Font size: A A

Insulin Journal

VOLUME 1, NUMBER 3

Steven V. Edelman, MD, Derek LeRoith, MD, PhD

Each issue of the journal Insulin covers important aspects related to clinical diabetes mellitus (DM) and its management. The current issue addresses a very important condition called latent autoimmune diabetes in adults (LADA) that is often missed in the clinical setting. The focus here is the presentation of type 1 DM in adults who may have been previously diagnosed and treated as if they had type 2 DM. The article describes the underlying pathophysiology, the clinical presentation, and the treatment of LADA.

In continuing to stress the practical management of our patients with DM, we have invited reviews that address these topics. One such article discusses the role of exercise in improving insulin action—and thereby the prevention of DM. Other articles emphasize approaches to controlling established disease by achieving goal glycosylated hemoglobin levels in patients with type 2 DM and recent advances in insulin delivery devices.

We’ve also included a new feature called “The Question This Issue” with the aim of providing useful clinical answers to treatment-related questions frequently asked by our colleagues in training. In addition, at your request, each patient handout is now also available in Spanish at the journal’s Web site and appears in print as well. We are excited to present this issue of Insulin that supports our efforts to provide the reader with up-to-date information and practical approaches to DM management.

The Impact of Exercise on Insulin Action in Type 2 Diabetes Mellitus: Relationship to Prevention and Control

Sheri R. Colberg, PhD, FACSM

This article focuses on the relationship of exercise and resting glycemia as it relates to type 2 DM prevention and control.

Advances in Insulin Delivery Systems and Devices: Beyond the Vial and Syringe

Thomas Flood, MD

Several advances in insulin delivery systems and devices have been made in recent years. This article summarizes study findings on recent advances and emerging insulin delivery systems in various stages of development.

Achieving Goal Glycosylated Hemoglobin Levels in Type 2 Diabetes Mellitus: Practical Strategies for Success with Insulin Therapy

Satish K. Garg, MD, Heather Ulrich, PharmD, BCPS, CDE

This article discusses various approaches to intensive therapy, focusing on insulin regimens designed to mimic physiologic basal-bolus insulin secretion in type 2 DM, with the goal of helping patients with type 2 DM achieve normal glycemic control.

Latent Autoimmune Diabetes in Adults

Lisa K. Gilliam, MD, PhD, Jerry P. Palmer, MD

Latent autoimmune diabetes in adults (LADA) is a relatively common form of autoimmune diabetes mellitus. This article reviews the available data regarding LADA versus type 1 and type 2 DM, and the role of insulin in treating these diseases.

Insulin Therapy: The Question This Issue

Anuj Bhargava, MD, MBA, CDE, FACP, FACE

Why is the use of sliding-scale insulin so controversial? How do I write a correction scale?

Balancing Exercise and Insulin: What You Need to Know

Nancy Morgan Andreola, RN

Balancing exercise with your insulin needs can be tricky. Here is what you need to know to reap the benefits of exercise and keep your blood glucose in good control.

Jul 2006

Tracy L. Breen, MD, Mount Sinai School of Medicine, New York, New York

A 36-year-old white man with diabetes mellitus (DM) for 4 years presents with persistent hyperglycemia while taking multiple oral agents.

April 2006

Dina Green, MD, Mount Sinai School of Medicine, New York, New York, Jan 01, 2006

A 56-year-old African American man with type 2 diabetes mellitus presented for follow-up.