Clinical Topics


Diabetes

Preventing, Treating Diabetic Foot Ulcers Are Complex Challenges at VA

Some of the risks of diabetic foot ulcers (DFUs) are well-known, including infection and, in the most severe cases, amputation.

Diabetes

Evidence of CV Benefit Influences Diabetes Treatment Recommendations

In a significant change, the American Diabetes Association’s 2018 guidelines advocate use of a glucose-lowering agent with proven cardiovascular benefit or mortality reduction in patients with Type 2 diabetes mellitus (T2DM) and co-morbid cardiovascular disease.

Diabetes

Diabetes Prevalence Higher Among Veterans Than General Population

Overall prevalence of diabetes was 20% for the general U.S. population but nearly 25% for veterans, according to a recent study using data from the National Health and Nutrition Examination Survey (NHANES).

Diabetes

Continuous Glucose Monitoring Highly Effective But Underused in Diabetes

Recent clinical studies have documented why continuous glucose monitors (CGM) can offer significant benefits to patients diagnosed with diabetes.

Diabetes

VHA’s Type 1 Diabetes Telehealth Care Saves Time, Money

About 5% of the United States population has been diagnosed with type 1 diabetes, and the great majority are diagnosed before age 25. Since a diabetes diagnosis prevents enlistment in the military, relatively few veterans have the condition compared to type 2 diabetes, which affects about a fourth of VHA patients.

Diabetes

VHA Data Helps Validate Tool for Hypoglycemia Risk ID

OAKLAND, CA—Data from more than 1.3 million VHA patients was used to help validate a practical tool for identifying people with diabetes who are at the highest risk for being admitted to an emergency department... View Article

Diabetes

Hypoglycemia Common in Hospice Patients Continuing Insulin Treatment

BOSTON—Clinical guidelines recommend relaxing glycemic control target levels for patients with diabetes and advanced disease and eventual discontinuation of medications as patients near death to avoid hypoglycemia. A new study published in JAMA Internal Medicine... View Article

Diabetes

VA Study Shows Kidney Disease Ups Diabetes Risk

LOUIS—For years, research has shown that patients with diabetes have an increased risk of kidney disease. But what about the reverse? A new study published in the journal Kidney International provides evidence that kidney dysfunction... View Article

Diabetes

VA Study Finds Older Medicare Patients Often Are Overtreated for Diabetes

It’s not only the VA that struggles with the balance between just enough treatment of older Type 2 diabetes patients and too much.

Diabetes

Metformin Shows Promise for Increasing NSCLC Survival

BETHESDA, MD—Past research has raised the possibility that a common blood sugar-lowering drug could be associated with improved survival in cancer patients with Type 2 diabetes. A study published recently in the International Journal of Cancer assessed... View Article

Diabetes

Diabetic Foot Ulcers Increase Risk of Falls and Fractures

Diabetic foot ulcers (DFU) have long been known to increase the risk of infection and amputation.

Diabetes

High Glycemic Levels Have ‘Legacy Effect’ Even After Diabetic Patients Start Dialysis

By Annette M. Boyle LONG BEACH, CA—In recent years, the American Diabetes Association and other organizations have recognized that very low glycemic rates do not provide a cardiovascular benefit and might instead increase mortality risk... View Article

Diabetes

Biomarkers Different in Acute HF Patients With, Without Diabetes

How diabetes affects pathophysiological processes among patients with acute heart failure (AHF) is unclear, according to a new study published in the European Journal of Heart Failure.1

Diabetes

Race and Rank: New Study Questions Equal Access to MHS Healthcare

Some Youths More Likely to Get Type 1 Diabetes Technology By Brenda L. Mooney BETHESDA, MD—The U.S. military touts the equal access to healthcare it offers to servicemembers and beneficiaries. Despite that, new research found... View Article

Diabetes

Sickle Cell Trait Skews Hemoglobin A1c Results

Hemoglobin A1c might be underestimating glucose levels in a meaningful percentage of African-American and other patients.

Diabetes

VA Pharmacist-Led Diabetes Clinic Improves Glycemic Control, Reduces Costs

SAN DIEGO — Many veterans drift for years with out-of-control diabetes, despite regular visits with their primary care physician and prescriptions for anti-glycemic agents.

Diabetes

Obesity Raises Diabetes Rates for Veterans, Servicemembers

Obesity and related health issues remain a significant concern for U.S. servicemembers and veterans, according to a new study published in the journal Obesity.

