There is no standard insulin regimen for treating hyperglycemia in patients receiving continuous enteral tube feeding (TF) in the hospital setting. This study compared the use of regular insulin versus NPH insulin for this purpose. Glucose levels were significantly lower in the regular insulin group than in the NPH insulin group, as were the number of days with hyperglycemia or severe hyperglycemia. There were also fewer insulin injections with regular insulin than with NPH insulin. Thus, use of regular insulin yielded better glycemic control than the use of NPH insulin for covering continuous TF.
{"title":"Regular Insulin Versus NPH Insulin for Continuous Enteral Tube Feeding in Hospitalized Patients.","authors":"Sreevastav Teja Kalangi, Siddidha Mangasai Bokka, Seerat Anand, Rajesh Garg","doi":"10.2337/cd24-0103","DOIUrl":"10.2337/cd24-0103","url":null,"abstract":"<p><p>There is no standard insulin regimen for treating hyperglycemia in patients receiving continuous enteral tube feeding (TF) in the hospital setting. This study compared the use of regular insulin versus NPH insulin for this purpose. Glucose levels were significantly lower in the regular insulin group than in the NPH insulin group, as were the number of days with hyperglycemia or severe hyperglycemia. There were also fewer insulin injections with regular insulin than with NPH insulin. Thus, use of regular insulin yielded better glycemic control than the use of NPH insulin for covering continuous TF.</p>","PeriodicalId":39894,"journal":{"name":"Clinical Diabetes","volume":"43 4","pages":"504-512"},"PeriodicalIF":0.0,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12547051/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145379241","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-04-22eCollection Date: 2025-01-01DOI: 10.2337/cd24-0109
Fatema S Abdulhussein, Isabella Niu, Tina Y Hu, Barbara Liepman, Jenise C Wong
Quality Improvement Success Stories are published by the American Diabetes Association in collaboration with the American College of Physicians and the National Diabetes Education Program. This series is intended to highlight best practices and strategies from programs and clinics that have successfully improved the quality of care for people with diabetes or related conditions. Each article in the series is reviewed and follows a standard format developed by the editors of Clinical Diabetes. The following article describes an effort to improve diabetes-related retinopathy screening and documentation rates in eligible youth seen at an academic pediatric diabetes clinic in San Francisco, CA.
{"title":"Improving Diabetes-Related Retinopathy Screening and Documentation in Youth With Diabetes.","authors":"Fatema S Abdulhussein, Isabella Niu, Tina Y Hu, Barbara Liepman, Jenise C Wong","doi":"10.2337/cd24-0109","DOIUrl":"10.2337/cd24-0109","url":null,"abstract":"<p><p>Quality Improvement Success Stories are published by the American Diabetes Association in collaboration with the American College of Physicians and the National Diabetes Education Program. This series is intended to highlight best practices and strategies from programs and clinics that have successfully improved the quality of care for people with diabetes or related conditions. Each article in the series is reviewed and follows a standard format developed by the editors of <i>Clinical Diabetes</i>. The following article describes an effort to improve diabetes-related retinopathy screening and documentation rates in eligible youth seen at an academic pediatric diabetes clinic in San Francisco, CA.</p>","PeriodicalId":39894,"journal":{"name":"Clinical Diabetes","volume":"43 4","pages":"597-602"},"PeriodicalIF":0.0,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12547056/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145379209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-04-18eCollection Date: 2025-01-01DOI: 10.2337/cd25-0008
Stephen A Brunton
{"title":"ADA's Standards of Care: New and Improved!","authors":"Stephen A Brunton","doi":"10.2337/cd25-0008","DOIUrl":"10.2337/cd25-0008","url":null,"abstract":"","PeriodicalId":39894,"journal":{"name":"Clinical Diabetes","volume":"43 2","pages":"181"},"PeriodicalIF":0.0,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12018995/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143986890","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-04-17eCollection Date: 2025-01-01DOI: 10.2337/cd24-0046
Nuha A ElSayed, Mohammed AlHarbi, Tareef Alaama, Mikala C Osani, Glenn Matfin, Alissa R Segal, Robert A Gabbay, Raveendhara R Bannuru
This article reports on a pilot study of the Joint Diabetes and Quality assessment tool, which evaluates clinical competence, attitudes, and beliefs about diabetes care among physicians, in the Kingdom of Saudi Arabia. Participant responses revealed a significant diabetes care proficiency gap, a disconnect between physicians' self-perceived competence and their actual clinical abilities in diabetes management, and high physician stress levels, all of which merit deeper analysis and further evaluation. Expanding this research to include larger and more diverse national and international cohorts could provide comprehensive insights into competency levels and attitudes about diabetes care in the global medical workforce.
