Canadian journal of diabetes最新文献

{"title":"Hypertension Treatment and Control in Canadians with Diabetes.","authors":"Sachin V Pasricha, Lisa Dubrofsky, Bailey Goldman, Laura O'Driscoll, Huijuan Yang, Shane Golden, Brad Millson, Sheldon W Tobe","doi":"10.1016/j.jcjd.2025.05.007","DOIUrl":"https://doi.org/10.1016/j.jcjd.2025.05.007","url":null,"abstract":"<p><strong>Objective: </strong>We investigated hypertension control (<130/80 mmHg) among individuals with diabetes, use of first-line antihypertensive medications, and physician responses to uncontrolled blood pressure (BP) measurements (i.e. repeat measurements and medication intensification).</p><p><strong>Methods: </strong>We performed a descriptive retrospective cohort study of adults with prevalent diabetes and hypertension followed in Ontario primary care practices, from their first BP measurement 2013-2017, using the IQVIA dataset. We characterized baseline BP control and anti-hypertensive therapy, and followed individuals over 24 months. We followed a nested cohort of individuals with uncontrolled BP readings (≥130/80 mmHg) to ascertain the frequency of guideline-concordant care, consisting of repeat BP assessment and drug intensification (dose increase, additional drug class prescription) within 6 weeks.</p><p><strong>Results: </strong>Of 10,814 included adults, 7,437 (69%) had BP ≥130/80 mmHg (46% with BP≥140/90 mmHg). Baseline mean BP was 139.4/84.4 mm Hg, and appeared similar at 24 months. At baseline, most individuals were receiving monotherapy (60%), with 90% prescribed renin-angiotensin-aldosterone system inhibitors. Only 34% of individuals were prescribed dihydropyridine calcium channel blockers and 24% were prescribed thiazide/thiazide-like diuretics. Physicians infrequently arranged timely (within 6 weeks) repeat BP checks (50%), dose increases (18%), and medication additions (33%) after uncontrolled BP readings.</p><p><strong>Conclusion: </strong>The large majority of people with diabetes and hypertension had uncontrolled BP that persisted over 2 years. Therapeutic inertia, lack of follow-up, and under-prescribing of dual and triple combination therapy contribute to persistently high BP and represent opportunities for improvement.</p>","PeriodicalId":93918,"journal":{"name":"Canadian journal of diabetes","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144188700","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":"\"Letter To Editor: A retrospective analysis of postpartum glucose testing incidence by prenatal careprovider specialty in a Canadian gestational diabetes cohort.\"","authors":"Syed Aaraiz Ul Hassan, Noor Ul Huda, Noor Un Nisa","doi":"10.1016/j.jcjd.2025.05.003","DOIUrl":"https://doi.org/10.1016/j.jcjd.2025.05.003","url":null,"abstract":"","PeriodicalId":93918,"journal":{"name":"Canadian journal of diabetes","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144176118","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":"letter to editor on Cardiovascular and Respiratory Measures in Adults With Early-onset Type 2 Diabetes Mellitus Compared With Matched Controls.","authors":"Muhammad Husnain Ahmad, Muhammad Bilal, Muhammad Ibrahim, Hafiza Iman","doi":"10.1016/j.jcjd.2025.05.005","DOIUrl":"https://doi.org/10.1016/j.jcjd.2025.05.005","url":null,"abstract":"","PeriodicalId":93918,"journal":{"name":"Canadian journal of diabetes","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144153132","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":"Letter to the Editor: Cannabis Hyperemesis Syndrome Can Mimic Diabetic Gastroparesis in Cannabis Users with Type 1 Diabetes.","authors":"Syeda Kashaf Batool, Fatima Asif, Muhammad Owais","doi":"10.1016/j.jcjd.2025.05.004","DOIUrl":"https://doi.org/10.1016/j.jcjd.2025.05.004","url":null,"abstract":"","PeriodicalId":93918,"journal":{"name":"Canadian journal of diabetes","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144153133","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":"\"Beyond Glucose Control: A Critical Appraisal of Virtual vs. In-Person Care for Gestational Diabetes\".","authors":"Muhammad Khubaib Iftikhar","doi":"10.1016/j.jcjd.2025.05.006","DOIUrl":"https://doi.org/10.1016/j.jcjd.2025.05.006","url":null,"abstract":"<p><p>the article by Dolatabadi et al. offers timely insights into the use of virtual care in managing gestational diabetes mellitus (GDM), but several critical limitations temper the strength and applicability of its conclusions. This Letter to the Editor outlines concerns regarding the study's retrospective design, its omission of patient-reported and adherence-related outcomes, and its limited generalizability. Drawing on recent literature, including evaluations aligned with the Quadruple Aim and meta-analyses of digital interventions, we argue for more robust and patient-centered methodologies in future research. Virtual care in GDM holds promise, but its real-world effectiveness must be assessed through rigorous, equitable, and multidimensional frameworks.