Archive for the ‘Diabetes Mellitus’ Category

The American Association of Clinical Endocrinologists and the American Diabetes Association Joint Statement in Response to American College of Physicians (ACP) Clinical Guidelines for Inpatient Glucose Control The publication of the systematic review of intensive insulin therapy in hospitalized patients and the American College of Physicians (ACP) clinical guidelines for inpatient glucose control in the […]

What physician has not stifled a groan when a patient presents with a chief complaint of “I just don’t feel right, Doc.” About this time last year, I had that “not quite right” feeling and vague, seemingly unrelated symptoms … sweating, mid-morning headaches, and frequent feelings of hunger, which I was accustomed to satisfying with […]

In-Hospital Blood Sugar Levels Should Be Higher

Posted by: admin on: July 26, 2011

The American College of Physicians has released new guidelines recommending that doctors not attempt intensive insulin therapy designed to achieve normal blood sugar levels in patients in medical or surgical intensive care units. Doctors should maintain blood sugar levels between 140 and 200 milligrams per deciliter (mg/dL) for anyone in medical or surgical intensive care. […]

The new clinical practice guideline (CPG) is intended to complement and extend existing guidelines available in the literature, including previous CPGs from AACE. The new document advocates a comprehensive approach to routine diabetes management, based on evidence that, although glycemia control variables such as HbA1c and glucose excursions have an impact on cardiovascular disease risk, […]

If possible reductions in medication use and cost can motivate patients to make lifestyle changes, the long-term goals of better health and quality of life can be achieved Action for Health and Diabetes investigators recently reported beneficial effects of 1 year of intensive lifestyle intervention on weight loss, glycemic control, and cardiovascular risk factors. This […]


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