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Canadian Journal of Diabetes

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https://read.qxmd.com/read/30777707/implementation-and-evaluation-of-a-diabetic-ketoacidosis-order-set-in-pediatric-type-1-diabetes-at-a-tertiary-care-hospital-a-quality-improvement-initiative
#1
Kayla Flood, Munier Nour, Tanya Holt, Vicki Cattell, Carla Krochak, Mark Inman
OBJECTIVES: Despite published clinical practice guidelines in pediatrics for the use of a standardized diabetic ketoacidosis (DKA) protocol, our centre lacked an accepted, evidence-informed protocol for pediatric DKA management. Our primary aim was to attain broad clinical uptake of a DKA order set. Secondary aims included improved standard-of-care DKA management principles regarding fluid, potassium and dextrose administration. METHODS: A pediatric multidisciplinary collaborative was created to examine evidence for the development and implementation of a DKA order set...
December 26, 2018: Canadian Journal of Diabetes
https://read.qxmd.com/read/30683568/the-concept-of-sleep-ability-and-its-effect-on-diabetes-control-in-adults-with-type-2-diabetes
#2
Azusa Oda, Michiko Inagaki, Keiko Tasaki, Kiyoko Matsui, Tomomi Horiguchi, Miki Koike
OBJECTIVES: Few published studies have examined the effects of various components of sleep on the control of type 2 diabetes. This study aimed to construct a concept of sleep ability and examine its effect on diabetes control in adults with type 2 diabetes. METHODS: Participants were 37 outpatients, 41 to 73 years of age, who had type 2 diabetes. Participants monitored their sleep for 14 days using a sleep meter, and they completed questionnaires concerning quality of life (Problem Areas in Diabetes), self-care (Self-Care Agency Questionnaire) and sleep quality (Pittsburgh Sleep Quality Index)...
December 6, 2018: Canadian Journal of Diabetes
https://read.qxmd.com/read/30679059/effects-of-pay-for-performance-for-primary-care-physicians-on-preventable-diabetes-related-hospitalization-costs-among-adults-in-new-brunswick-canada-a-quasiexperimental-evaluation
#3
Neeru Gupta, René Lavallée, James Ayles
OBJECTIVES: In New Brunswick, Canada, 13.6% of the population 35 years of age and older is living with type 1 or type 2 diabetes mellitus. To address public health and clinical challenges, pay-for-performance (P4P) for family physicians was introduced in 2010 to enable comprehensive diabetes management. This study assesses the impacts of the P4P scheme on excess health-care costs. METHODS: We used a quasiexperimental study design drawing on linked population-based administrative data sets of physician billings, hospital discharge abstracts and provider and resident registrations...
November 24, 2018: Canadian Journal of Diabetes
https://read.qxmd.com/read/30709429/what-is-the-real-usefulness-of-glycated-hemoglobin-levels-for-diabetes-screening-in-patients-with-cystic-fibrosis
#4
EDITORIAL
Valérie Boudreau, Quitterie Reynaud, Rémi Rabasa-Lhoret
No abstract text is available yet for this article.
February 2019: Canadian Journal of Diabetes
https://read.qxmd.com/read/30502758/endorsement-of-diabetes-canada-s-alternative-approach-to-diagnosis-of-gestational-diabetes
#5
LETTER
Jason M Kong
No abstract text is available yet for this article.
December 2018: Canadian Journal of Diabetes
https://read.qxmd.com/read/30502757/diabetes-and-dementia-in-the-elderly
#6
EDITORIAL
Graydon S Meneilly
No abstract text is available yet for this article.
December 2018: Canadian Journal of Diabetes
https://read.qxmd.com/read/29884522/results-from-a-feasibility-study-of-square-stepping-exercise-in-older-adults-with-type-2-diabetes-and-self-reported-cognitive-complaints-to-improve-global-cognitive-functioning
#7
Erin M Shellington, Sonja M Reichert, Matthew Heath, Dawn P Gill, Ryosuke Shigematsu, Robert J Petrella
OBJECTIVES: Adults with type 2 diabetes mellitus have an increased risk for dementia. Therefore, we proposed an intervention called the Square-stepping exercise (SSE) program to mitigate this risk. Our primary aim was to determine the feasibility of SSE in adults with type 2 diabetes and self-reported cognitive complaints. Our secondary aim was to determine whether 24 weeks of SSE improved cognition. Our tertiary aim was to determine whether SSE improved antisaccade reaction time, which is a measure of executive-related oculomotor control...
December 2018: Canadian Journal of Diabetes
https://read.qxmd.com/read/29807752/targeted-glycemic-control-for-adult-patients-with-type-2-diabetes-mellitus-in-the-acute-care-setting
#8
REVIEW
Ali Pourmand, Maryann Mazer-Amirshahi, Amy Caggiula, Aria Nawab, Christopher Payette, Samuel Johnson
Diabetes mellitus and complications arising from the disease are a leading cause of morbidity and mortality worldwide. With increasing prevalence over the past 50 years and an estimated 20% of health-care spending dedicated to the disease, diabetes is considered by many to be a true public health emergency. Several protocols and management options exist to maximize glycemic control in the ambulatory setting, but the optimal glucose level in critically and noncritically ill inpatients is still debated. This review examines the evidence behind differing degrees of glycemic control across a variety of hospital settings and clinical scenarios...