</p>","PeriodicalId":93918,"journal":{"name":"Canadian journal of diabetes","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144153131","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":"Describing the experiences of healthcare providers who supported an outreach program to deliver point-of-care screening in adults with Type 1 and Type 2 diabetes who are experiencing homelessness in Calgary, Canada: A qualitative analysis.","authors":"Hannah M Yaphe, Sara Scott, Huanghe Ding, Breanna McSweeney, Eshleen Grewal, David Jt Campbell","doi":"10.1016/j.jcjd.2025.05.002","DOIUrl":"https://doi.org/10.1016/j.jcjd.2025.05.002","url":null,"abstract":"<p><strong>Objectives: </strong>Unstable housing and homelessness are associated with increased risks of diabetes-related morbidity and mortality. Concordantly, as few as 12-30% of people with lived experience of homelessness (PWLEH) complete recommended screening for microvascular complications of diabetes. Innovative models of care delivery are needed to address this disparity. We recently piloted a novel, community-based, point-of-care screening program for diabetes complications (the SAFER model of care, i.e. Screening for glycosylated hemoglobin (A1c), feet, eyes and renal function) in Calgary, Alberta. Herein, we describe the experiences of providers who supported the implementation of SAFER to explore factors which influenced the adoption and maintenance of this innovative model.</p><p><strong>Methods: </strong>Complete details of the intervention are reported elsewhere. Semi-structured interviews were conducted with service providers and clinic managers at the sites which hosted the SAFER intervention. Transcribed data were analyzed through qualitative thematic analysis with NVivo software.</p><p><strong>Results: </strong>Nine participants from two organizations were interviewed. Participants described four thematic messages regarding their experiences: 1) The intervention successfully addressed relevant barriers to enable clients to complete screening, 2) Generating and maintaining client engagement requires dedicated effort, 3) Competing priorities for providers and organizations can be a barrier to sustaining programs - even when effective, 4) Programs introduced through research studies are inherently dependent upon resources that are time-limited in nature which impacts the ability to maintain the program long-term.</p><p><strong>Conclusion: </strong>Lessons learned from providers' experiences with SAFER can inform the planning and delivery of other programs like SAFER to address ongoing disparities in diabetes care for PWLEH.</p>","PeriodicalId":93918,"journal":{"name":"Canadian journal of diabetes","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121654","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":"Letter to \"Virtual vs. In-Person Care in Gestational Diabetes Management: A Retrospective Cohort Analysis\".","authors":"Rongrong Chen, Lin Sheng, Xiaohan Zhang","doi":"10.1016/j.jcjd.2025.05.001","DOIUrl":"https://doi.org/10.1016/j.jcjd.2025.05.001","url":null,"abstract":"","PeriodicalId":93918,"journal":{"name":"Canadian journal of diabetes","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121656","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":"\"Letter To Editor: Temporal trends in the rates of foot complications and lower extremity amputation related to type 1 and 2 diabetes in adults in selected Canadian provinces\".","authors":"Noor Ul Huda, Muhammad Raza, Maryam Maheen","doi":"10.1016/j.jcjd.2025.04.007","DOIUrl":"https://doi.org/10.1016/j.jcjd.2025.04.007","url":null,"abstract":"","PeriodicalId":93918,"journal":{"name":"Canadian journal of