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Volume 22, Number 3 (September)

Position Statement: Standards of Medical Care for People With Diabetes Mellitus – Part 2 (pages 7-27)

American Diabetes Association

In our last issue, we covered part of the American Diabetes Association’s 2003 Standards of Care dealing with diagnosing diabetes and the principles of diabetes management. in this concluding installment, we cover prevention and management of diabetic complications, preconception care, immunizations, and care of special populations. Also included are the Editor’s comments and the complete list of references for the series.
Complications and comorbidities
Professional guidelines

Of Inuits and Americans (pages 28-32)

Sandip K. Mukherjee, M.D., F.A.C.C., and Eric Golding

Studies have shown omega-3 fatty acids to be useful in the secondary prevention of cardiac events and as reducers of all-cause mortality. The authors detail the studies that support current recommendations for fatty fish and omega-3 supplement intake and how these recommendations can be applied to your patients with diabetes.
Diet therapy and nutrition
Management strategies and toolsComplementary and alternative medicine

The Role of Emotional Distress In Diabetes (pages 34-38)

William H. Polonsky, Ph.D., C.D.E.

Diabetes self-management is a complex regimen that can easily frustrate and overwhelm people with diabetes. Emotional exhaustion can, in turn, lead to poor diabetes control. Dr. Polonsky tells how to identity diabetes burnout and offers five strategies for helping your patients to overcome it.
Management strategies and toolsPsychosocial issues

Treatment of Hypoglycemia (pages 40-41)

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

Is the traditional advice for treating hypoglycemia—eating a “fast-acting carbohydrate” and checking blood glucose levels 15 minutes after treatment—actually appropriate? Ms. Franz presents the evidence and best-supported advice for treating hypoglycemia.
Diet therapy and nutrition
Management strategies and tools

Fish Oils (pages 42-46)

William L. Isley, M.D., and William S. Harris, Ph.D.

Drs. Isley and Harris discuss the use of omega-3 fatty-acid supplements for use by people with diabetes in treating hypertriglyceridemia and as secondary prevention or cardiac events and how to help your patients select appropriate doses of these supplements.
Diet therapy and nutrition
Management strategies and toolsComplementary and alternative medicine