December 2018: Canadian Journal of Diabetes
https://read.qxmd.com/read/30713090/validation-of-a-stepwise-approach-using-glycated-hemoglobin-levels-to-reduce-the-number-of-required-oral-glucose-tolerance-tests-to-screen-for-cystic-fibrosis-related-diabetes-in-adults
#9
LETTER
Valérie Boudreau, Quitterie Reynaud, Anne Bonhoure, Isabelle Durieu, Rémi Rabasa-Lhoret
No abstract text is available yet for this article.
November 23, 2018: Canadian Journal of Diabetes
https://read.qxmd.com/read/30713091/evaluation-of-a-diabetic-ketoacidosis-order-set-in-adults-with-type-1-and-type-2-diabetes-at-a-tertiary-academic-medical-centre-a-retrospective-chart-audit
#10
Alexa Clark, Eyal Kraut, Hope H Yen, Sarah Moore, Wilma Hopman, Robyn L Houlden
OBJECTIVE: To assess safety and efficacy compared to a historical cohort. Clinical practice guidelines recommend that patients with diabetic ketoacidosis (DKA) be treated with a standardized protocol. We created a multifaceted order set to promote best-practice management of DKA. METHODS: We performed a retrospective cohort study of admissions to internal medicine for DKA in adults during a 4.5-year period; 2.25 years before and after order-set initiation. Groups were compared using independent samples t tests and Pearson chi-square or Fisher exact test (categorical data)...
November 17, 2018: Canadian Journal of Diabetes
https://read.qxmd.com/read/30579737/acute-management-of-diabetic-ketoacidosis-in-adults-at-3-teaching-hospitals-in-canada-a-multicentre-retrospective-cohort-study
#11
Brandon P Galm, Sean M Bagshaw, Peter A Senior
OBJECTIVES: Diabetic ketoacidosis (DKA) is a common acute complication of diabetes mellitus and is associated with significant morbidity and mortality. There is currently a paucity of data concerning the Canadian experience with DKA. We aimed to characterize the acute management and course of DKA at several Canadian hospitals. METHODS: We performed a retrospective cohort study of patients admitted to 3 teaching hospitals in Edmonton, Canada. We extracted clinical and laboratory data from the medical charts of patients admitted to general internal medicine wards or intensive care units with moderate or severe DKA...
November 17, 2018: Canadian Journal of Diabetes
https://read.qxmd.com/read/30718174/transition-to-adult-diabetes-care-a-description-of-practice-in-the-ontario-pediatric-diabetes-network
#12
Rayzel Shulman, Roger Chafe, Astrid Guttmann
OBJECTIVES: Individuals living with diabetes often experience gaps in care, poor experiences and acute complications when they transfer from pediatric to adult care. We aimed to describe the structure of diabetes transition care in Ontario and to explore perceptions of barriers to optimal outcomes. METHODS: We conducted a cross-sectional descriptive study of 35 centres in the Pediatric Diabetes Network in Ontario between April and June 2017. We collected survey data about the number of individuals with all diabetes types transferring to adult care, transition practices and providers' perceptions of facilitators of and barriers to optimal transition...
November 15, 2018: Canadian Journal of Diabetes
https://read.qxmd.com/read/30578165/association-of-depressive-symptoms-and-diabetes-distress-with-severe-hypoglycemia-in-adults-with-type-2-diabetes
#13
Fatima Al Sayah, Roseanne O Yeung, Jeffrey A Johnson
OBJECTIVES: To examine the association of depressive symptoms (DS) and diabetes-related distress (DD) with severe hypoglycemia (SH) in adults with type 2 diabetes. METHODS: Baseline data from a cohort study of adults with type 2 diabetes (N=2,040) were used. The Patient Health Questionnaire 8-items and Problem Areas in Diabetes 5-items questionnaires were used to assess DS and DD, respectively. SH was defined as a positive report of "calling an ambulance or visiting an emergency department because of hypoglycemia in the past year...
November 14, 2018: Canadian Journal of Diabetes
https://read.qxmd.com/read/30554985/glycated-hemoglobin-level-goal-achievement-in-adults-with-type-2-diabetes-in-canada-still-room-for-improvement
#14
Lawrence A Leiter, Alice Y Y Cheng, Jean-Marie Ekoé, Ronald M Goldenberg, Stewart B Harris, Irene M Hramiak, Kamlesh Khunti, Peter J Lin, Jean-François Richard, Peter A Senior, Jean-François Yale, Lianne Goldin, Mary K Tan, Anatoly Langer
OBJECTIVES: To describe the clinical histories and management of adults with type 2 diabetes who were not reaching their target glycated hemoglobin (A1C) levels and to identify barriers to achieving therapeutic goals. METHODS: Practice assessment surveys and practice audits were completed by 88 primary care physicians (PCPs) in the Diabetes Mellitus Assessment of Clinical managemenT In ONtario (DM-ACTION) program and by 56 diabetes specialists in the Diabetes Mellitus IMproving PAtient Care in our communiTies (DM-IMPACT) program...
