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Volume 29, Number 3 (September/October)

Sleeping Away Diabetic Complications (pages 6-9)

Michael T. Ledet, M.D.

Sufficient and high-quality sleep has been shown to reduce the risk of many common complications of diabetes. But for many diabetes patients, this type of sleep is an elusive goal. Dr. Ledet reviews two common sleep problems—sleep apnea and insomnia—and gives practical advice on helping patients overcome them.
Complications and comorbiditiesSleep disorders

The Mediterranean Diet (pages 11-15)

Raquel Franzine Pereira, M.S., R.D., L.D., Gretchen Benson, R.D., L.D., C.D.E., and Jackie L. Boucher, M.S., R.D., L.D., C.D.E.

The Mediterranean diet includes abundant whole grains, fruits, vegetables, beans, and nuts, as well as fish and poultry. As such, it fits well with recommended eating plans for people with diabetes. The authors review the evidence for the Mediterranean diet’s many benefits and suggest ways to help patients with diabetes adopt some of its features.
Diet therapy and nutrition
Management strategies and tools

The ABCs of A1C (pages 16-21)

David Goldstein, M.D.

The A1C test plays a critical role in the care of diabetes patients. In clear detail, Dr. Goldstein reviews the history of the A1C test and addresses its relationship with glucose levels, its relationship with the risk for diabetes complications, the various assay methods, the movement toward standardization, and the test’s usefulness for diagnosis.
Management strategies and toolsHbA1c testing
Management strategies and toolsStrategies for glycemic control

Advanced Lipid Testing (pages 22-26)

Michael Cobble, M.D., A.A.F.P., F.N.L.A., and Jill Sellers, B.S.Pharm., Pharm.D.

Standard lipid tests are essential for detecting underlying risks for cardiovascular disease in diabetes patients, but newer, “advanced” lipid tests may uncover risks missed by the standard tests. Drs. Cobble and Sellers describe how these advanced tests work and suggest ways that they can play a role in the diagnosis and treatment of CVD.
Complications and comorbiditiesCardiovascular diseaseDyslipidemia

Vitamin D and Diabetes (pages 27-28)

Charles A. Reasner, M.D.

Vitamin D has been receiving a lot of attention lately in connection with diabetes. Concerns that low levels of vitamin D are related to the development of diabetes have prompted some to recommend that vitamin D supplementation be used to lower the risk of both Type 1 and Type 2 diabetes. The Editor addresses these issues, focusing on several recent studies that have explored the relationship between vitamin D and diabetes.
Diet therapy and nutrition

Diabetes Care in Tough Economic Times (pages 28-31)

Janet Nicollerat, M.S.N., A.C.N.S.-B.C., A.D.M.-B.C., C.D.E., and Allison Amend Vorderstrasse, D.N.Sc., A.P.R.N.

Diabetes educators must frequently consider how their patients’ financial circumstances affect their ability to manage their diabetes. In a recession, this concern becomes even more pressing. Drs. Nicollerat and Vorderstrasse provide clear and practical advice that educators can give to patients to help them care for their diabetes without emptying their wallet. Their advice focuses on four aspects of diabetes care: nutrition, exercise, medication, and self-management.