{"title":"A Holistic Evaluation of Clinical Competence and Professional Attitudes in Diabetes Health Care: Insights From a Multinational Cohort.","authors":"Nuha A ElSayed, Mohammed AlHarbi, Tareef Alaama, Mikala C Osani, Glenn Matfin, Alissa R Segal, Robert A Gabbay, Raveendhara R Bannuru","doi":"10.2337/cd24-0046","DOIUrl":"10.2337/cd24-0046","url":null,"abstract":"<p><p>This article reports on a pilot study of the Joint Diabetes and Quality assessment tool, which evaluates clinical competence, attitudes, and beliefs about diabetes care among physicians, in the Kingdom of Saudi Arabia. Participant responses revealed a significant diabetes care proficiency gap, a disconnect between physicians' self-perceived competence and their actual clinical abilities in diabetes management, and high physician stress levels, all of which merit deeper analysis and further evaluation. Expanding this research to include larger and more diverse national and international cohorts could provide comprehensive insights into competency levels and attitudes about diabetes care in the global medical workforce.</p>","PeriodicalId":39894,"journal":{"name":"Clinical Diabetes","volume":"43 3","pages":"351-360"},"PeriodicalIF":0.0,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12304570/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144754746","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-04-14eCollection Date: 2025-01-01DOI: 10.2337/cd24-0102
Sarah D Corathers, Faisal S Malik, Ana M Gutierrez-Colina, Sarah J Lowry, Joyce Yi-Frazier, Sarah J Beal, Jessica C Kichler
Health care transition from pediatric to adult medical care for individuals with diabetes is a challenging endeavor during a developmental period of emerging adulthood. In this study, the psychometric properties of a diabetes-specific transition readiness assessment tool, READDY 1.1, were evaluated through confirmatory factor analysis of two datasets. Findings supported removal of several items and reordering of remaining items, resulting in an updated 36-item READDY 2.0 with enhanced utility for clinical care and research endeavors related to diabetes transition.
{"title":"READDY 2.0: A Multisite Analysis and Update to the Readiness for Emerging Adults Diagnosed With Diabetes in Youth Transition Tool.","authors":"Sarah D Corathers, Faisal S Malik, Ana M Gutierrez-Colina, Sarah J Lowry, Joyce Yi-Frazier, Sarah J Beal, Jessica C Kichler","doi":"10.2337/cd24-0102","DOIUrl":"10.2337/cd24-0102","url":null,"abstract":"<p><p>Health care transition from pediatric to adult medical care for individuals with diabetes is a challenging endeavor during a developmental period of emerging adulthood. In this study, the psychometric properties of a diabetes-specific transition readiness assessment tool, READDY 1.1, were evaluated through confirmatory factor analysis of two datasets. Findings supported removal of several items and reordering of remaining items, resulting in an updated 36-item READDY 2.0 with enhanced utility for clinical care and research endeavors related to diabetes transition.</p>","PeriodicalId":39894,"journal":{"name":"Clinical Diabetes","volume":"43 4","pages":"472-482"},"PeriodicalIF":0.0,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12547045/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145373262","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-04-03eCollection Date: 2025-01-01DOI: 10.2337/cd24-0080
Holly O'Donnell, Roy Tamura, Laura Smith, Kimberly Driscoll, Jessica Melin, Kimber Simmons, Suzanne Bennett Johnson
This study, part of the ongoing TEDDY (The Environmental Determinants of Diabetes in the Young) study, assessed children's understanding of their own risk for type 1 diabetes from 10 to 15 years of age and sought to identify factors associated with children's risk perception. Analysis of responses from nearly 5,000 children revealed that risk for type 1 diabetes is a difficult concept for children to grasp even in the context of extensive educational efforts. Several factors associated with children's understanding of type 1 diabetes risk were identified that may guide future efforts to help children understand disease risk.
{"title":"Children's Understanding of Risk for Type 1 Diabetes: The TEDDY Study.","authors":"Holly O'Donnell, Roy Tamura, Laura Smith, Kimberly Driscoll, Jessica Melin, Kimber Simmons, Suzanne Bennett Johnson","doi":"10.2337/cd24-0080","DOIUrl":"10.2337/cd24-0080","url":null,"abstract":"<p><p>This study, part of the ongoing TEDDY (The Environmental Determinants of Diabetes in the Young) study, assessed children's understanding of their own risk for type 1 diabetes from 10 to 15 years of age and sought to identify factors associated with children's risk perception. Analysis of responses from nearly 5,000 children revealed that risk for type 1 diabetes is a difficult concept for children to grasp even in the context of extensive educational efforts. Several factors associated with children's understanding of type 1 diabetes risk were identified that may guide future efforts to help children understand disease risk.</p>","PeriodicalId":39894,"journal":{"name":"Clinical Diabetes","volume":"43 4","pages":"461-471"},"PeriodicalIF":0.0,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12547055/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145373257","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-04-02eCollection Date: 2025-01-01DOI: 10.2337/cd24-0101
Uthara Elsa Mathew, Chankramath S Arun, Sona Abraham
{"title":"Autoimmune Hypoglycemia in Type 2 Diabetes: A Case of Thiocolchicoside-Induced Steroid-Refractory Insulin Autoimmune Syndrome.","authors":"Uthara Elsa Mathew, Chankramath S Arun, Sona Abraham","doi":"10.2337/cd24-0101","DOIUrl":"10.2337/cd24-0101","url":null,"abstract":"","PeriodicalId":39894,"journal":{"name":"Clinical Diabetes","volume":"43 3","pages":"453-456"},"PeriodicalIF":0.0,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12304559/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144754676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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