Clinical DiabetesPub Date : 2025-02-24eCollection Date: 2025-01-01DOI: 10.2337/cd24-0104
Sean M Oser, Melissa S Putman, Steven J Russell, Elizabeth B Westfeldt, Kelsey B Huss, Britney K Prince, Jessica A Parascando, Mollie Y O'Connor, Amy Sabean, Annabelle L Ashley, Evelyn G Greaux, Rachel J Bartholomew, Sarah Gaston, Nillani Anandakugan, Hui Zheng, Courtney A Balliro, Mallory A Hillard, Edward R Damiano, Tamara K Oser
{"title":"Assessing the iLet Bionic Pancreas Deployed in Primary Care and via Telehealth: A Randomized Clinical Trial.","authors":"Sean M Oser, Melissa S Putman, Steven J Russell, Elizabeth B Westfeldt, Kelsey B Huss, Britney K Prince, Jessica A Parascando, Mollie Y O'Connor, Amy Sabean, Annabelle L Ashley, Evelyn G Greaux, Rachel J Bartholomew, Sarah Gaston, Nillani Anandakugan, Hui Zheng, Courtney A Balliro, Mallory A Hillard, Edward R Damiano, Tamara K Oser","doi":"10.2337/cd24-0104","DOIUrl":"10.2337/cd24-0104","url":null,"abstract":"<p><p>The iLet Bionic Pancreas system can improve glycemia in individuals with type 1 diabetes with its simple interface, setup, and maintenance, making it practical for use in the primary care setting and via telehealth (TH). This multisite, random-order crossover trial included 40 adults with type 1 diabetes who received care either from an endocrinology or a primary care clinic and were seen either in person or via TH. Of these 40 participants, 97% achieved an average glucose (AG) <183 mg/dL, and 64% achieved an AG <154 mg/dL. These results suggest that the system can be initiated effectively by primary care providers and via TH, potentially expanding access to this technology to a broad population, including individuals who cannot easily access subspecialty diabetes care.</p>","PeriodicalId":39894,"journal":{"name":"Clinical Diabetes","volume":"43 3","pages":"388-398"},"PeriodicalIF":0.0,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12304562/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144754674","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}
Clinical DiabetesPub Date : 2025-02-13eCollection Date: 2025-01-01DOI: 10.2337/cd24-0070
Alyssa Huang, Alissa Roberts, Yasi Mohsenian, Grace Kim
{"title":"Improving Prescribing Rates of Glucagon-Like Peptide 1 Receptor Agonists in Youth With Type 2 Diabetes.","authors":"Alyssa Huang, Alissa Roberts, Yasi Mohsenian, Grace Kim","doi":"10.2337/cd24-0070","DOIUrl":"10.2337/cd24-0070","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 a quality improvement project to improve outcomes by increasing the prescribing rates of GLP-1 receptor agonists in pediatric patients with type 2 diabetes in the pediatric endocrinology clinics of a Seattle, WA-based health care system.</p>","PeriodicalId":39894,"journal":{"name":"Clinical Diabetes","volume":"43 3","pages":"429-434"},"PeriodicalIF":0.0,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12304563/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144754679","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}
Clinical DiabetesPub Date : 2025-02-11eCollection Date: 2025-01-01DOI: 10.2337/cd24-0065
Guido Alarcon, Sarah K Lyons, Don Buckingham, Madhav Erraguntla, Rona Sonabend, Daniel J DeSalvo
{"title":"ROCKET T1D Remote Patient Monitoring Program: Launching Diabetes Management Habits in New-Onset Diabetes.","authors":"Guido Alarcon, Sarah K Lyons, Don Buckingham, Madhav Erraguntla, Rona Sonabend, Daniel J DeSalvo","doi":"10.2337/cd24-0065","DOIUrl":"10.2337/cd24-0065","url":null,"abstract":"<p><p>ROCKET T1D (Remote Outreach and Care for Kids' Empowerment and Technology Use in Type 1 Diabetes) is a remote patient monitoring program created to empower youth with new-onset type 1 diabetes to leverage emerging diabetes technology, improve diabetes self-management habits, and achieve their self-care goals. Youth with new-onset type 1 diabetes in the ROCKET T1D program improved key diabetes self-management habits (e.g., premeal bolusing, diabetes device use, data review, and dose adjustments) and achieved improvements in glycemic outcomes over the course of the program's 3-month Launch phase.</p>","PeriodicalId":39894,"journal":{"name":"Clinical Diabetes","volume":"43 3","pages":"371-377"},"PeriodicalIF":0.0,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12304569/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144754683","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}
Clinical DiabetesPub Date : 2025-01-30eCollection Date: 2025-01-01DOI: 10.2337/cd25-0007
Jason E Brouillard
{"title":"Update on the Status of Glucose-Responsive Insulins.","authors":"Jason E Brouillard","doi":"10.2337/cd25-0007","DOIUrl":"https://doi.org/10.2337/cd25-0007","url":null,"abstract":"","PeriodicalId":39894,"journal":{"name":"Clinical Diabetes","volume":"43 2","pages":"322-323"},"PeriodicalIF":0.0,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12018996/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144019543","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}
Clinical DiabetesPub Date : 2025-01-30eCollection Date: 2025-01-01DOI: 10.2337/cd24-0100
Joseph Henske, Arwa Albashaireh, Lauren V Turner, Gavin Beach, Michael C Riddell
