HbA1c and Lower-Extremity Amputation Risk in Low-Income Patients With Diabetes

Diabetes Care: September 23, 2013 OBJECTIVE Diabetes confers a very high risk of lower-extremity amputation (LEA); however, few studies have assessed whether blood glucose control can reduce LEA risk among patients with diabetes, especially in practice settings where low-income patients predominate. RESEARCH DESIGN AND METHODS We performed a prospective cohort study (2000–2009) on patients with diabetes that included […]

Implementation of a Culturally Tailored Diabetes Intervention With Community Health Workers in American Samoa

The Diabetes Educator: September 19, 2013 Purpose The purpose of this article is to answer key implementation questions from our translation research with a primary care–based, nurse–community health worker (CHW) team intervention to support type 2 diabetes self-management. Methods Descriptive data are given on intervention delivery, CHW visit content, patient safety, and intervention costs, along with statistical analyses […]

Diabetes Self-Management and Leptin in Mexican Americans With Type 2 Diabetes The Starr County Border Health Initiative

The Diabetes Educator: September 18, 2013 Purpose The purpose of the study was to (1) characterize leptin in Mexican Americans with poorly controlled type 2 diabetes, (2) examine relationships among leptin and indicators of diabetes status (body mass index and A1C), and (3) explore the effects of a culturally tailored diabetes self-management education intervention on leptin. Methods In […]

Tés, Licuados, and Cápsulas: Herbal Self-care Remedies of Latino/Hispanic Immigrants for Type 2 Diabetes

The Diabetes Educator: September 12, 2013 Purpose The purpose of this cross-sectional, descriptive study was to explore the characteristics of herbal remedy use for diabetes among Latinos/Hispanics with type 2 diabetes. Methods A convenience sample of 75 Latino/Hispanic adults with type 2 diabetes was recruited from community-based settings in North Carolina. Data were collected through face-to-face bilingual interviews. […]

Prandial Insulin Dosing Using the Carbohydrate Counting Technique in Hospitalized Patients With Type 2 Diabetes

Diabetes Care: September 23, 2013 OBJECTIVE To compare a modified fixed meal dosing strategy to flexible meal dosing in hospitalized patients with type 2 diabetes. RESEARCH DESIGN AND METHODS Patients (N = 126) with refractory hyperglycemia or requiring at least 20 units of insulin per day were randomly assigned to fixed meal dosing (including withholding the dose if less […]

Reversal of early abnormalities in glucose metabolism in obese youth: results of an intensive lifestyle randomized controlled trial

Diabetes Care: September 23, 2013 Background The childhood obesity epidemic has been accompanied by an increasing prevalence of type 2 diabetes (T2D), particularly in minority children. 20-30% of obese youth have “pre-diabetes” a precursor to diabetes marked by insulin resistance, β-cell dysfunction and impaired glucose tolerance (IGT). The Diabetes Prevention Program (DPP) demonstrated that T2D could be […]

Effect of a cooked meat meal on serum creatinine and estimated glomerular filtration rate in diabetes related kidney disease

Diabetes Care: September 23, 2013 OBJECTIVE Fasting is not routinely recommended for renal function tests, despite the known effects of cooked meat on creatinine. We therefore studied variation in creatinine and estimate glomerular filtration rate (eGFR) following a standardised cooked meat meal in 80 subjects: healthy volunteers, diabetes patients with chronic kidney disease (CKD) stages 1 & […]

Effectiveness of a Community Health Worker–led Diabetes Self-management Education Program and Implications for CHW Involvement in Care Coordination Strategies

SAGE: 9/19/13 Purpose The purpose of this study was to evaluate the effectiveness of a Community Health Worker (CHW)–led diabetes self-management education (DSME) program and to understand how CHWs and primary care providers (PCPs) work together to provide comprehensive diabetes care. Methods A quantitative pre- and postassessment of change in patients’ blood glucose levels (A1C), blood pressure, and […]

Improved Plasma FFA/Insulin Homeostasis Is Independently Associated With Improved Glucose Tolerance After a 1-Year Lifestyle Intervention in Viscerally Obese Men

Diabetes Care: May 21, 2013 OBJECTIVE Elevated plasma free fatty acids (FFAs) are one important link between excess visceral adiposity, insulin resistance, and the development of type 2 diabetes. Effects of lifestyle interventions on FFA metabolism are poorly known. This open-label study was conducted to test the effects of a 1-year healthy eating/physical activity intervention program on […]

Antidepressant Medication as a Risk Factor for Type 2 Diabetes and Impaired Glucose Regulation

Diabetes Care: October 2013 OBJECTIVE Antidepressant use has risen sharply over recent years. Recent concerns that antidepressants may adversely affect glucose metabolism require investigation. Our aim was to assess the risk of type 2 diabetes associated with antidepressants through a systematic review. RESEARCH DESIGN AND METHODS Data sources were MEDLINE, Embase, PsycINFO, The Cochrane Library, Web of Science, […]

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