Endocrine System Diseases Commons^™

Double Diabetes: The Search For A Treatment Paradigm In Children And Adolescents, Benjamin U. Nwosu

Endocrinology/Diabetes

Discusses double diabetes -- the coexistence of features of both type 1 and type 2 diabetes in the same individual -- with a comprehensive discussion of the various aspects of this disorder and a focus on the search for a treatment paradigm in children and adolescents.

Association Of Acculturation And Country Of Origin With Self-Reported Hypertension And Diabetes In A Heterogeneous Hispanic Population, Fatima Rodriguez, Leroi S. Hicks, Lenny Lopez

Open Access Articles

BACKGROUND: Hispanics are the fasting growing population in the U.S. and disproportionately suffer from chronic diseases such as hypertension and diabetes. Little is known about the complex interplay between acculturation and chronic disease prevalence in the growing and increasingly diverse Hispanic population. We explored the association between diabetes and hypertension prevalence among distinct U.S. Hispanic subgroups by country of origin and by degree of acculturation.

METHODS: We examined the adult participants in the 2001, 2003, 2005, and 2007 California Health Interview Survey (CHIS). Using weighted logistic regression stratified by nativity, we measured the association between country of origin ...

Adherence To Type 2 Diabetes Treatment, Micah F. Bernard, Jessica A. Ward, Nicholas A. Rudy, Casey A. Nelson, Lia G. Hickinbotham, Phillip L. Thornton

The Research and Scholarship Symposium

No abstract provided.

Double Diabetes: The Evolving Treatment Paradigm In Children And Adolescents, Benjamin U. Nwosu

Endocrinology/Diabetes

The global pandemic of obesity in children and adolescents has resulted in a new expression of diabetes mellitus designated as double diabetes. The entity encompasses the autoimmune load of Type 1 Diabetes and the metabolic load of Type 2 Diabetes. There is no consensus on the best therapeutic modality for this new expression of diabetes mellitus. Optimal therapeutic options must address the coexistence of both metabolic and autoimmune components of diabetes mellitus in the patient. There have also been calls to revise the current classification of diabetes mellitus to take into account the surging prevalence of double diabetes in children ...

Evidence Based Adolescent Type 2 Diabetes Prevention, Susan Henley, Abby Jane Toburen, Lauren Howsden

Pharmacy and Nursing Student Research and Evidence-Based Medicine Poster Session

Type 2 Diabetes (T2DM) is a growing problem in the pediatric population. Contributing factors are poor nutrition, lack of education, and decrease in exercise. The purpose of this study is to determine the best interventions to prevent T2DM in children.

Review Of Non-Invasive And Non-Pharmacological Interventions For The Prevention Of Gestational Diabetes Mellitus, Marcia Pinkerton, Chelsea Powell

Pharmacy and Nursing Student Research and Evidence-Based Medicine Poster Session

Gestational Diabetes Mellitus (GDM) affects around 7% of pregnant women in America. Prevalence is increasing just as obesity is in the general population. Adverse effects of GDM for both mother and baby include the mother having a greater chance of needing C-section, preterm delivery, and hypoglycemia, and, for the newborn, hypoglycemia. Both have greater risk of developing Type 2 Diabetes Mellitus. The purpose of this study is to review the evidence for the most effective non-invasive and non-pharmacological interventions to reduce GDM.

Medication Intensification In Diabetes In Rural Primary Care: A Cluster-Randomised Effectiveness Trial, Katherine L. Billue, Monika M. Safford, Amanda H. Salanitro, Thomas K. Houston, William Curry, Yongin Kim, Jeroan J. Allison, Carlos A. Estrada

Quantitative Health Sciences Publications and Presentations

OBJECTIVE: To determine the effectiveness of a provider-based intervention to improve medication intensification among patients with diabetes. DESIGN: Effectiveness cluster-randomised trial. Baseline and follow-up cross-sections of diabetes physicians' patients.

SETTING: Eleven U.S. Southeastern states, 2006-2008.

PARTICIPANTS: 205 Rural primary care physicians, 95 completed the study.

INTERVENTION: Multicomponent interactive intervention including web-based continuing medical education (CME), performance feedback and quality improvement tools.

PRIMARY OUTCOME MEASURES: Medication intensification, a dose increase of an existing medication or the addition of a new class of medication for glucose, blood pressure and lipids control on any of the three most recent office visits.

RESULTS ...

Implementation Of A Coordinated Care Clinical Education And Practice Model To Promote Health: The Interprofessional Diabetes Clinic, Carole A. Timpone

Health and Interprofessional Practice

This paper describes the design and evaluation of an interprofessional clinic that prepares students for future healthcare delivery, while serving the needs of a growing diabetic population via improved access and coordination of quality team-based services, in a convenient, efficient, and culturally sensitive patient-centered environment.

Representing Optometry, Dental Health Science, Occupational Therapy, Physical Therapy, Psychology, Physician Assistant Studies, and Pharmacy, 25 faculty providers and 84 professional students volunteered to attend a monthly Interprofessional Diabetes Clinic (IDC) during its first year. Patient care was followed by an interprofessional case management conference. The bilingual Patient Care Coordinator facilitated navigation of the predominantly ...

Determinants Of Racial/Ethnic Disparities In Incidence Of Diabetes In Postmenopausal Women In The U.S.: The Women's Health Initiative 1993-2009, Yunsheng Ma, James R. Hebert, Joann E. Manson, Raji Balasubramanian, Simin Liu, Michael J. Lamonte, Chloe E. Bird, Judith K. Ockene, Yongxia Qiao, Barbara C. Olendzki, Kristin L. Schneider, Milagros C. Rosal, Deidre M. Sepavich, Jean Wactawski-Wende, Marcia L. Stefanick, Lawrence S. Phillips, Ira S. Ockene, Robert C. Kaplan, Gloria E. Sarto, Lorena Garcia, Barbara V. Howard

Preventive and Behavioral Medicine Publications and Presentations

OBJECTIVE: To examine determinants of racial/ethnic differences in diabetes incidence among postmenopausal women participating in the Women's Health Initiative.

RESEARCH DESIGN AND METHODS: Data on race/ethnicity, baseline diabetes prevalence, and incident diabetes were obtained from 158,833 women recruited from 1993-1998 and followed through August 2009. The relationship between race/ethnicity, other potential risk factors, and the risk of incident diabetes was estimated using Cox proportional hazards models from which hazard ratios (HRs) and 95% CIs were computed.

RESULTS: Participants were aged 63 years on average at baseline. The racial/ethnic distribution was 84.1% non-Hispanic white ...