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Volume 26, Number 2 (June)

Managing Diet and Obesity in Type 2 Diabetes (pages 6-10)

Amy Campbell, M.S., R.D., L.D.N. C.D.E.

Ms. Campbell explains Joslin’s recently published nutrition guidelines and how Joslin is implementing them as part of a diabetes and weight management program. The results so far are very positive.
Diet therapy and nutrition
Management strategies and tools
Professional guidelines
Complications and comorbiditiesObesity

The Glycemic Index (pages 11-16)

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

This article reviews the controversies and research studies on the use of the glycemic index and the practical implications for patients with diabetes.
Diet therapy and nutrition

Modifying Insulin Resistance to Prevent Stroke (pages 19-23)

Karla Martinez, M.D., Silvio E. Inzucchi, M.D., Catherine Viscoli, Ph.D., and Walter N. Kernan, M.D.

The IRIS (Insulin Resistance Intervention after Stroke) Trial is currently recruiting patients to determine whether reducing insulin resistance as a primary intervention will reduce the incidence of recurrent stroke (and myocardial infarction) outside of any effect on blood glucose control. The authors detail the eligibility criteria and how to apply.
Complications and comorbiditiesCardiovascular disease
Complications and comorbiditiesStroke
Drug treatmentThiazolidinediones

Complementary and Alternative Medicine Use in Diabetes (pages 24-26)

Randy A. Jones, Ph.D., R.N.

Approximately 62% of American adults use some form of complementary or alternative medicine. This article reviews the types used and the safety of these therapies in diabetes.
Management strategies and toolsComplementary and alternative medicine

Dental Issues in Patients With Diabetes (pages 28-31)

Geralyn R. Spollett, M.S.N., A.N.P., C.D.E., and Charles A. Crape, D.M.D.

The authors explain in detail how and why people with diabetes are at increased risk of dental and other oral problems, and how these problems can further increase blood glucose, causing a vicious circle of infection and hypoglycemia.
Complications and comorbiditiesTooth and gum complications

Functional Health Literacy Problems (pages 32-35)

John D. Piette, Ph.D.

Functional health literacy embraces both the need for patients to understand health information and their ability to understand it. The author explains how to address an imbalance between these two factors.
EducationHealth literacy

Happy Birthday, Metformin (pages 34-35)

Charles A. Reasner, M.D.

Metformin was developed in 1957, but because of its unfortunate family history was not cleared for use in the United States until 1994. Dr. Reasner reviews its highly successful history since that time.
Drug treatmentMetformin