Robert J. Chilton, D.O.
Patients with diabetes have considerable risk of cardiovascular disease (CVD); aspirin is often recommended for prevention of CVD. In this article, Dr. Chilton focuses on increased platelet reactivity in diabetes patients and the evidence supporting current guideline recommendations for the use of aspirin in prevention, in concert with lifestyle changes. The author finds it is particularly helpful for patients with intermediate to high risk of developing cardiovascular disease.
Complications and comorbidities — Cardiovascular disease
Stanley Schwartz, M.D., F.A.C.P., F.A.C.E., and Ralph A. DeFronzo, M.D.
Type 2 diabetes is increasing among the American population and its associated microvascular and macrovascular complications result in considerable morbidity and mortality. In this article, Drs. Schwartz and DeFronzo examine the potential benefits of incretin-based therapy with glucagon-like peptide-1 (GLP-1) receptor agonists to improve glycemic control in hospitalized, severely ill diabetic patients. While the authors maintain that optimizing glycemic control while minimizing hypoglycemia is the goal of therapy, they acknowledge that enthusiasm for intensive insulin therapy has diminished. Consequently, the authors outline an alternate pharmacologic approach for treatment of hyperglycemia in critically ill patients.
Surgery and hospital care
Drug treatment — Incretin mimetics
Leigh B. Bak, M.S., R.N., C.D.E.
Ongoing support is critical to successful diabetes self-management. Diabetes educators encourage people with diabetes to realize that their diabetes education is not “done” when they finish a series of classes. In this article, the author discusses the role of recent technological means of receiving and giving support, including blogs and online support communities.
Charles A. Reasner, M.D.
Recent studies have described the relationship between diabetes and dementia. Since there is no cure for dementia, the focus is prevention. And a recent study suggests that chocolate and wine may have preventive effects.
Diet therapy and nutrition