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Volume 24, Number 2 (June)

Understanding the Links Between Insulin Resistance, Diabetes, and Cardiovascular Risk (pages 6-14)

Melvin R. Hayden, M.D., and Brian S. McGowan, Ph.D.

Insulin resistance is central to the abnormalities that make up the metabolic syndrome, which is now believed to affect almost a quarter of the population in the United States. Insulin resistance also contributes to dyslipidemia and the production of free radicals. This article gives an overview of the various metabolic imbalances underlying diabetes, which can help you develop a more comprehensive plan for reducing your patients’ cardiovascular risks.
Complications and comorbiditiesCardiovascular diseaseDyslipidemia

Integrating Diabetes Self-Management Into Primary Care (pages 16-22)

Teresa L. Pearson, M.S., R.N., C.D.E., and Jerry D. Meece, R.Ph., F.A.C.A., C.D.E.

A recent study found that less than 12% of people with diabetes met the recommended goals for blood glucose, blood pressure, and cholesterol. Although primary-care physicians have an average of just 15 minutes per patient, studies suggest that diabetes self-management education is worthwhile, improving outcomes while reducing costs and risks for complications. The authors offer suggestions on how to integrate a team approach to diabetes into your practice to help you provide better care with your limited time.
Childhood diabetes
Management strategies and toolsStrategies for glycemic control

Cystic Fibrosis-Related Diabetes (pages 23-29)

Anita Ramsetty, M.D., and Tracey McLaughlin, M.D., M.S.

Medical advances have helped increasing numbers of people with cystic fibrosis (CF) live into adulthood. Consequently, primary-care physicians are more likely to see adults with CF and complications of CF, including CF-related diabetes (CFRD). This article reviews the current best practice guidelines for diagnosing and treating the multiple problems of your patients with CFRD.
Complications and comorbiditiesCystic fibrosis

Gestational Diabetes: Postpartum Follow-up (pages 30-35)

Bernardine C. Henderson, M.S., M.B.A., N.P., C.D.E., M. James Lenhard, M.D., F.A.C.E., F.A.C.P., and Rosemary Cobb, B.S.N., R.N., C.D.E.

Women who develop gestational diabetes are at increased risk of developing it again with future pregnancies, and both mother and child are at increased risk developing Type 2 diabetes. The authors present guidelines for screening, counseling, and monitoring women who develop gestational diabetes and their children to help you reduce their risk or detect diabetes as soon as possible.
Gestational diabetes