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Diabetes

Rhinocerebral mucormycosis: A rare fungal infection linked to diabetes

Sarah Asman, MPA, PA-C, Mehrdad M. Behnia, MD, FACP, FCCP December 05, 2011

Although usually prevented by the immune system, this disease is common in patients who are immunocompromised. As in this case, early detection and treatment are key.

What caused the medical emergency in this patient with type 1 diabetes?

Kenneth Szwak, MHS, PA-C, William A. Wild, DO November 04, 2011

Even though patients in diabetic ketoacidosis commonly present with hyperglycemia,  normal blood glucose levels don't allow you to rule out this diabetic emergency.

What should I know about diabetes?

Tina M. Butler, PA-C, MPAS March 29, 2011

This information can help PAs understand the diagnosis, treatment, and complications of diabetes mellitus, enabling them to explain to patients how to prevent and manage the disease.

What are these lesions that spread from the lips?

Joe R. Monroe, PA-C, MPAS October 12, 2010

A female patient presented with asymptomatic lesions on her lips, face, and arms that had persisted for the past 6 months.

Hyperglycemia management in  the urgent surgical patient

Arnrae U. Moultrie, PA-C, MPAS September 27, 2010

Stress-induced hyperglycemia presents a unique challenge. Avoidance of extreme fluctuations in blood glucose levels is critical.

Round, pitting lesions on  the lower leg

Holly Shalhoop September 07, 2010

A patient with diabetes mellitus presents with a pitting rash on the right lower leg that had persisted for a year.

Polycystic kidney disease (PKD) and nephrotic syndrome

Zachary Hartsell, MPAS, PA-C March 19, 2010

The clinical features, assessment of, diagnosis, and treatment of PKD and nephrotic syndrome are outlined in a quick review format.

What's new in diabetes: A1C assay emerges as a diagnostic test for diabetes

Karen A. Beer, PA-C, RD, CDE February 19, 2010

A committee of international experts recommends use of the A1C assay as the new standard diagnostic test for diabetes.

Statin therapy works for patients who have type 2 diabetes

Kenneth E. Korber, PA, PhD(c) October 01, 2008

What's New in ... Diabetes management

Do thiazolidinediones increase the risk of cardiovascular events?

Jennifer Ribowsky MS, PA-C; Jean Covino, DHSc, MPA, PA-C August 01, 2008

A 56-year-old woman, a nonsmoker, presents to your office seeking better control of her type 2 diabetes mellitus (DM). The diagnosis was made 6 years ago.

Should patients with diabetes follow a low-carb diet?

Michael J. Chandler, RD, CNSD, MS; Leslie A. Hildebrandt, PhD, RD October 01, 2007

Before you recommend a low-carbohydrate diet for weight loss, read this review of the effect these diets can have on a patient with type 2 diabetes.

Care of patients with diabetes who are undergoing surgery

Ali A. Rizvi, MD, FACP, CDE April 01, 2007

Management includes careful preoperative evaluation of risk, meticulous attention to glucose control during surgery, and a seamless transition to a stable regimen postoperatively.

Type 2 diabetes in children and adolescents: Screening, diagnosis, and management

Karla V. Von, PA-C; Mary L. Hewett, PA-C, MS March 01, 2007

Once thought to primarily affect adults, type 2 diabetes is on the rise among the young. The increased prevalence is largely associated with increased obesity rates among children and adolescents.

Increasing knee pain prevents walking

Elana A. Min, MMS, PA-C, Chris Webb, MS, PA-C; Suzanne Okolita, MS, PA-C March 01, 2007

The patient is a 45-year-old Hispanic man with type 2 diabetes who presents to the ED complaining of severe pain, swelling, and erythema in both knees. The pain has become unbearable to the point where he cannot walk.

Exploring the complex care of the diabetic foot ulcer

Richard Jones, MS, PA-C December 01, 2006

Wound care, infection treatment, and pressure relief are the cornerstones of managing diabetic foot ulcers. A multidisciplinary approach to prevention and patient education are essential components of care.

CSAC Special Report: Paradigm shifts in the approach to women's health care

October 01, 2006

Women's health care has traditionally focused on the screening, diagnosis, and treatment of conditions unique to women. However, the recent recognition of significant differences in risk factors, disease manifestations, and responses to treatments in women also affects the best evidence-based management options to optimize treatment outcomes for many conditions not unique to women

Improving outcomes in renal disease

Ray Galley, PA-C, MPH September 01, 2006

CKD often progresses to ESRD despite clinicians' and patients' best efforts. But its progression can be delayed, enabling patients to postpone renal replacement therapy and kidney transplantation.

Implementing a continuous insulin infusion protocol on a cardiac surgical service A PA's perspective

Michael Doll, MPAS, PA-C June 01, 2006

The author describes how one rural hospital used aggressive glucose control with continuous IV insulin to reduce complications and death among surgical patients, whether they had diabetes or not.

Current trends in diabetes management

Ali A. Rizvi, MD, FACP, CDE August 01, 2005

Diabetes is chronic, costly, increasingly prevalent, and emerging as an alarming public health challenge because of its burden of microvascular complications and its enormous contribution to cardiovascular disease.

Gestational diabetes: Is your patient at risk?

Shalonda Pettis, PA-C May 01, 2005

Screening most pregnant women between 24 and 28 weeks of gestation is the standard of care. It is important for clinicians to identify and treat gestational diabetes early to improve perinatal outcomes.