Guidelines for the treatment of diabetes-related ketoacidosis (DKA) recommend adding i.v. dextrose or enteral glucose when a patient's blood glucose level has decreased sufficiently to help prevent hypoglycemia. This study sought to determine whether a delay in this intervention was associated with a higher incidence of hypoglycemia. It found that patients are at increased risk for hypoglycemia during the active treatment window of DKA, as well as during the entire hospitalization, when the addition of dextrose or glucose is delayed.
This article reports on the feasibility and effectiveness of a 12-week program, including a low-calorie diet using a diabetes-specific nutritional formula meal replacement, a digitally enabled self-management app, and coaching, on measurable outcomes of weight, BMI, A1C levels, and blood pressure in adults with type 2 diabetes and excess body weight. Participation in the program reduced body weight by a mean 11 ± 6.5 kg, BMI by 3.7 ± 2.2 kg/m2, A1C by 1%, systolic blood pressure by 4.5 ± 16.1 mmHg, and diastolic blood pressure by 5.8 ± 16.9 mmHg (all P <0.01).
This systematic review describes factors associated with transition readiness and the transfer of care from pediatric to adult health care services among adolescents and young adults with diabetes. Overall, thirty-three international nonintervention, nonqualitative studies were identified between 2018 and 2023. Collectively, this review's findings identify targets for intervention and may inform policies and care practices related to transition, such as transition readiness, family and peer support, mental health support, and engagement in pediatric care.