Diabetes

Veterans with HIV Responsive to Standard Diabetes Therapy

With Type 2 diabetes increasingly common in HIV-infected individuals, are standard oral diabetes medications as effective in that population?

Diabetes

Fenofibrate Associated With Reduced CV Disease in Diabetics

Cardiovascular risk is increased in patients with Type 2 diabetes, at least partly because of hypertriglyceridemia and low high-density lipoprotein cholesterol.

Diabetes

VA Offers Pharmacy Staff Free Diabetes Management Certificate Course

A free online certificate course on diabetes made available at the VA and DoD earlier this year already has had more than 550 enrollments and awarded 15 certificates.

Diabetes

VA Finds Diets Allowing More Fat Might Reduce Diabetes, Other Ailments

For 30 years, Americans have focused on reducing fat to lower their risk of diabetes and other chronic diseases.

Diabetes

Telemedicine Allows Army, Indian Health Service to Expand Range of Diabetes Care

To reach the growing number of individuals in their care who have diabetes, both the Army and the Indian Health Service have aggressively adopted telemedicine

Diabetes

Telehealth Found Equally Effective in Lowering Blood Sugar

DENVER—Endocrinology telehealth consultations improved short-term glycemic control as effectively as traditional face-to-face visits in a veteran population with diabetes, according to a new study.The article published in the Journal of Diabetes Science and Technology noted... View Article

Diabetes

CVD Rates Higher in Black Patients With Diabetes, CKD

SEATTLE—Blacks have high rates of cardiovascular disease and mortality, as well as diabetes and chronic kidney disease, and risk factors for cardiovascular mortality in the general population are common among blacks.A report published recently in... View Article

Diabetes

How Treatment Intensification Affects Veterans’ HbA1c

NASHVILLE—How do common type 2 diabetes treatment intensification regimens  at the VA affect glycated hemoglobin (HbA1c) and body mass index (BMI)?A study published recently in the journal BMC Endocrine Disorders sought to answer that question.1A... View Article

Diabetes

Relationship Between AFib, Diabetes Critical to Veteran Care

WASHINGTON—The VA treats about a million veterans for diabetes, nearly one-fourth of its patient population.

Diabetes

Continuous Glucose Monitoring Found Cost-Effective

BALTIMORE — Real-time continuous glucose monitoring (RT-CGM) is cost-effective in diabetes patients, according to a military study.In making that determination, a study team led by Walter Reed National Military Medical Center researchers used evidence from... View Article

Diabetes

Severely Injured Warriors More Likely to Develop Diabetes

TRAVIS Air Force Base, CA — Severity of combat injuries influences the risk of Iraq and Afghanistan war veterans to develop diabetes and other chronic diseases, according to a new study.The report, published recently in... View Article

Diabetes

How Does Serious Hypoglycemia Relate to Atherosclerosis?

PHOENIX — Is serious hypoglycemia associated with progression of atherosclerosis in veterans?An investigation published recently in the journal Diabetes Care sought to answer that question and came up with a mixed answer.1Researchers from the Phoenix... View Article

Diabetes

TZDs Linked to Fewer COPD Exacerbations

Does therapy with a common diabetes drug class decrease the risk of chronic obstructive pulmonary disease exacerbations?

Diabetes

Web Program Promising for Women Vets With Pre-Diabetes

LOS ANGELES — Diabetes prevention is especially important at the VHA where 1 in 4 veterans has the disease, according to a small study citing growing evidence for the use of Web-based diabetes prevention program... View Article

Diabetes

Veterans With Diabetes Benefit From Lowering Both HbA1c, LDL-C

NEW ORLEANS — Most diabetes patients don’t have levels of glycated hemoglobin (HbA1c) and low-density lipoprotein cholesterol (LDL-C) under control, either individually or in combination, according to a new study seeking to determine the value... View Article

Diabetes

Comorbid Mental Disorders Increase VHA Diabetes Costs

CHARLESTON, SC — Costs of treating diabetes increase when patients also have mental health issues, according to a new VHA study.The study, which was published recently in the American Journal of Managed Care, looked at... View Article

Diabetes

Nurse Spearheads Effort to Increase Diabetes Control at CBOC

The Zanesville Community Based Outpatient Clinic is pretty typical when it comes to VA community-based outpatient clinics (CBOCs).

Diabetes

Using New Onset Diabetes to Predict Pancreatic Cancer

LOUIS — New-onset diabetes mellitus (NODM) in adults can be an indicator of pancreatic cancer, although the incidence remains low in that cohort. A new study sought to determine whether other factors could help determine... View Article

Diabetes

Research Suggests Gout Drug Could Lower Diabetes Risk Among Veterans

Could a common drug used for gout lower the risk of diabetes? That’s what a recent study in the journal Clinical Therapeutics endeavored to find out.

