Lorenna Rodrigues Silva Sombra, Horacio David Hares, Matthew Behme, Karla M Curet
{"title":"Improving Microvascular Complications Screening Rates: Implementation of a Dedicated Diabetes Clinic (Diabetes 360) in an Underserved Area in Philadelphia, PA.","authors":"Lorenna Rodrigues Silva Sombra, Horacio David Hares, Matthew Behme, Karla M Curet","doi":"10.2337/cd20-0072","DOIUrl":"https://doi.org/10.2337/cd20-0072","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 the establishment of a dedicated patient-centered diabetes clinic within an academic primary care center serving a diverse population in Philadelphia, PA.</p>","PeriodicalId":519493,"journal":{"name":"Clinical Diabetes : A Publication of the American Diabetes Association","volume":"39 2","pages":"203-207"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8061544/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38991500","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}
{"title":"Taking Care of Your Feet.","authors":"","doi":"10.2337/cd21-pe02","DOIUrl":"https://doi.org/10.2337/cd21-pe02","url":null,"abstract":"","PeriodicalId":519493,"journal":{"name":"Clinical Diabetes : A Publication of the American Diabetes Association","volume":"39 2","pages":"225"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8061552/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38980497","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}
Karthik Subramaniam, Manoj P Joseph, Lakshmi A Babu
{"title":"A Common Drug Causing a Common Side Effect at an Uncommon Time: Metformin-Induced Chronic Diarrhea and Weight Loss After Years of Treatment.","authors":"Karthik Subramaniam, Manoj P Joseph, Lakshmi A Babu","doi":"10.2337/cd20-0101","DOIUrl":"https://doi.org/10.2337/cd20-0101","url":null,"abstract":"Type 2 diabetes is a common condition, with a worldwide prevalence of 9.3% as of 2019 (1). Metformin is the most common drug used and is the first-line agent in type 2 diabetes management. It is also considered one of the safest pharmacological agents for the treatment of the disease. However, gastrointestinal side effects are common, occurring in up to 75% of those who takemetformin (2). These side effects may include diarrhea, nausea, vomiting, abdominal discomfort, and/or flatulence, with severity ranging from mild to severe. These complications are more common with immediate-release preparations of metformin than with its extended-release formulation. Discontinuation and nonadherence rates have been as high as 46% with metformin because of these issues (3).","PeriodicalId":519493,"journal":{"name":"Clinical Diabetes : A Publication of the American Diabetes Association","volume":"39 2","pages":"237-240"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8061542/pdf/diaclincd200101.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38980501","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}
{"title":"Prevalence of and Characteristics Associated With Overbasalization Among Patients With Type 2 Diabetes Using Basal Insulin: A Cross-Sectional Study.","authors":"Kevin Cowart, Wendy H Updike, Rashmi Pathak","doi":"10.2337/cd20-0080","DOIUrl":"https://doi.org/10.2337/cd20-0080","url":null,"abstract":"<p><p>This article describes a cross-sectional analysis of 655 patients to determine the prevalence of and patient-specific characteristics associated with overbasalization in patients with type 2 diabetes. Overbasalization was defined as uncontrolled A1C (>8%) plus a basal insulin dose >0.5 units/kg/day. The period prevalence of overbasalization was found to be 38.1, 42.7, and 42% for those with an A1C >8, ≥9, and ≥10%, respectively. Those with an A1C ≥9% had the greatest likelihood of experiencing overbasalization. These results suggest that overbasalization may play a role in patients not achieving optimal glycemic control in type 2 diabetes.</p>","PeriodicalId":519493,"journal":{"name":"Clinical Diabetes : A Publication of the American Diabetes Association","volume":"39 2","pages":"173-175"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8061546/pdf/diaclincd200080.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38991496","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}
Sang Wan Kim, Jennifer Chen, Kevin J Wegener, Nina D Resch, Kimberly M Neff, Ann D Nawarskas
{"title":"Improvement of Statin Utilization in Veterans With Diabetes Through Pharmacy Interventions.","authors":"Sang Wan Kim, Jennifer Chen, Kevin J Wegener, Nina D Resch, Kimberly M Neff, Ann D Nawarskas","doi":"10.2337/cd20-0090","DOIUrl":"https://doi.org/10.2337/cd20-0090","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 effort aimed at increasing the use of statins among veterans with diabetes at a Veterans Affairs medical center in New Mexico.</p>","PeriodicalId":519493,"journal":{"name":"Clinical Diabetes : A Publication of the American Diabetes Association","volume":"39 2","pages":"215-219"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8061543/pdf/diaclincd200090.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38974242","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}
Paloma Almeda-Valdes, Neftali Eduardo Antonio-Villa, Fátima M Rodríguez-Dávila, B Geovani Palma-Moreno, Francisco J Gómez-Pérez, Carlos A Aguilar-Salinas, Ana Cristina García-Ulloa, Sergio Hernández-Jiménez
