HINES, IL—Older age, obesity and Agent Orange exposure create a trifecta of diabetes risk for the VA. Nearly 25% of veterans have diabetes, making efficient and effective management of their care a top concern for... View Article
ATLANTA—Which diabetes patients are most likely to have decompensated diabetes, defined as diabetic ketoacidosis and hyperosmolar hyperglycemic state? A study published in Cureus sought to determine that across age, gender and racial groups of hospitalized... View Article
DURHAM, NC — Diabetes mellitus among older men has been associated with increased bone mineral density but paradoxically increased fracture risk, according to a study in the Journal of Bone and Mineral Research.1 The mechanisms... View Article
ST. LOUIS—Use of metformin for Type 2 diabetes significantly reduces the risk of dementia among African American male veterans older than 50, according to a large observational cohort study. The study published in the Annals... View Article
Other Important VA Studies at the American Diabetes Association 79th Scientific Sessions MIAMI—The first-line drug of choice for Type 2 diabetes, metformin has long been known to effectively reduce blood glucose levels and substantially cut... View Article
ATLANTA—How does a diagnosis of diabetes affect weight management among U.S. veterans? A study in the journal Obesity (Silver Spring) sought to assess weight trends and diabetes prevalence among U.S. veterans.1 Atlanta VAMC researchers and... View Article
SAN DIEGO—When service members leave active duty and receive healthcare in a different setting, care for conditions such as diabetes can suffer. A study in Military Medicine pointed out that changes in healthcare have been... View Article
DURHAM, NC—So-called physician extenders do as good a job as physicians at the VA in helping to achieve good outcomes in diabetes patients, according to a new study. The report in Annals of Internal Medicine... View Article
BALTIMORE, MD—A post-hoc analysis of the Veterans Affairs Diabetes Trial (VADT) once again shines a spotlight on the dangers of hypoglycemia in veterans treated for Type 2 diabetes. The study published in Diabetes Care found... View Article
Some veterans with type 2 diabetes patients can't reach their hemoglobin A1c goal despite using metformin, basal insulin and a sulfonylurea. What should come next?
VA clinicians should exercise caution with use of sulfonylurea in some patients with co-morbid type 2 diabetes and cardiovascular disease, according to new research.
As the VA increases its focus on minimizing hypoglycemia in veterans with type 2 diabetes, it expects that more physicians and veterans will consider using continuous glucose monitors to meet that goal.
A new VA study pointed out why prandial insulin should be used cautiously in older adults with complex comorbidities.
How important is adherence to oral medications in reducing complications for veterans with diabetes?
Air pollution, even at levels technically falling into safe ranges, are associated with an increased risk of diabetes, according to a new study involving VA researchers.
Some of the risks of diabetic foot ulcers (DFUs) are well-known, including infection and, in the most severe cases, amputation.
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.
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).
Recent clinical studies have documented why continuous glucose monitors (CGM) can offer significant benefits to patients diagnosed with diabetes.
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.
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
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
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
It’s not only the VA that struggles with the balance between just enough treatment of older Type 2 diabetes patients and too much.
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
Diabetic foot ulcers (DFU) have long been known to increase the risk of infection and amputation.
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
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
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
Hemoglobin A1c might be underestimating glucose levels in a meaningful percentage of African-American and other patients.
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.
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.
With Type 2 diabetes increasingly common in HIV-infected individuals, are standard oral diabetes medications as effective in that population?
Cardiovascular risk is increased in patients with Type 2 diabetes, at least partly because of hypertriglyceridemia and low high-density lipoprotein cholesterol.
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.
For 30 years, Americans have focused on reducing fat to lower their risk of diabetes and other chronic diseases.
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
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
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
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
WASHINGTON—The VA treats about a million veterans for diabetes, nearly one-fourth of its patient population.
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
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
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
Does therapy with a common diabetes drug class decrease the risk of chronic obstructive pulmonary disease exacerbations?
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
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
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
The Zanesville Community Based Outpatient Clinic is pretty typical when it comes to VA community-based outpatient clinics (CBOCs).
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
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