{"title":"Are Regular Aerobic Exercisers With Type 1 Diabetes Following Current Physical Activity Self-Management Guidelines? Insights From an Online Survey.","authors":"Joseph Henske, Arwa Albashaireh, Lauren V Turner, Gavin Beach, Michael C Riddell","doi":"10.2337/cd24-0100","DOIUrl":"10.2337/cd24-0100","url":null,"abstract":"<p><p>This study surveyed 102 adults with type 1 diabetes who were a part of online communities for regular exercisers with type 1 diabetes. These individuals, who met or exceeded aerobic exercise guidelines, were evaluated via self-report for their adherence to recommended glucose management strategies before, during, and after physical activity. Although most reported using diabetes-related technologies, 86% of respondents reported having frequent activity-related hypoglycemia. Eighty percent reported using trial-and-error strategies, and only 32% identified their health care professionals as a key source of exercise self-management education. Few followed consensus-based guidelines such as reducing insulin doses before exercise and refraining from exercising within 24 hours after a severe hypoglycemic event.</p>","PeriodicalId":39894,"journal":{"name":"Clinical Diabetes","volume":"43 3","pages":"378-387"},"PeriodicalIF":0.0,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12304552/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144754672","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}
Clinical DiabetesPub Date : 2025-01-29eCollection Date: 2025-01-01DOI: 10.2337/cd24-0086
Rebecca Winski, Jiachen Xu, Arthur Chan, Bethany A Wattengel, Andrew Puckett, Kyle Huntsman, Ashley L O'Leary, Kari A Mergenhagen
{"title":"Microbiology of Diabetic Foot Infections in U.S. Veterans.","authors":"Rebecca Winski, Jiachen Xu, Arthur Chan, Bethany A Wattengel, Andrew Puckett, Kyle Huntsman, Ashley L O'Leary, Kari A Mergenhagen","doi":"10.2337/cd24-0086","DOIUrl":"10.2337/cd24-0086","url":null,"abstract":"<p><p>This study examined the prevalence of various microbes isolated from diabetes-related foot infections (DFIs) within the U.S. veteran population. A total of 68 different microbes were identified. The most frequently isolated organisms were methicillin-sensitive <i>Staphylococcus aureus</i> (32.7%), coagulase-negative staphylococci (21.8%), methicillin-resistant <i>S. aureus</i> (15.9%), <i>Enterococcus faecalis</i> (14.6%), group B streptococci (12.4%), <i>Pseudomonas aeruginosa</i> (10.1%), <i>Proteus mirabilis</i> (8.1%), viridans streptococci (7.3%), <i>Escherichia coli</i> (6.5%), <i>Enterobacter cloacae</i> (5.9%), and <i>Corynebacterium</i> species (5.6%). A better understanding of common DFI pathogens may help to guide empiric antibiotic selection when treating DFIs.</p>","PeriodicalId":39894,"journal":{"name":"Clinical Diabetes","volume":"43 3","pages":"366-370"},"PeriodicalIF":0.0,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12304561/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144754681","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}
Clinical DiabetesPub Date : 2025-01-23eCollection Date: 2025-01-01DOI: 10.2337/cd24-0077
Justin J Sherman, Janet L Ricks, Emmanuel R Hodge
{"title":"Artifactual Hypoglycemia Caused by Raynaud's Phenomenon in a Person With Diabetes.","authors":"Justin J Sherman, Janet L Ricks, Emmanuel R Hodge","doi":"10.2337/cd24-0077","DOIUrl":"10.2337/cd24-0077","url":null,"abstract":"","PeriodicalId":39894,"journal":{"name":"Clinical Diabetes","volume":"43 3","pages":"445-448"},"PeriodicalIF":0.0,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12304566/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144754673","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}
Clinical DiabetesPub Date : 2025-01-22eCollection Date: 2025-01-01DOI: 10.2337/cd24-0089
Sarah C Beach, Kirsten M Bogunovich, Samuel J Borgemenke, Sophia M Thompson, Allyson S Hughes
{"title":"A Retrospective Analysis of Dermatologic Manifestations of Diabetes on TikTok.","authors":"Sarah C Beach, Kirsten M Bogunovich, Samuel J Borgemenke, Sophia M Thompson, Allyson S Hughes","doi":"10.2337/cd24-0089","DOIUrl":"10.2337/cd24-0089","url":null,"abstract":"<p><p>This study evaluated 166 TikTok videos about three skin conditions associated with diabetes. It found that the quality of health information in these videos significantly differed based on the five creator types making the videos (person with diabetes, caregiver/parent, noncaregiver, health care professional, or health coach). There were also significant differences in the understandability and actionability of the health information provided. There is a need within the diabetes online community for higher-quality information from reliable sources regarding dermatological conditions associated with diabetes.</p>","PeriodicalId":39894,"journal":{"name":"Clinical Diabetes","volume":"43 3","pages":"361-365"},"PeriodicalIF":0.0,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12304564/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144754747","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}
Clinical DiabetesPub Date : 2025-01-15eCollection Date: 2025-01-01DOI: 10.2337/cd24-0095
Stephen A Brunton
{"title":"Type 1 Diabetes Is Not Just a Pediatric Problem.","authors":"Stephen A Brunton","doi":"10.2337/cd24-0095","DOIUrl":"10.2337/cd24-0095","url":null,"abstract":"","PeriodicalId":39894,"journal":{"name":"Clinical Diabetes","volume":"43 1","pages":"4"},"PeriodicalIF":0.0,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11739337/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013783","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}