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Articles by Karla K. Giese, DNP, FNP, BC-ADM, CDE

The emotional burden of diabetes: A look at diabetes distress

Giese, Karla K.

The Nurse Practitioner. 43(8):23-27, August 2018.

Patients with diabetes are sometimes overwhelmed with the burden of self-care associated with the disease. While it may seem appropriate to diagnose patients experiencing such emotional burdens with depression, the literature over the past 20 years has matured the concept of diabetes distress, which may more accurately describe the phenomenon.

Adult diabetes mellitus: Thinking beyond type 2

Giese, Karla K.

The Nurse Practitioner. 41(5):40-45, May 19th, 2016.

Not all adults presenting with diabetes mellitus have type 2. NPs must become familiar with atypical presentations of type 1 and type 2 diabetes mellitus, as burgeoning diabetes caseloads, coupled with a shortage of endocrinologists, have created a critical need for expert-level diabetes care among NPs. Two case studies illustrate variations of adult-onset diabetes along with discussion and diagnostic clues.