Glucose Control in Hospitalized Patients - American Family Physician
May 1, 2010 - Evidence indicates that hospitalized patients with hyperglycemia do not benefit from tight blood glucose control. Maintaining a blood glucose level of less than 180 mg per dL (9.99 mmol per L) will minimize symptoms of hyperglycemia and hypoglycemia without adversely affecting ...
American Family Physician : Article
https://www.aafp.org/afp/2010/0501/p1121.html
Glucose Management in Hospitalized Patients - American Family Physician
Nov 15, 2017 - Glucose management in hospitalized patients poses challenges to physicians, including identifying blood glucose targets, judicious use of oral diabetes mellitus medications, and implementing appropriate insulin regimens. Uncontrolled blood glucose levels can lead to deleterious effects ...
American Family Physician : Article
https://www.aafp.org/afp/2017/1115/p648.html
Glycemic Control in Hospitalized Patients Not in Intensive Care: Beyond Sliding-Scale ...
May 1, 2010 - Glycemic control in hospitalized patients who are not in intensive care remains unsatisfactory. Despite persistent expert recommendations urging its abandonment, the use of sliding-scale insulin remains pervasive in U.S. hospitals. Evidence for the effectiveness of sliding-scale insulin...
American Family Physician : Article
https://www.aafp.org/afp/2010/0501/p1130.html
Home Monitoring of Glucose and Blood Pressure - American Family Physician
Jul 15, 2007 - Home monitoring of blood glucose and blood pressure levels can provide patients and physicians with valuable information in the management of diabetes mellitus and hypertension. Home monitoring allows patients to play an active role in their care and may improve treatment adherence and ...
American Family Physician : Article
https://www.aafp.org/afp/2007/0715/p255.html
Hyperosmolar Hyperglycemic State - American Family Physician
Dec 1, 2017 - Hyperosmolar hyperglycemic state is a life-threatening emergency manifested by marked elevation of blood glucose and hyperosmolarity with little or no ketosis. Although there are multiple precipitating causes, underlying infections are the most common. Other causes include certain ...
American Family Physician : Article
https://www.aafp.org/afp/2017/1201/p729.html
Hyperosmolar Hyperglycemic State - American Family Physician
May 1, 2005 - Hyperosmolar hyperglycemic state is a life-threatening emergency manifested by marked elevation of blood glucose, hyperosmolarity, and little or no ketosis. With the dramatic increase in the prevalence of type 2 diabetes and the aging population, this condition may be encountered more ...
American Family Physician : Article
https://www.aafp.org/afp/2005/0501/p1723.html
Impaired Glucose Tolerance and Impaired Fasting Glucose - American Family Physician
Apr 15, 2004 - Impaired glucose tolerance and impaired fasting glucose form an intermediate stage in the natural history of diabetes mellitus. From 10 to 15 percent of adults in the United States have one of these conditions. Impaired glucose tolerance is defined as two-hour glucose levels of 140 to ...
American Family Physician : Article
https://www.aafp.org/afp/2004/0415/p1961.html
Insulin Lispro: A Fast-Acting Insulin Analog - American Family Physician
Jan 15, 1998 - Research has established the importance of maintaining blood glucose levels near normal in patients with type 1 (insulin-dependent) diabetes mellitus. Short-acting insulin analogs are designed to overcome the limitations of regular short-acting insulins. Compared with regular human ...
American Family Physician : Article
https://www.aafp.org/afp/1998/0115/p279.html
Insulin Management of Type 2 Diabetes Mellitus - American Family Physician
Jul 15, 2011 - Insulin therapy is recommended for patients with type 2 diabetes mellitus and an initial A1C level greater than 9 percent, or if diabetes is uncontrolled despite optimal oral glycemic therapy. Insulin therapy may be initiated as augmentation, starting at 0.3 unit per kg, or as ...
American Family Physician : Article
https://www.aafp.org/afp/2011/0715/p183.html
Insulin Resistance Syndrome - American Family Physician
Mar 15, 2001 - Insulin resistance can be linked to diabetes, hypertension, dyslipidemia, cardiovascular disease and other abnormalities. These abnormalities constitute the insulin resistance syndrome. Because resistance usually develops long before these diseases appear, identifying and treating ...
American Family Physician : Article
https://www.aafp.org/afp/2001/0315/p1159.html
Insulin Therapy for Type 2 Diabetes: Rescue, Augmentation, and Replacement of Beta-Cell...
Aug 1, 2004 - Type 2 diabetes is characterized by progressive beta-cell failure. Indications for exogenous insulin therapy in patients with this condition include acute illness or surgery, pregnancy, glucose toxicity, contraindications to or failure to achieve goals with oral antidiabetic ...
American Family Physician : Article
https://www.aafp.org/afp/2004/0801/p489.html
Management of Blood Glucose in Type 2 Diabetes Mellitus - American Family Physician
Jan 1, 2009 - Evidence-based guidelines for the treatment of type 2 diabetes mellitus focus on three areas: intensive lifestyle intervention that includes at least 150 minutes per week of physical activity, weight loss with an initial goal of 7 percent of baseline weight, and a low-fat, ...
American Family Physician : Article
https://www.aafp.org/afp/2009/0101/p29.html
Management of Blood Glucose with Noninsulin Therapies in Type 2 Diabetes - American ...
Jul 1, 2015 - A comprehensive, collaborative approach is necessary for optimal treatment of patients with type 2 diabetes mellitus. Treatment guidelines focus on nutrition, exercise, and pharmacologic therapies to prevent and manage complications. Patients with prediabetes or new-onset diabetes ...