Diabetes

Diabetes Overtreatment Continues for Older VA Patients

Some Clinicians Worry More About Malpractice Than HypoglycemiaBy Brenda L. MooneyANN ARBOR, MI — Despite a VA campaign to raise awareness of hypoglycemia and recommendations from the national Choosing Wisely campaign to less aggressively treat... View Article

Diabetes

Long-Acting Insulins Approved by FDA

PLAINSBORO, NJ – Physicians treating diabetes patients have new weapons in their arsenal.The Food and Drug Administration recently approved Tresiba (insulin degludec injection) and Ryzodeg 70/30 (insulin degludec/insulin aspart injection) to improve glucose control in... View Article

Diabetes

Intestinal Bacterial Difference Could Affect Diabetes Risk

SAN DIEGO — Fewer beneficial and more harmful intestinal bacteria appear to exist in African-American men at elevated risk for developing type 2 diabetes, according to a veterans’ study.The research was presented at the ENDO... View Article

Diabetes

Why TZDs Used to Treat Diabetes Also Increase Hunger

AUGUSTA, GA — Thiazolidinediones (TZDs) appear to activate sensors in brain cells diabetes patients, increasing hunger and causing users to gain more body fat, according to a new study.The animal study, published recently in the... View Article

Diabetes

Statins Increase Diabetes Risk 87% in TRICARE Study

Statins Increase Diabetes Risk 87% in TRICARE StudyDALLAS — Even for generally healthy patients, statins substantially increase the risk of developing diabetes.That’s according to a new database study of nearly 26,000 beneficiaries of the Military... View Article

Diabetes

Moderate A1c Reduction Lowers Heart Risks for Veterans With Diabetes

VA Researchers Warn About Too ‘Tight’ Blood-Sugar ControlBy Brenda L. MooneyANN ARBOR, MI — The VA’s balanced approach to glycemic control — keeping blood sugar levels low but not too low — appears to be... View Article

Diabetes

Native Americans, Alaskans More Likely to Have Higher HbA1c Levels

OAKLAND, CA – American Indians and Alaska Natives (AI/AN) are more than twice as likely to have diabetes as non-Hispanic Caucasians, and the prevalence of diabetes in the AI/AN populations has increased by more than... View Article

Diabetes

‘Precision Medicine’ Approach Helps Predict Who Will Develop Diabetes

ANN ARBOR, MI – A new “precision medicine” approach to diabetes prevention uses existing information such as blood sugar levels and waist-to-hip ratios, rather than a genetic test, to determine who has the highest risk... View Article

Diabetes

Black Women Working the Night Shift More Likely to Develop Diabetes

BEDFORD, MA – African-American women who work night shifts are significantly more likely to develop diabetes, and their risk increases the longer they work that schedule. That’s according to a new study published in Diabetolgia,... View Article

Diabetes

New VA Initiative Battles Excesses of ‘Tight Glucose Control’ Trend

Effort Seeks to Reduce Hypoglycemia in Older Veterans WASHINGTON - At the beginning of the 21st century, tight glucose control for patients with type 2 diabetes was all the rage.

Diabetes

Test Strip Overuse Common with Dual Benefits

PITTSBURGH – Veterans who double dip benefits, receiving glucose test strips through both the VA and Medicare, use more strips and are more likely to potentially overuse the measurement devices, according to a new study.... View Article

Diabetes

Insomnia Doubles Risk of Chronic Diseases in Servicemembers

BETHESDA, MD – Chronic insomnia doubles the risk of developing hypertension and type 2 diabetes in servicemembers compared to military personnel who have not been diagnosed with that sleep problem. That’s according to a report... View Article

Diabetes

Mindfulness Training Helps Vets with Diabetes

PITTSBURGH – Veterans who participated in mindfulness training lowered their diabetes-related distress and glucose levels while improving their self-management of the disease, according to a new study. The training included focused breathing and awareness training,... View Article

Diabetes

Air Force Program Helps Prediabetic Patients Battle the Bulge

SAN ANTONIO - For many veterans, leaving the service marks the beginning of a new battle — the constant fight against obesity. Sudden weight gain often accompanies the transition to civilian life, with more than 70% of veterans ending up overweight and at elevated risk of developing diabetes and a complex cascade of related health issues.

               
           

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