Diabetes

This case study highlights the need for a multidisciplinary approach for patient-targeted management in severe refractory cases of hypoglycemia in individuals with type 1 diabetes mellitus on insulin therapy. Key Points Hypoglycemia is a common complication of insulin therapy that increases the risk of developing cognitive impairment, cardiovascular complications, and hypoglycemia unawareness. There are no...

Despite its rarity, this case of insulin allergy in gestational diabetes mellitus highlights the importance of its prompt recognition to ensure the safety of the mother and fetus. Key Points Most hypersensitivity reactions to insulin or its additives are immunoglobulin E (IgE)-mediated type I reactions. These allergic reactions occur with a relatively low frequency of...

While modern insulins and purification techniques have reduced the incidence of allergic reactions, some patients still experience them. This case highlights the success of Rituximab, a new approach, for a patient with severe and persistent reactions. Key Points: Before the 1970s, allergic reactions to insulin were quite common because of impurities found in insulin preparations...

Caps are associated with reduction in insulin costs, mainly driven by patients enrolled in health savings accounts Insulin out-of-pocket (OOP) cost caps are associated with a reduction in insulin OOP costs, but no increase in insulin use, according to a study published online March 26 in the Annals of Internal Medicine. Laura F. Garabedian, Ph.D., M.P.H.,...

This randomized controlled trial demonstrated a lack of any significant differences in changes in cardiovascular disease risk factors (blood pressure and lipid levels) and weight loss among African Americans randomized to omnivorous or plant-based diets, both emphasizing soul food cuisine. Cardiovascular disease is associated with a higher mortality rate among African Americans than are other...

TUESDAY, Feb. 23, 2021 (HealthDay News) — Patients with type 2 diabetes mellitus (T2DM) have a reduced risk for rheumatoid arthritis (RA), which may be due to statin use, according to a study published online Feb. 16 in Rheumatology. Dawit T. Zemedikun, Ph.D., from the University of Birmingham in the United Kingdom, and colleagues conducted...

MONDAY, March 29, 2021 (HealthDay News) — Psoriasis is associated with an increased risk for thyroid disease among U.S. adults, according to research published online March 16 in the Journal of the American Academy of Dermatology. Jeffrey Liu, from the Keck School of Medicine at the University of Southern California in Los Angeles, and colleagues...

Lowest adjusted risk of switching and highest intensification risk for patients prescribed sufonylureas Most patients with type 2 diabetes initiating antidiabetic medication (ADM) experience treatment modification within one year, according to a study published in the December issue of the American Journal of Managed Care. David T. Liss, Ph.D., from the Northwestern University Feinberg School of...