Scott J. Jacober, D.O., and James R. Sowers, M.D.
Significant hyperglycemia in a person with diabetes can impair wound healing, cause dehydration and electrolyte imbalances, and predispose to infection or ketoacidosis. The authors explain how to predict and prevent perioperative hyperglycemia—and hypoglycemia—to achieve better surgical outcomes.
Surgery and hospital care
Mary F. Carroll, M.D., and Mark R. Burge, M.D.
Despite the health benefits of tight blood glucose control, only 44% of people with diabetes check their blood glucose levels at least once a day. The authors describe current guidelines, patients’ barriers to self-monitoring, and what health-care providers can do to encourage their patients’ self-monitoring.
Equipment — Glucose meters
Education — Self-management strategies
Management strategies and tools — Strategies for glycemic control
William H. Polonsky, Ph.D., C.D.E., and Christopher G. Parkin, M.S.
Often unrecognized, depressive disorders affect about 30% of people with diabetes—twice the rate of those who don’t have diabetes—and can lead to hyperglycemia, long-term health complications, and even suicide. This article presents information that will help you to detect and treat depression in your patients with diabetes.
Complications and comorbidities — Depression
Management strategies and tools — Psychosocial issues
Janis Bridge, M.D., and Irl B. Hirsch, M.D.
Most people with diabetes will develop some degree of retinopathy, and 5% will have vision loss. Find out which of your patients with vision problems should be screened for anemia as well as for elevated lipid, urine protein, and glycosylated hemoglobin levels—and why.
Complications and comorbidities — Retinopathy
Daniel L. Lorber, M.D.
Dr. Lorber reflects on the terrorist acts of September 11 and the recent anthrax attacks and finds some surprising connections between these events and diabetes.