American Family Physician : Article
https://www.aafp.org/afp/2015/0701/p27.html
Management of Diabetic Ketoacidosis - American Family Physician
Aug 1, 1999 - Diabetic ketoacidosis is an emergency medical condition that can be life-threatening if not treated properly. The incidence of this condition may be increasing, and a 1 to 2 percent mortality rate has stubbornly persisted since the 1970s. Diabetic ketoacidosis occurs most often in ...
American Family Physician : Article
https://www.aafp.org/afp/1999/0801/p455.html
Management of Gestational Diabetes Mellitus - American Family Physician
Nov 1, 2003 - Gestational diabetes mellitus is a common but controversial disorder. While no large randomized controlled trials show that screening for and treating gestational diabetes affect perinatal outcomes, multiple studies have documented an increase in adverse pregnancy outcomes in patients ...
American Family Physician : Article
https://www.aafp.org/afp/2003/1101/p1767.html
Management of Hospitalized Patients with Type 2 Diabetes Mellitus - American Family ...
Mar 1, 1998 - Subopitmal glycemic control in hospitalized patients with type 2 (non-insulin-dependent) diabetes mellitus can have adverse consequences, including increased neurologic ischemia, delayed wound healing and an increased infection rate. Poor glycemic control can also affect the outcome of ...
American Family Physician : Article
https://www.aafp.org/afp/1998/0301/p1079.html
Management of the Hyperosmolar Hyperglycemic Syndrome - American Family Physician
Oct 1, 1999 - Hyperglycemic hyperosmolarity is part of a clinical spectrum of severe hyperglycemic disorders ranging from pure hyperglycemic hyperosmolarity without ketosis to diabetic ketoacidosis, with significant overlap in the middle. From 50 to 75 percent of hospitalizable patients who have ...
American Family Physician : Article
https://www.aafp.org/afp/1999/1001/p1468.html
Management of Type 2 Diabetes in Youth: An Update - American Family Physician
Sep 1, 2007 - Although type 1 diabetes historically has been more common in patients eight to 19 years of age, type 2 diabetes is emerging as an important disease in this group. Type 2 diabetes accounts for 8 to 45 percent of new childhood diabetes. This article is an update from the National ...
American Family Physician : Article
https://www.aafp.org/afp/2007/0901/p658.html
Metabolic Syndrome: Time for Action - American Family Physician
Jun 15, 2004 - The constellation of dyslipidemia (hypertriglyceridemia and low levels of high-density lipoprotein cholesterol), elevated blood pressure, impaired glucose tolerance, and central obesity is identified now as metabolic syndrome, also called syndrome X. Soon, metabolic syndrome will ...
American Family Physician : Article
https://www.aafp.org/afp/2004/0615/p2875.html
Oral Agents in the Management of Type 2 Diabetes Mellitus - American Family Physician
May 1, 2001 - Despite exhaustive efforts to better manage patients with type 2 diabetes mellitus (formerly known as non-insulin-dependent diabetes mellitus), attempts at maintaining near normal blood glucose levels in these patients remains unsatisfactory. This continues to pose a real challenge to ...
American Family Physician : Article
https://www.aafp.org/afp/2001/0501/p1747.html
Oral Pharmacologic Management of Type 2 Diabetes - American Family Physician
Dec 1, 1999 - Epidemiologic and interventional studies have led to lower treatment targets for type 2 diabetes (formerly known as non-insulin-dependent diabetes), including a glycosylated hemoglobin level of 7 percent or less and a before-meal blood glucose level of 80 to 120 mg per dL (4.4 to 6.7 ...
American Family Physician : Article
https://www.aafp.org/afp/1999/1201/p2613.html
Perioperative Management of Diabetes - American Family Physician
Jan 1, 2003 - Maintaining glycemic and metabolic control is difficult in diabetic patients who are undergoing surgery. The preoperative evaluation of all patients with diabetes should include careful screening for asymptomatic cardiac or renal disease. Frequent self-monitoring of glucose levels is ...
American Family Physician : Article
https://www.aafp.org/afp/2003/0101/p93.html
Pharmacologic Management of Hypertension in Patients with Diabetes - American Family ...
Dec 1, 2008 - Hypertension is a common comorbidity in patients with diabetes, and adequate control of blood pressure significantly reduces the risk of macrovascular and microvascular complications. Patients with diabetes should achieve a target blood pressure of less than 130/80 mm Hg. The use of ...
American Family Physician : Article
https://www.aafp.org/afp/2008/1201/p1277.html
Recognition and Management of Hereditary Hemochromatosis - American Family Physician
Mar 1, 2002 - Hereditary hemochromatosis is the most common inherited single-gene disorder in people of northern European descent. It is characterized by increased intestinal absorption of iron, with deposition of the iron in multiple organs. Previously, the classic description was combined diabetes ...
American Family Physician : Article
https://www.aafp.org/afp/2002/0301/p853.html
Reducing Cardiovascular Disease Risk in Patients with Type 2 Diabetes: A Message from ...
Oct 15, 2003 - Cardiovascular disease is responsible for 65 percent of deaths in persons with type 2 diabetes. However, awareness of cardiovascular disease risk factors among patients with diabetes remains low, resulting in missed opportunities to lower risks for coronary events and strokes. The ...
American Family Physician : Article
https://www.aafp.org/afp/2003/1015/p1569.html