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Volume 21, Number 2 (June)

Hypoglycemia in Elderly Patients Treated With Oral Agents (pages 7-14)

George E. Dailey III, M.D.

Tight control of blood glucose reduces risks for diabetes complications while also raising the risk for hypoglycemia. Older adults with Type 2 diabetes are at even greater risk for hypoglycemia, but tight control is still important. The author explains how newer medicines, used alone or in combination, can decrease the risk of hypoglycemia in elderly patients while achieving good glycemic control.
Drug treatment

Diabetes Nutrition Recommendations for 2002 (pages 15-18)

Marion J. Franz, M.S., R.D., L.D., C.D.E.

The American Diabetes Association Position Statements were revised for 2002 to present graded guidelines based on quality of supporting evidence. The author explains how knowing the new nutrition guidelines can help you make individualized recommendations for your patients.
Diet therapy and nutrition
Management strategies and tools

Hypoglycemia and Driving (pages 20-23)

William L. Clarke, M.D., Daniel J. Cox, Ph.D., Linda A. Gonder-Frederick, Ph.D., and Boris Kovatchev, Ph.D.

Even mild hypoglycemia has been shown to impair reaction time, visuomotor skills, attention and concentration, memory, problem solving, and decision making. These deficits can precipitate preventable accidents. The authors discuss a few simple tips you can share with your patients to help them drive safely by avoiding hypoglycemia.
Special activities with diabetesDriving

The Apples Among Us (pages 23-24)

Daniel L. Lorber, M.D.

Obesity and the risk for the metabolic syndrome are increasing in the United States. Both predispose people to a greater risk of cardiovascular disease and diabetes. The Editor reviews some interventions that have been shown to reduce these risks dramatically, interventions you can use with your patients.
Complications and comorbiditiesObesity

Perioperative and Postoperative Glucose Control (pages 33-39)

Stuart R. Chipkin, M.D., and Harold Lazar, M.D.

People with diabetes tend to have poorer health preoperatively and a greater risk of postoperative complications as well. Despite these problems, a recent study has shown improved survival for patients with diabetes who undergo coronary artery bypass grafting. This article covers blood glucose management and prevention of complications before and alter surgery in patients with diabetes.
Surgery and hospital care
Management strategies and toolsStrategies for glycemic control