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Volume 23, Number 2 (June)

Psychological Insulin Resistance (pages 6-11)

Mark Peyrot, Ph.D.

Although insulin is a powerful medicine, both physicians and their patients can sometimes be averse to starting insulin therapy. The author reviews some of the fears, misconceptions, and concerns that prevent the more routine use of insulin.
Drug treatmentInsulin
Management strategies and toolsPsychosocial issues

Risk Factors for Cardiovascular Disease in Children with Diabetes (pages 13-18)

Jennifer Miller, M.D., and Janet Silverstein, M.D.

As rates of childhood diabetes climb, so does concern over the future cardiovascular health of these children. The authors present evidence-based treatments to help you care for your young patients with hyperglycemia, hypertension, and hyperlipidemia.
Childhood diabetes
Complications and comorbiditiesCardiovascular disease

The Importance of Ketone Testing (pages 19-26)

Jonathan Burdick, B.S., Sherrie Harris, B.S.N., M.A., C.D.E., and H. Peter Chase, M.D.

Diabetic ketoacidosis (DKA) is the leading cause of death in children with diabetes and can cause serious problems for adults, but families often do not know how to test for ketones and head off DKA. This article will enable you to help your patients detect mild ketonemia at home to prevent hospitalization.
Complications and comorbiditiesDiabetic ketoacidosis

The New Insulin Analogs (pages 28-37)

Alison B. Evert, R.D., C.D.E., and Richard S. Mauseth, M.D.

Traditional insulin regimens can lead to weight gain and nocturnal hypoglycemia. Whether you have patients looking for more flexibility or a transition to or break from an insulin pump, this article will show you how to start patients on a basal-bolus regimen with insulin analogs.
Drug treatmentInsulin

How Low Is Low Enough? (pages 38-39)

Daniel L. Lorber, M.D.

Glycosylated hemoglobin (HbA1c) goals have been set at a variety of levels by a variety of organizations. The Editor reviews the latest HbA1c guideline from the Diabetes Physician Recognition Program and distills the lessons physicians can learn from the various goals and studies to help in their own goal-setting for their patients.
Professional guidelines
Management strategies and toolsHbA1c testing