Effective clinical practice, Nov/Dec 2001 highlights

December 20, 2001

1.) Is it Worthwhile to Screen High-Risk Patients for Diabetes?

Screening patients at high risk for diabetes may not be a wise health care expenditure, a new study says. Researchers targeted high-risk patients from three Minnesota clinics for glucose screening. Only 176 of the 469 targeted patients completed the two-step screening program. Screening identified only five new cases of diabetes at a cost of $4,064 per case detected. Thus, screening had a low yield and high cost ("Screening for Diabetes Mellitus in High-Risk Patients: Cost, Yield, and Acceptability," p. 271). An editorial says studies have not yet identified the net benefit of early diabetes diagnosis, or the best screening strategy for the disease ("Finding Undiagnosed Type 2 Diabetes: Is It Worth The Effort?" p. 281).

2.) What's Delaying Patient Discharges? It Depends on Whom You Ask

Nurses at one academic medical center said attending physicians and housestaff were too busy in the mornings to write discharge orders. Attending physicians and housestaff at the same medical center said discharge delays were caused by inadequate staffing, paperwork, or incomplete tests. According to researchers who surveyed the two groups, this hospital could probably reduce discharge delays if it addressed its communication gaps and re-examined its traditional morning routines ("Caregiver Perceptions of the Reasons for Delayed Hospital Discharge," p. 250).

3.) Quality Intervention for Depression Did Not Work in "Real World" Test

A system that encouraged physicians to order one of five new management options for their patients with depression did not work. In this study of a Continuous Quality Improvement (CQI) intervention, patient management options were based on effective new strategies for depression. However, physicians in nine clinics rarely used the system. Patients with depression experienced neither improved care nor improved symptoms after the study ("A CQI Intervention To Change the Care of Depression: A Controlled Study," p. 239). An editorial says a system change is needed to close the gap between the type of care patients can get and the care they do receive ("Quality Improvement Can't Be Optional," p. 278).

American College of Physicians

Related Diabetes Articles from Brightsurf:

New diabetes medication reduced heart event risk in those with diabetes and kidney disease
Sotagliflozin - a type of medication known as an SGLT2 inhibitor primarily prescribed for Type 2 diabetes - reduces the risk of adverse cardiovascular events for patients with diabetes and kidney disease.

Diabetes drug boosts survival in patients with type 2 diabetes and COVID-19 pneumonia
Sitagliptin, a drug to lower blood sugar in type 2 diabetes, also improves survival in diabetic patients hospitalized with COVID-19, suggests a multicenter observational study in Italy.

Making sense of diabetes
Throughout her 38-year nursing career, Laurel Despins has progressed from a bedside nurse to a clinical nurse specialist and has worked in medical, surgical and cardiac intensive care units.

Helping teens with type 1 diabetes improve diabetes control with MyDiaText
Adolescence is a difficult period of development, made more complex for those with Type 1 diabetes mellitus (T1DM).

Diabetes-in-a-dish model uncovers new insights into the cause of type 2 diabetes
Researchers have developed a novel 'disease-in-a-dish' model to study the basic molecular factors that lead to the development of type 2 diabetes, uncovering the potential existence of major signaling defects both inside and outside of the classical insulin signaling cascade, and providing new perspectives on the mechanisms behind insulin resistance in type 2 diabetes and possibly opportunities for the development of novel therapeutics for the disease.

Tele-diabetes to manage new-onset diabetes during COVID-19 pandemic
Two new case studies highlight the use of tele-diabetes to manage new-onset type 1 diabetes in an adult and an infant during the COVID-19 pandemic.

Genetic profile may predict type 2 diabetes risk among women with gestational diabetes
Women who go on to develop type 2 diabetes after having gestational, or pregnancy-related, diabetes are more likely to have particular genetic profiles, suggests an analysis by researchers at the National Institutes of Health and other institutions.

Maternal gestational diabetes linked to diabetes in children
Children and youth of mothers who had gestational diabetes during pregnancy are at increased risk of diabetes themselves, according to new research published in CMAJ (Canadian Medical Association Journal).

Two diabetes medications don't slow progression of type 2 diabetes in youth
In youth with impaired glucose tolerance or recent-onset type 2 diabetes, neither initial treatment with long-acting insulin followed by the drug metformin, nor metformin alone preserved the body's ability to make insulin, according to results published online June 25 in Diabetes Care.

People with diabetes visit the dentist less frequently despite link between diabetes, oral health
Adults with diabetes are less likely to visit the dentist than people with prediabetes or without diabetes, finds a new study led by researchers at NYU Rory Meyers College of Nursing and East Carolina University's Brody School of Medicine.

Read More: Diabetes News and Diabetes Current Events
Brightsurf.com is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com.