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Volume 31, Number 3 (September/October)

Simplified Insulin Chart for Intensive Insulin Therapy (pages 10–15)

Terri Ryan, R.D., C.D.E.

Since intensive insulin therapy is intended to mimic the body’s natural production of insulin, it requires both basal, or long-acting, insulin and bolus, or rapid-acting, insulin. Ryan here outlines how an insulin chart works and how it can help patients achieve better control over their condition.
Drug treatmentInsulin

Continuous Subcutaneous Insulin Infusion Versus Multiple Daily Injections (pages 16–21)

Eugenia Caternor, M.S.N., F.N.P.-C., Debbie Griffin, M.S.N., F.N.P.-C., and Cherie Howk, Ph.D., F.N.P.-B.C.

Continuous subcutaneous insulin infusion (CSII) is an alternative to multiple daily injections (MDI) that may help patients achieve better glycemic control with fewer hypoglycemic events. Evidence indicates that patients with Type 1 diabetes treated with CSII show a greater reduction in HbA1c than those treated with MDI, and the number of patients using CSII is growing rapidly. This article reviews the evidence on the use of CSII and offers recommendations for incorporating it into clinical practice.
Drug treatmentInsulin

The Patient-Centered Medical Home: Benefits for Patients with Diabetes and Role of the Diabetes Educator (pages 22–26)

Cecilia Sauter, M.S., R.D., C.D.E., and Ann Constance, M.A., R.D., C.D.E.

The patient-centered medical home (PCMH) takes a team approach to providing preventive services, treatment of acute and chronic illnesses, and end-of-life care. This model has become a useful approach for providing care for diabetes patients. This article outlines the role of the diabetes educator in PCMH.

Should We Ban “Super-Sized” Drinks? What We Can Learn from the TODAY Study (pages 28–29)

Charles A. Reasner, M.D.

New York City Mayor Michael Bloomberg, citing the nationwide obesity crisis, wants to ban large-size sodas, energy drinks, and presweetened iced teas from being sold in various venues. In this Commentary, Dr. Reasner explains that he fears this approach will not change matters and talks about the role of the desire to change in weight loss.
Management strategies and toolsPsychosocial issues