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Volume 21, Number 4 (December)


Identifying and Treating African-Americans with Diabetes and Low Health Literacy (pages 7-13)

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 populationsAfrican-Americans
EducationHealth literacy

Position Statement: Insulin Administration (pages 14-21)

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.
Professional guidelines
Drug treatmentInsulin

Differential Diagnosis of Reactive Hypoglycemia (pages 22-29)

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 comorbiditiesReactive hypoglycemia

Clinical Controversies in Diabetes: Sulfonylureas and Postprandial Glucose Control (pages 33-35)

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 treatmentSulfonylureas

Insulin Analog Mixes in the Management of Type 2 Diabetes Mellitus (pages 36-43)

Arturo R. Rolla, M.D.

Insulin analog premixes offer several advantages over the older premixes of human insulinŲ”dvantages 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 treatmentInsulin

Alternative Site Testing (pages 48-49)

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.
EquipmentGlucose meters