November 2, 2018: Canadian Journal of Diabetes
https://read.qxmd.com/read/30578164/the-diabetes-health-coaching-randomized-controlled-trial-rationale-design-and-baseline-characteristics-of-adults-living-with-type-2-diabetes
#15
Diana Sherifali, Anka Brozic, Pieter Agema, Hertzel C Gerstein, Zubin Punthakee, Natalia McInnes, Daria O'Reilly, Sarah Ibrahim, R Muhammad Usman Ali
OBJECTIVES: The Diabetes Health Coaching Trial was a single-blind, randomized controlled trial designed to evaluate the effect of a 1-year telephone-based diabetes health-coaching intervention for community-dwelling adults living with type 2 diabetes mellitus. It concerned glycated hemoglobin levels, self-care behaviours and cost-effectiveness. The purpose of this article is to describe the rationale, design and participants' characteristics. METHODS: The eligibility criteria were: 1) adults ≥18 years of age; 2) a diagnosis of type 2 diabetes; 3) glycated hemoglobin levels of ≥7...
October 17, 2018: Canadian Journal of Diabetes
https://read.qxmd.com/read/30551936/elevated-carbohydrate-response-element-binding-protein-beta-chrebp%C3%AE-and-thioredoxin-interacting-protein-txnip-levels-in-human-adipocytes-differentiated-in-high-glucose-concentrations
#16
Vian Peshdary, AnneMarie Gagnon, Anne Landry, Loretta Ma, Alexander Sorisky
OBJECTIVES: Obesity and type 2 diabetes often coexist. The effect of hyperglycemia on adipose tissue is, therefore, of interest. Although studies have shown that high glucose (HG) concentrations do not inhibit adipocyte differentiation, the resulting adipocyte phenotype has not been investigated. In particular, the levels of the glucose-responsive transcription factor carbohydrate-responsive response element binding protein (ChREBP) isoforms have not been assessed. METHODS: Human preadipocytes were differentiated into adipocytes in either normal glucose (NG) or HG conditions...
October 9, 2018: Canadian Journal of Diabetes
https://read.qxmd.com/read/30551935/prevalence-of-known-risk-factors-for-type-2-diabetes-mellitus-in-multiethnic-urban-youth-in-edmonton-findings-from-the-why-act-now-project
#17
Fariba Kolahdooz, Forouz Nader, Maryam Daemi, Se Lim Jang, Nora Johnston, Sangita Sharma
OBJECTIVES: The Canadian Diabetes Risk Assessment Questionnaire (CANRISK) is a validated, evidence-based, self-administered tool to assess the risk for type 2 diabetes mellitus in multiethnic Canadian adults. Identifying individuals at high risk for type 2 diabetes allows early intervention that improves modifiable risk factors. This study examined the risk factors for type 2 diabetes in multiethnic urban youth in Edmonton, Alberta. METHODS: An interviewer-administered questionnaire was developed based on CANRISK variables, such as age, gender, ethnicity, family history of diabetes, medical history of high blood sugar or high blood pressure, anthropometric measurements, physical activity and dietary intake...
October 9, 2018: Canadian Journal of Diabetes
https://read.qxmd.com/read/30268233/erratum-to-glycemic-management-in-adults-with-type-1-diabetes-canadian-journal-of-diabetes-2018-42-s1-s80-s87
#18
Angela McGibbon, Lenley Adams, Karen Ingersoll, Tina Kader, Barna Tugwell
No abstract text is available yet for this article.
October 2018: Canadian Journal of Diabetes
https://read.qxmd.com/read/30268232/erratum-to-diabetes-and-driving-canadian-journal-of-diabetes-2018-42-s1-s150-s153
#19
Robyn L Houlden, Lori Berard, Joshua M Lakoff, Vincent Woo, Jean-François Yale
No abstract text is available yet for this article.
October 2018: Canadian Journal of Diabetes
https://read.qxmd.com/read/30268231/erratum-to-pharmacologic-glycemic-management-of-type-2-diabetes-in-adults-canadian-journal-of-diabetes-2018-42-s1-s88-s103
#20
Lorraine Lipscombe, Gillian Booth, Sonia Butalia, Kaberi Dasgupta, Dean T Eurich, Ronald Goldenberg, Nadia Khan, Lori MacCallum, Baiju R Shah, Scot Simpson
No abstract text is available yet for this article.
October 2018: Canadian Journal of Diabetes
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