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Many of the laboratory tests routinely ordered for patients with diabetes mellitus in the outpatient setting are of more limited use in the hospitalized patient. However, the hospital is certainly a place for opportunistic diabetes diagnosis, and laboratory monitoring for effects of therapy is essential.
In 2008, the Centers for Disease Control and Prevention (CDC) estimated that 24 million people in the United States had diabetes mellitus, constituting nearly 8% of the population. The CDC further estimated that 57 million individuals were affected by prediabetes, and approximately 10% of those with prediabetes will progress to diabetes each year. Because of this large population of individuals who...
Oral and injectable non-insulin antidiabetic medications are important components of outpatient management of type 2 diabetes. They are effective and safe for plasma glucose. However, even when patients have good glycemic control at home on these medications, it is essential to evaluate their safety and utility for the management of inpatient hyperglycemia. Factors that govern glucose stability are...
Many questions come through the diabetes management service pager at our institution. This chapter discusses some frequently asked questions and recommended strategies for management of common situations. This discussion provides focused recommendations; further details about many topics can be found in their respective chapters.
Hypoglycemia is the primary limiting factor for achieving optimal glucose control for patients both in and out of the hospital. Certainly, concerns about hypoglycemia are warranted given the acute danger of hypoglycemia as well as the potential for long-term sequelae. Although diabetes may be only one of many comorbidities for patients admitted to the hospital, practical measures can be taken that...
Glycemic Control in the Hospitalized Patient: A Comprehensive Clinical Guide is a unique, practical resource for health care providers dealing with hyperglycemia in the inpatient setting. Outlining a hands-on approach used by the Duke University Inpatient Diabetes Management team, the book discusses a wide range of scenarios that occur while treating patients with hyperglycemia, including challenging...
Examine primary care physicians’ use of counseling techniques when treating overweight and obese patients and the association with mediators of behavior change as well as change in nutrition, exercise, and weight loss attempts.We audio recorded office encounters between 40 physicians and 461 patients. Encounters were coded for physician use of selected counseling techniques using the Motivational...
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