Physicians’ Corner—The Perfect Storm?
Charles F. Shaefer, Jr.
Twenty percent of LTC admissions are diabetes related, and these numbers threaten to continue rising. Clearly, more patients, fewer providers, and an increasing incidence of diabetes threaten to slam the LTC environment with a devastating perfect storm.
When a Unit of Insulin Is Not a Unit: Detemir Dosing and Insulin
Cost in Type 2 Diabetes Mellitus
Christopher K. Johnson and Mona Shimshi
With increasing age and duration of disease, tight control of blood glucose levels becomes more difficult to maintain. The cost of intensive glycemic control increases the costs of diabetes management. However, this initial investment in tight control is more than offset by the prevention of complications.
Diabetes in the Caribbean: Trouble in Paradise
Michael S. Boyne
Like many developing nations, Caribbean countries are undergoing significant demographic changes. As such, these countries have a double burden of infectious/communicable diseases (eg, HIV/AIDS) and chronic, noncommunicable diseases (especially diabetes), and these diseases are assuming epidemic proportions.
Insulin Therapy for Inpatients With Diabetes: Perceptions of
Resident Physicians From Disparate Geographic Training Programs
Vasundhara Cheekati, Robert C. Osburne, Kimberly A. Jameson, and Curtiss B. Cook
Despite the efforts of national, regional, and professional organizations to develop and disseminate guidelines related to the management of inpatient hyperglycemia, ongoing concern exists about the slow pace at which hospitals are implementing recommendations about glycemic control.
Erectile Dysfunction and Diabetes Mellitus
Konstantinos Hatzimouratidis and Dimitrios Hatzichristou
ED is common in men with DM, who represent one of the most difficult-to-treat subgroups of ED
patients. This article reviews current knowledge on the epidemiology and underlying pathophysiology of ED in
men with DM, diagnostic modalities, and treatment options.
Insulin Therapy: The Question This Issue
Anuj Bhargava
I am a 65-year-old man and have had type 2 diabetes mellitus (DM) for several years. My blood glucose level ranges
from 150 to 350 mg/dL. Should I take insulin?
Responses to January 2009 Case Study
Audrey Chun and Derek LeRoith
This was the case of an 84-year-old woman with type 2 diabetes mellitus and increasingly difficult glycemic control, manifested by elevated glycosylated hemoglobin (A1C) with hypoglycemic episodes.
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