{"title":"Comparison of Two Electronic Systems for Obtaining Diabetes Care Indicators in Clinical Practice.","authors":"Paloma Almeda-Valdes, Neftali Eduardo Antonio-Villa, Fátima M Rodríguez-Dávila, B Geovani Palma-Moreno, Francisco J Gómez-Pérez, Carlos A Aguilar-Salinas, Ana Cristina García-Ulloa, Sergio Hernández-Jiménez","doi":"10.2337/cd20-0069","DOIUrl":"https://doi.org/10.2337/cd20-0069","url":null,"abstract":"<p><p>We compared the completeness of data captured by physicians in a diabetes outpatient clinic using a general electronic health record system versus one that was specifically geared to diabetes. Use of a diabetes-oriented data system was found to allow for greater capture of crucial variables required for diabetes care than a general electronic record and was well accepted by health care providers.</p>","PeriodicalId":519493,"journal":{"name":"Clinical Diabetes : A Publication of the American Diabetes Association","volume":"39 2","pages":"167-172"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8061551/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38974240","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}
Tara A Lenk, John Whittle, Solomon Aronson, Timothy E Miller, Matthew Fuller, Tracy Setji
{"title":"Duke University Medical Center Perioperative Diabetes Management Program.","authors":"Tara A Lenk, John Whittle, Solomon Aronson, Timothy E Miller, Matthew Fuller, Tracy Setji","doi":"10.2337/cd20-0029","DOIUrl":"https://doi.org/10.2337/cd20-0029","url":null,"abstract":"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 Clinical Diabetes. The following article describes a project at an academic tertiary-care medical center aimed at identifying surgical patients with uncontrolled diabetes early in the preoperative process to improve their perioperative glycemic control and surgical outcomes.","PeriodicalId":519493,"journal":{"name":"Clinical Diabetes : A Publication of the American Diabetes Association","volume":"39 2","pages":"208-214"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8061555/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38980495","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}
{"title":"I Am Not a \"Provider\".","authors":"Stephen A Brunton","doi":"10.2337/cd21-0008","DOIUrl":"https://doi.org/10.2337/cd21-0008","url":null,"abstract":"The term was first used by the German Third Reich to devalue and demean Jewish physicians as medical professionals (1). Jewish physicians were not allowed to refer to themselves as “arzt” (translated as “doctor”), but instead had to use the word “behandler,” which roughly translates to “provider.”Alongwith the humiliation of this imposed term, these physicians endured other professional restrictions in the 1930s. They could not hang out a shingle and could not prescribe medicines to patients who were not Jewish.","PeriodicalId":519493,"journal":{"name":"Clinical Diabetes : A Publication of the American Diabetes Association","volume":"39 2","pages":"140"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8061549/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38980583","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}
{"title":"Telemedicine: The 2020 House Call.","authors":"Stephen A Brunton","doi":"10.2337/cd20-0106","DOIUrl":"https://doi.org/10.2337/cd20-0106","url":null,"abstract":"One of the silver linings in the horror of the coronavirus disease 2019 (COVID-19) pandemic is the evolution and proliferation of telemedicine. According to the Centers for Medicare & Medicaid Services, “Telehealth, telemedicine, and related terms generally refer to the exchange of medical information from one site to another through electronic communication to improve a patient’s health” (1). Since the start of the pandemic, telemedicine services have proliferated. The American Academy of Family Physicians estimated that the rates of telemedicine among its membership …","PeriodicalId":519493,"journal":{"name":"Clinical Diabetes : A Publication of the American Diabetes Association","volume":"39 1","pages":"13"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7839612/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25340958","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}
Alissa J Roberts, Dwight Barry, Joyce Yi-Frazier, Lori Rutman, Catherine Pihoker, Faisal Saleem Malik
{"title":"Screening for Mental Health Comorbidities in a Pediatric Diabetes Clinic Setting.","authors":"Alissa J Roberts, Dwight Barry, Joyce Yi-Frazier, Lori Rutman, Catherine Pihoker, Faisal Saleem Malik","doi":"10.2337/cd20-0037","DOIUrl":"https://doi.org/10.2337/cd20-0037","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 effort to improve mental health screening of patients at a pediatric diabetes clinic in Seattle, WA.</p>","PeriodicalId":519493,"journal":{"name":"Clinical Diabetes : A Publication of the American Diabetes Association","volume":"39 1","pages":"97-101"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2337/cd20-0037","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25341410","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}