://doi.org/10.2337/cd24-pe03","url":null,"abstract":"","PeriodicalId":39894,"journal":{"name":"Clinical Diabetes","volume":"42 3","pages":"463"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11247027/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141628050","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
Perceptions of Continuous Glucose Monitoring Systems in the T1D Exchange Diabetes Registry: Satisfaction, Concerns, and Areas for Future Improvement. T1D交换糖尿病登记中持续血糖监测系统的认知：满意度、关注点和未来改进领域
Clinical Diabetes Pub Date : 2024-01-01 Epub Date: 2023-08-23 DOI: 10.2337/cd23-0005
Elizabeth Holt, Huyen Nguyen, Jeoffrey Bispham, Jingwen Liu, Katherine Chapman, Mike Grady
{"title":"Perceptions of Continuous Glucose Monitoring Systems in the T1D Exchange Diabetes Registry: Satisfaction, Concerns, and Areas for Future Improvement.","authors":"Elizabeth Holt, Huyen Nguyen, Jeoffrey Bispham, Jingwen Liu, Katherine Chapman, Mike Grady","doi":"10.2337/cd23-0005","DOIUrl":"10.2337/cd23-0005","url":null,"abstract":"<p><p>Manufacturers continue to improve performance and usability of continuous glucose monitoring (CGM) systems. As CGM becomes a standard of care, especially for people on insulin therapy, it is important to routinely gauge how satisfied people with diabetes are with this technology. This article describes survey feedback from a large cohort of people with diabetes using older and current CGM systems and highlights areas of current satisfaction, concern, and future system improvement.</p>","PeriodicalId":39894,"journal":{"name":"Clinical Diabetes","volume":" ","pages":"104-115"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10788666/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48398606","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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