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Volume 34, Number 3 (September/October)

Breaking Down Barriers in Providing Culturally Appropriate Diabetes Self-Management (pages 7-13)

Britt Rotberg, MS, RDN, LD, CDE, BC-ADM, Rachel Greene, MPH Candidate, Francisco J. Pasquel, MD, Department of Medicine, Rollins School of Public Health, Emory University, Atlanta

Latinos are the largest minority population in the U.S. and, similarly to African Americans, suffer from a higher prevalence of diabetic complications and mortality than non-Hispanic whites. Approximately 12.8% of the Latino population has been diagnosed with diabetes, compared to only 7.6% of non-Hispanic whites. The AADE has created a set of seven guidelines (AADE7) to help both patients and health-care providers maintain successful self-management behaviors. However, there are multiple barriers for Latinos with diabetes, including language, financial, social and cultural factors that explain the health disparities and poor monitoring outcomes between ethnic groups.
Diabetes in specific populations

Farming with Diabetes (pages 14)

S. Dee Jepsen, Associate Professor, State Safety Leader, Agricultural Safety and Health, Food, Agricultural and Biological Engineering, The Ohio State University

Having diabetes changes people’s lives in many ways, but it should not force them to stop farming. Before beginning the work day, a diabetic person must plan the day’s tasks and schedule meals and snacks. Managing both energy level and time are critical for controlling diabetes.
Special activities with diabetes

Journal Watch (pages 15)

This issue launches a new column that highlights recent clinical trial data and landmark clinical trials. The goal is to provide readers with relevant information and links for obtaining clinical trial data and articles to facilitate discussion with patients and other providers. Each trial will be identified by its acronym, its ClinicalTrials.gov Identifier (NCT Number) and its journal reference. A brief summary will be provided related to the primary and secondary outcome results. Periodically, selected abstracts also will be highlighted with a summary of the presentation’s main points. This column features the results of TECOS: A Randomized, Placebo Controlled Clinical Trial to Evaluate Cardiovascular Outcomes after Treatment with Sitagliptin in Patients with Type 2 Diabetes Mellitus and Inadequate Glycemic Control.
Clinical trials

Seasonal Eating: Tailgating at Autumn Sporting Events (pages 16)

As summer ends, we begin deciding what sporting events we will attend in the fall. Attendance often is more than just sitting in the stands watching a game. It may involve a full day of social events and possibly even a weekend of activities. One of the challenges of these weekend activities is remembering to plan your glucose management around the foods that are not part of your typical menu and the activity.
Special activities with diabetes