Mamie C. Montague, Ph.D., F.N.P.-B.C., F.A.A.N.
People with diabetes are expected to do a large amount of self-care. But it your patients do not understand the health education you are providing, they are vulnerable to a number of diabetic complications. The author explains how illiteracy affects care and how to identify and treat your patients who are illiterate so that they can better manage their health.
Diabetes in specific populations — African-Americans
Education — Health literacy
American Diabetes Association
To control blood glucose effectively and avoid hypoglycemia, your patients must have a good understanding of the duration, action, and administration of the insulin they take. Reprinted with the gracious permission of the American Diabetes Association is their Position Statement on insulin administration—including insightful comments from the Editor—that can help you to focus on key points to stress to your patients when insulin use is reviewed periodically.
Drug treatment — Insulin
Christian D. Herter, M.D., C.D.E.
A number of endocrine, psychiatric, gastric, and drug-induced conditions cause or mimic reactive hypoglycemia, an actual but rare medical condition. Correctly discerning whether one of your patients has reactive hypoglycemia or another condition is key to successful treatment and the focus of this article.
Complications and comorbidities — Reactive hypoglycemia
Silvio E. Inzucchi, M.D.
Dr. Inzucchi discusses whether sulfonylureas have been shown to increase cardiac risks and whether current evidence suggests that controlling postprandial glucose levels is more important than maintaining tight control of fasting blood glucose levels.
Drug treatment — Sulfonylureas
Arturo R. Rolla, M.D.
Insulin analog premixes offer several advantages over the older premixes of human insulinءdvantages that contribute to better glycemic control. The author describes how to use an insulin analog premix and how to decide which of your patients might benefit most from using one.
Drug treatment — Insulin
Virginia Peragallo-Dittko, R.N., M.A., C.D.E.
Meters and strips able to use blood from parts of the body other than the fingertips may encourage more frequent testing from people who find pricking their fingertips too painful. This article reviews some of the latest evidence on when alternative site testing is appropriate and how to help your patients obtain the most accurate readings.
Equipment — Glucose meters