Tag: insulin

Better treatments are needed for diabetic retinopathy (DR), a microvascular complication of diabetes. Intensive glycemic treatment can delay DR onset and progression, but it is unclear whether oral anti-diabetic drugs alone (OADs) or basal insulin-supported OADs are superior in terms of subsequent treatment. Traditionally, proliferative DR has been regarded...
Multiple daily injections (MDI) and continuous subcutaneous insulin infusion (CSII) are two forms of intensive insulin regimens utilized by patients with type 1 diabetes. Here, MDI and CSII are compared in terms of their safety, efficacy, and cost in the first year after a diagnosis of type 1 diabetes....
Association of Racial Disparities With Access to Kidney Transplant After the Implementation of the New Kidney Allocation System There are many reasons why a patient may be made inactive on the kidney transplant waiting list, including psychosocial or financial issues or medical comorbidities. This has important implications for a patient’s...
Induction of Labor at 41 Weeks Versus Expectant Management Until 42 Weeks (INDEX): Multicenter, Randomized Non-Inferiority Trial It has been well established that pregnancy extending beyond 42 weeks is associated with higher rates of perinatal morbidity and mortality. However, there is variability in the current management of pregnancies extending beyond...
1. In this retrospective cohort study, mean HbA1c levels decreased prior to systematic implementation of a program to switch from analogue to human insulin, after which HbA1c levels then increased slightly and remained steady. 2. Serious hypoglycemic or hyperglycemic events were not significantly different with program implementation. Evidence Rating Level: 2...
1. Basal insulin analogues do not differ significantly in providing glucose control. 2. Some insulin formulations may have more favorable effects on patient weight compared to others. Evidence Rating Level: 1 (Excellent) Study Rundown: Type 2 diabetes (T2DM) has significant morbidity if untreated and affects a large proportion of North Americans annually....
1. In this retrospective cohort study, for patients with type 2 diabetes, initiation of a basal insulin analog compared with NPH insulin was not associated with a reduced risk of hypoglycemia-related ED visits or hospital admissions. 2. Though NPH insulin led to a small but significantly greater decrease in HbA1c...
1. In this randomized controlled trial, glyburide was not non-inferior in terms of the composite rate of macrosomia, neonatal hypoglycemia, and hyperbilirubinemia compared with subcutaneous insulin. 2. Women taking glyburide had better glycemic control and were more likely to prefer glyburide for subsequent pregnancies but also had higher rates of...
1. Treatment with insulin degludec resulted in a lower rate of overall symptomatic hypoglycemic episodes compared with insulin glargine U100. 2. Rates of nocturnal symptomatic hypoglycemia were also lower with insulin degludec compared with insulin glargine U100. Evidence Rating Level: 1 (Excellent) Study Rundown: Hypoglycemia is a problem with many insulin-treated patients...
  Sunscreen use and subsequent melanoma risk: a population-based cohort study Exposure to solar ultraviolet (UV) radiation is a known risk factor in the development of cutaneous melanoma. While research has shown that the use of sunscreen decreases the risk of sunburn, squamous cell carcinoma, actinic keratosis and nevi in children,...