Diabetes

The Nurse Practitioner. 45(11):26-33, November 2020.

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Diabetes self-management is a complex process and central to well-being of patients with this chronic disorder. A patient-centered telehealth program may potentially meet needs of those in underserved populations to reduce socioeconomic disparities. Achieving this goal requires a focused concentration on health behaviors and practices of individuals in underserved populations.

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The Nurse Practitioner. 45(11):17-24, November 2020.

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Infectious complications have been reported with antidiabetic medications. Glucagon-like peptide-1 receptor agonists and dipeptidyl peptidase-4 inhibitors have been associated with upper respiratory tract infections and urinary tract infections. Sodium glucose cotransporter 2 inhibitors have been associated with lower limb amputations, urinary tract infections, genital mycotic infections, and Fournier gangrene.

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The Nurse Practitioner. 45(9):48-54, September 2020.

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This next installment in the series on the most commonly billed diagnoses in primary care focuses on type 2 diabetes mellitus (T2DM). This article discusses the pathophysiologic processes of T2DM as well as how the clinical manifestations and treatments are linked to the pathogenesis of the disease.

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The Nurse Practitioner. 45(4):34-41, April 2020.

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Gaps in care currently exist between diabetic kidney disease (DKD) guidelines and diabetes management in primary care settings. This article explores whether a local Federally Qualified Health Center could improve rates of screening for microalbuminuria, diagnosis of DKD, and treatment of the disorder in patients with type 2 diabetes mellitus.

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The Nurse Practitioner. 45(2):24-31, February 2020.

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Cardiac autonomic neuropathy (CAN) is an under diagnosed cardiovascular complication associated with diabetes. As the incidence of diabetes increases in an aging population, NPs can help prevent complications associated with diabetes and CAN.

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The Nurse Practitioner. 45(1):7-11, January 2020.

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The Nurse Practitioner. 44(10):38-42, October 2019.

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The impact of increased sugar consumption has become a public health crisis over the past several decades. The consequences are seen in the dramatic rise in rates of obesity, type 2 diabetes mellitus, and cardiovascular disease.

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The Nurse Practitioner. 44(9):48-55, September 2019.

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This exploratory pilot study analyzed the transition to a new patient-centered care team model at three separate clinical sites of an urban community health center. The findings provide insights from both providers and health coaches on benefits and barriers of this new model.

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The Nurse Practitioner. 44(3):20-28, March 2019.

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Diabetes mellitus is the leading cause of chronic kidney disease (CKD) in the US. An increasing number of glucagon-like peptide-1 receptor agonists are available for diabetes management. Differences between medications in this class, as well as limited data on patients with CKD, underscore the importance of a patient-centered approach to care.

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The Nurse Practitioner. 44(2):49-55, February 2019.

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As primary care providers, NPs can help inform patients, particularly those with prediabetes and T2DM, about healthy lifestyle choices and provide them with resources to achieve weight loss success. This article explores the potential benefits of replacing low-calorie diets with the paleo diet.

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The Nurse Practitioner. 43(12):35-40, December 2018.

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Prediabetes continues to be a national and worldwide health concern, affecting 84 million adults in the US. Early identification and intervention have been successful in delaying and/or preventing the progression to type 2 diabetes mellitus (T2DM). Nonpharmacologic treatment of prediabetes is paramount, although pharmacologic treatment is appropriate in high-risk patients. In an attempt to curb the increasing prevalence of T2DM, recognizing the importance of identifying and managing prediabetes should remain in the national healthcare forefront.

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The Nurse Practitioner. 43(11):39-45, November 2018.

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Although diabetic autonomic neuropathy (DAN), a complication associated with diabetes, is increasing in prevalence, it is often overlooked. Knowledge regarding the development and progression of this complication is limited. NPs are in a key position to prevent complications of DAN, including sexual dysfunction, in this vulnerable population.

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The Nurse Practitioner. 43(10):40-47, October 2018.

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Type 2 diabetes mellitus (T2DM) is an endocrine and metabolic disorder that requires ongoing medical management. If T2DM is not adequately assessed and managed, a wide spectrum of clinical manifestations and complications may occur. This article provides clinical guidance to NPs on the management of T2DM in primary care settings.

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

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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.

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The Nurse Practitioner. 43(2):30-35, February 16, 2018.

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Collaborative efforts between health team members can advance early detection of children with elevated blood glucose levels, preventing hyperglycemia and periodontal diseases. Rates of obesity are increasing in children, impacting the prevalence of type 2 diabetes mellitus and periodontal diseases. Collaborative care between nurse practitioners and dental hygienists can detect, prevent, and treat periodontal disease in children.

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