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Volume 24, Number 3 (September)

Diagnosis and Treatment of Diabetic Cardiomyopathy (pages 6-10)

Harvey L. Katzeff, M.D.

Diabetic cardiomyopathy is the name given to the syndrome of impaired cardiac contractility or congestive heart failure with left ventricular hypertrophy, but without coronary artery disease. This syndrome occurs in both Type 1 and Type 2 diabetes. Dr. Katzeff explains the characteristics of this distinct syndrome and covers its diagnosis, treatment, and possible prevention.
Complications and comorbiditiesCardiovascular disease

Screening for Asymptomatic Coronary Artery Disease in Diabetes (pages 12-17)

Samuel Engel, M.D.

Cardiovascular disease is estimated to account for 80% of mortality in people with diabetes, 75% of which is due to coronary artery disease. Dr. Engel looks at the role of asymptomatic coronary disease in mortality in diabetes, with a focus on the recent Detection of Ischemia in Asymptomatic Diabetics (DIAD) study, which shows that the standard guidelines for screening clearly do not identify a huge portion of people with this problem.
Complications and comorbiditiesCardiovascular disease

Anger, Fear, and Frustration (pages 18-21)

Robert M. Anderson, Ed.D., and Martha M. Funnell, M.S., R.N., C.D.E.

People with diabetes and their health-care providers agree that psychosocial concerns can have a seriously negative impact on daily self-management, but practitioners often lack the means to address these concerns. The authors have created a tool to meet that need, the Diabetes Concerns Assessment Form, which can be conveniently administered before an office visit or in a group-education setting.
Management strategies and toolsPsychosocial issues

Rethinking Metformin (pages 22-25)

Daniel L. Lorber, M.D.

After a decade of experience with metformin, the Editor reexamines the initial concerns over the occurrence of lactic acidosis while using this drug and concludes that it is time for the FDA to consider liberalizing the guidelines for its use.
Drug treatmentMetformin

When Disaster Strikes (pages 31-32)

Martha M. Funnell, M.S., R.N., C.D.E.

Everyone with diabetes needs to have a plan and an “emergency kit” in place in case of disaster. The author outlines a plan to help your patients think about and prepare for such emergencies.