diabetes","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058121","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":"Insomnia and Cardiometabolic Health: Bridging the Sleep Deficit to Disease Prevention.","authors":"J W Kim, A B Jain, A Khullar","doi":"10.1016/j.jcjd.2025.04.008","DOIUrl":"https://doi.org/10.1016/j.jcjd.2025.04.008","url":null,"abstract":"<p><p>Insomnia a condition marked by difficulty initiating or maintaining sleep, or early morning awakenings despite an adequate opportunity for adequate rest. It affects up to one-third of adults, with around 10% meeting the criteria for insomnia disorder. Emerging research increasingly points to insomnia as a significant, modifiable risk factor for cardiometabolic diseases, including type 2 diabetes, cardiovascular disease, chronic kidney disease, and metabolic dysfunction-associated steatotic liver disease (MASLD). This narrative review synthesizes the latest evidence linking insomnia to heightened cardiometabolic risk, especially type 2 diabetes. Additionally, we discuss how sleep deprivation influences metabolic processes and cardiovascular health, emphasizing the association between insomnia and cardiometabolic disease. Despite its prevalence and clear impact on health, insomnia remains trivialized, underdiagnosed and inadequately managed. Only a minority of individuals seek medical advice for sleep disturbances, highlighting an urgent need for improved screening and management, particularly for those with cardiometabolic conditions. This review aims to provide healthcare professionals with practical recommendations for identifying and managing insomnia, a underrecognized way to ultimately reduce the burden of cardiometabolic diseases. Integrating sleep health into cardiometabolic care will represent a significant step forward in reducing the global burden of chronic cardiometabolic diseases.</p>","PeriodicalId":93918,"journal":{"name":"Canadian journal of diabetes","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144060276","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":"Virtual vs. In-Person Care in Gestational Diabetes Management: A Retrospective Cohort Analysis.","authors":"Samin Dolatabadi, Jennifer M Yamamoto, Erin A Brennand, Lois E Donovan, Jamie L Benham","doi":"10.1016/j.jcjd.2025.04.002","DOIUrl":"https://doi.org/10.1016/j.jcjd.2025.04.002","url":null,"abstract":"<p><strong>Objectives: </strong>The rising prevalence of gestational diabetes (GDM) presents a challenge to healthcare systems. Virtual care has emerged as a potential solution to alleviate this burden, but limited data exist on its effectiveness. This study evaluated maternal and neonatal outcomes in individuals with GDM managed with virtual care versus in-person care.</p><p><strong>Methods: </strong>A retrospective cohort study was conducted among individuals with GDM attending interdisciplinary diabetes in pregnancy clinics in Calgary, Alberta between 2017-2022. The primary exposure was modality of the initial visit (virtual or in-person) with a diabetes educator. Logistic regression models were used to analyze the relationship between visit modality and outcomes, adjusting for multiples, socioeconomic status, maternal age, infant sex, parity, and before vs during the SARS-CoV-2 coronavirus (COVID-19) pandemic.</p><p><strong>Results: </strong>Of the 9,511 individuals included, 4,236 had an initial virtual visit. Those in the virtual care group had lower odds of delivering large-for-gestational-age infants (aOR 0.79, 95% CI 0.65-0.97) and undergoing caesarean section (aOR 0.88, 95% CI 0.79-0.99). They also had lower odds of missing at least one appointment (aOR 0.89, 95% CI 0.77-0.99) and greater odds of being prescribed both insulin and metformin (aOR 1.30, 95% CI 1.16-1.46). No significant differences were found in rates of operative vaginal birth, induction of labour, small for gestational age infants, 5-minute Apgar score <7, or neonatal intensive care unit admission.</p><p><strong>Conclusion: </strong>This study highlights the potential of virtual care to enhance GDM management. Further research is needed to assess its broader impact and optimize implementation strategies for diverse populations.</p>","PeriodicalId":93918,"journal":{"name":"Canadian journal of diabetes","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143994208","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}