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}
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}
{"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}
Clinical DiabetesPub Date : 2024-01-01Epub Date: 2023-08-01DOI: 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}
Clinical DiabetesPub Date : 2024-01-01Epub Date: 2023-08-21DOI: 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}
Clinical DiabetesPub Date : 2024-01-01Epub Date: 2023-08-23DOI: 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}
Clinical DiabetesPub Date : 2024-01-01Epub Date: 2024-04-15DOI: 10.2337/cd24-a016
{"title":"Section 16: Diabetes Care in the Hospital.","authors":"","doi":"10.2337/cd24-a016","DOIUrl":"10.2337/cd24-a016","url":null,"abstract":"","PeriodicalId":39894,"journal":{"name":"Clinical Diabetes","volume":"42 2","pages":"222"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11040016/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140852868","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 : 2024-01-01Epub Date: 2023-08-28DOI: 10.2337/cd23-0025
Carol J Levy, Dan Raghinaru, Yogish C Kudva, Keta Pandit, Thomas Blevins, Luis Casaubon, Donna Desjardins, Camilla M Levister, Grenye O'Malley, Corey Reid, John Lum, Craig Kollman, Roy W Beck
{"title":"Beneficial Effects of Control-IQ Automated Insulin Delivery in Basal-Bolus and Basal-Only Insulin Users With Type 2 Diabetes.","authors":"Carol J Levy, Dan Raghinaru, Yogish C Kudva, Keta Pandit, Thomas Blevins, Luis Casaubon, Donna Desjardins, Camilla M Levister, Grenye O'Malley, Corey Reid, John Lum, Craig Kollman, Roy W Beck","doi":"10.2337/cd23-0025","DOIUrl":"10.2337/cd23-0025","url":null,"abstract":"<p><p>The t:slim X2 insulin pump with Control-IQ technology (Control-IQ) advanced hybrid closed-loop automated insulin delivery system was evaluated in this prospective single-arm trial. Thirty adults with type 2 diabetes using the Control-IQ system showed substantial glycemic improvement with no increase in hypoglycemia. Mean time in range (70-180 mg/dL) improved 15%, representing an increase of 3.6 hours/day, and mean glucose decreased by 22 mg/dL.</p>","PeriodicalId":39894,"journal":{"name":"Clinical Diabetes","volume":" ","pages":"116-124"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10788662/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46188541","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}