Insulin Journal
VOLUME 5, NUMBER 1

Editorial

Editorial

The Insulin journal is an evolving concept. Whereas many of the articles involve the use of insulin therapy for patients with type 1 or type 2 diabetes mellitus (DM), the mission of the journal is to bring to readers peer-reviewed articles on all topics relevant to our diabetes practices, from basic science to clinical science to practical therapeutics. This issue exemplifies that approach.

The articles in this issue address topics ranging from the occurrence of hypoglycemia in the hospitalized patient and treatment strategies that may prevent iatrogenic hypoglycemia in these patients; to the increased risk of insulin resistance, type 2 DM, and poor cardiovascular outcomes in patients with HIV/AIDS resulting from the metabolic effects of the medications used to treat HIV-1 infection; to the effect of weight loss as a result of bariatric surgery to induce remission of type 2 DM in obese individuals. The case study in this issue addresses an obese patient with HIV and insufficiently controlled type 2 DM.

Two new features have been added to the journal, both of which will add enormous value to the reader. An important topic, namely evidence-based medicine, is being addressed in a new column of that name. This issue brings a brief overview of the topic. This overview of evidence-based medicine is not just an academic exercise but the way we should practice good medicine. It is an in-depth discussion on the importance of evidence-based medicine and decision-making and illustrates how to evaluate the various therapeutic regimens that are commonly used in the treatment of diabetes. The second new feature is a column titled “Your Clinical Practice.” In this issue, the author discusses how to make our diabetes patients’ office visits more productive. It brings to the reader some very practical aspects of clinical practice in the office setting, the common environment where most of our patients are managed.

The editors and project managers of Insulin continue the quest to bring our readers the most practical information possible. We hope that we are reaching that goal and that the information offered in this publication is useful to you in your daily practice.

 

Articles in This Issue

A Note of Thanks

Peer review is the lifeblood of scientific publishing. To maintain the highest standards for the content of manuscripts published in Insulin, we seek independent reviewers from the faculties of medical schools and schools of pharmacy worldwide. Not only are our reviewers asked to provide in-depth reviews, but they are asked to do so within a short period of time.

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Physicians’ Corner—In Search of the Holy Grail? The Quest to Reduce Macrovascular Disease in Type 2 Diabetes Mellitus

Intensive diabetes control based on low glycosylated hemoglobin levels seems to promise the achievement of reduced macrovascular complications—our Holy Grail, but somehow this accomplishment stays just beyond our grasp.

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Evidence-Based Medicine—A Brief Review

Evidence-based medicine is a hot topic for primary care physicians, internists, endocrinologists, and the public. But what exactly is it?

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Your Clinical Practice—Making Our Diabetes Patients’ Office Visits More Productive

If we can consider how we might make even one change to improve our health care procedures, we might also be able to help improve not only the capabilities and skills of each member of our health care teams but also the ability of our patients to engage in effective diabetes self-care.

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A Report from the 45th Annual Meeting of the European Association for the Study of Diabetes

The annual meeting of the European Association for the Study of Diabetes (EASD) is the most important European forum for the exchange of diabetes information. The 45th Annual Meeting of the European Association for the Study of Diabetes (EASD) attracted an estimated 17,000 participants to the Messe Praten Center located in downtown Vienna. Highlighted in this paper are presentations concerning insulin therapy, other therapeutic advances, and analyses of trends in diabetes care.

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Hospital Hypoglycemia: From Observation to Action

Evidence indicates that when treatment of hyperglycemia with insulin is provided for certain hospitalized populations, the attainment of appropriate glycemic targets improves nonglycemic outcomes.

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Increased Risk for Type 2 Diabetes Mellitus With HIV-1 Infection

The proportion of people with HIV-1 infection who have coexisting type 2 diabetes mellitus (DM) is increasing. The higher incidence of type 2 DM in this patient population is associated with increased survival due to advances in HIV treatment, as well as a complex interaction of diabetes risk factors.

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Durable Remission of Diabetes After Bariatric Surgery: What Is the Underlying Pathway?

Full and durable remission of type 2 diabetes mellitus, with major reductions in morbidity and mortality, can be achieved with surgery that reduces contact between food and the foregut.

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Responses to the July 2009 Case Study

This was the case of a 45-year-old woman with insulin-requiring, uncontrolled type 2 diabetes mellitus, well-controlled hypothyroidism, and obesity.

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Letter to the Editors

The writer is concerned about methodologic limitations in the 7 studies included in the analysis of cost-effectiveness of insulin detemir done by Mona Shimshi, MD, and Christopher K. Johnson, MD. Drs. Shimshi and Johnson respond.

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Corrections

Insulin. 2009;4:169–176.

Insulin. 2009;4:136–143.

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Author Index

2009

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Subject Index

2009

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Patient Handouts

Low Blood Sugar (Hypoglycemia)

Low blood sugar can happen quickly. If not treated right away, it can cause a medical emergency. Here are common causes, symptoms to look for, and simple ways to treat it.

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Case Study

January 2010

Emily J. Gallagher
Response submission due date: March 15, 2010

This is the case of a 52-year-old black woman with poorly controlled type 2 diabetes mellitus and HIV infection acquired from a blood transfusion who presents to the office for disease management follow-up.

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All articles have been reviewed by members of our Editorial Board or independent referees.

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Copyright © 2010 Excerpta Medica Inc.
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