Optimal diabetes management requires striking a careful balance. Over time, high blood glucose levels impair cardiovascular function, leading to delayed wound healing, heart disease and elevated risk of stroke.
One size doesn’t fit all, even when it comes to deciding which Type 2 diabetes patients would derive cardiovascular benefit from intensive glycemic control.
While it has been obvious for some time that the COVID-19 pandemic would create longer-term health effects, it is only now becoming clearer what some of those might be.
Cardiovascular disease is the No. 1 cause of death for women in the United States, and female veterans are at particular risk.
Diabetes affects one in four veterans—a rate more than double that of the general population. In an effort to improve glycemic control among veterans with diabetes the VA involves clinical pharmacy specialists (CPSs) in medication management, a strategy that has proven beneficial in a studies at a number of centers.
A recent review noted that ketogenic diets, which generally are very low in carbohydrate and very high in fat, have traditionally been employed to treat epileptic disorders, although they have been touted as a therapy for Type 2 diabetes and a range of other health conditions—neurodegenerative diseases, cancer, obesity, heart failure and nonalcoholic fatty liver disease (NAFLD).
Diabetes affects more than 34 million—or nearly 10% of—Americans and is the seventh-leading cause of death in the U.S. The prevalence is even higher among U.S. veterans; approximately 25% of individuals who’ve served in the military have diabetes.
Sodium-glucose cotransporter 2 (SGLT2) inhibitors, a relatively new class of antihyperglycemics, have become an important tool in the treatment of Type 2 diabetes—a disease that affects an estimated 25% of VA patients.
Intensive glycemic control (INT) does not appear to have a protective effect when it comes to required eye procedures in patients with advanced diabetes.
Even though diabetes is a major risk factor for erectile dysfunction, the effect of GLP-1 receptor agonists on erectile dysfunction remains unclear.
Are drugs used to treat overactive bladders a risk factor for development of Type 2 diabetes mellitus (T2DM)?
Sodium-glucose cotransporter 2 (SGLT2) inhibitors significantly reduce deaths from cardiovascular conditions, hospitalizations for heart failure and progression of kidney disease among patients with Type 2 diabetes
While sleep problems are widespread in active-duty U.S. military servicemembers, Army personnel appear to have the most problems.
Incidence rates of lower extremity amputation increased at the VA between 2008 and 2018, and burgeoning rates of diabetes played a role in the trend.
About a third, 34%, of veterans 28% of military healthcare beneficiaries are considered obese.
About 80 million prescriptions are written in the United States each year for metformin.
For veterans with diabetes, managing their numbers has never been more important. While diabetes does not increase the risk of contracting COVID-19,
Like Americans everywhere, veterans have integrated smartphones and wearable devices into many aspects of their lives.
Across the country, diabetes patients have faced extraordinary challenges throughout the pandemic.
Metformin is like a fine red wine: Its appeal continues to grow over time. More than 70 years after its first clinical use in diabetes, the staple of blood glucose control continues to surprise researchers with unexpected benefits in treating COVID-19, cancer and dementia.
For years, diabetes management was primarily concerned with keeping blood sugar from going too high. Now, and especially at the VA, keeping blood glucose from going too low is just as important.
The VA’s new prescribing guidance for continuous glucose monitors significantly expands the number of veterans with diabetes who are eligible for the devices.
Earlier in the COVID-19 pandemic, physicians were often baffled by patients who presented with extremely low levels of oxygen. Although oxygenation was so low it was potentially life-threatening in some cases, patients showed no obvious difficulty in breathing.
BOSTON—Can the five- and 10-year life expectancy of older diabetes patients be predicted by history of co-morbid health conditions and medication? A new study suggested it can. The VA Boston Healthcare System-led study suggested that the ability to make such...
BETHESDA, MD—Readmissions following hospitalization for diabetes often occur and are more common in minority patients, who experience greater rates of complications and lower quality healthcare compared to white patients. A study in Military Medicine examined...
Devices Allow Remote Monitoring of Blood Glucose Levels ATLANTA—A silver lining in the dark cloud of the COVID-19 pandemic might be that healthcare systems have been forced to reconsider many processes, especially those involving close contact with patients. According...
NEW HAVEN, CT—A year ago the VA announced it had eliminated chronic infections with hepatitis C virus in all veterans willing and able to be treated. More than 100,000 veterans achieved sustained virological response or a cure with the help of direct-acting antivirals...
At one point, intensive glycemic control was seen as a magic bullet to keep Type 2 diabetes patients from developing cardiovascular disease. That approach faded, however, when VA research cautioned that any benefits of intensive therapy must be weighed against adverse effects such as hypoglycemia and weight gain. Now the focus has shifted to better medication selection, with guidelines suggesting that, for Type 2 diabetes patients who have cardiovascular disease or are at high risk for it, therapy including an SGLT-2 inhibitor or GLP-1 RA should be considered as optimal treatment.
BOSTON — About 10% of older veterans discharged from VAMCS had their diabetes medication intensified, even though half of them were unlikely to benefit because either they already had reached their blood glucose goals or had limited life expectancy.
MORGANTOWN, WV—Dipeptidyl peptidase (DPP)-4 inhibitors appear to be associated with joint pain in older veterans who receive care at the VHA but also are Medicare beneficiaries, according to a new study. The report in American Health Drug Benefits pointed out that...