David S.H. Bell, M.B., F.A.C.E.
Vitamin D deficiency is associated with both Type 1 and Type 2 diabetes. It is common, easily detected, and readily treated. Dr. Bell defines vitamin D and vitamin D deficiency and considers the causes of the deficiency and who is likely to get it. The author considers the relationships among vitamin D, insulin resistance, and Type 2 diabetes and provides information on the connections between vitamin D deficiency and gestational diabetes, microvascular and macrovascular complications, and diabetic dyslipidemia.
Diet therapy and nutrition
Complications and comorbidities — Cardiovascular disease — Dyslipidemia
Leann Olansky, M.D.
There is an increased incidence of gallbladder disease and acute pancreatitis among patients with diabetes, particularly those with Type 2 diabetes. Some have asserted that glucagon-like peptide–1 (GLP-1) mimetic agents and dipeptidyl peptidase–4 (DPP-4) inhibitors are associated with this heightened risk. Dr. Olansky assesses the literature and considers whether drugs using the incretin pathway are, in fact, responsible for the increase in pancreatitis.
Drug treatment — DPP-4 inhibitors
Drug treatment — Incretin mimetics
Complications and comorbidities — Pancreatitis
Patricia Casey, M.S.N., F.N.P.-B.C., C.D.E.
Traveling presents myriad challenges for the diabetes patient. Ms. Casey reviews self-care strategies to help clinicians prepare their patients for trips, including thorough advice on airplane travel.
Special activities with diabetes — Traveling
Charles A. Reasner, M.D.
The Editor recalls how an older Type 2 diabetes patient stopped taking her statin after reading an Internet blog post claiming statins cause diabetes. The Editor reviews the meta-analysis that the blog post was based on and expresses concern about its methodology.
Drug treatment — Cholesterol-lowering drugs