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Volume 20, Number 4 (December)


Management of Diabetes in Patients Undergoing Surgery (pages 7-14)

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

Compliance with Home Blood Glucose Monitoring Among Patients with Diabetes Mellitus (pages 16-19)

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.
EquipmentGlucose meters
EducationSelf-management strategies
Management strategies and toolsStrategies for glycemic control

Depression in Patients with Diabetes (pages 20-29)

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 comorbiditiesDepression
Management strategies and toolsPsychosocial issues

Anemia (pages 32-34)

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 comorbiditiesRetinopathy

September 11, 2001 (pages 40)

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.