Promoting Early Diagnosis and Treatment of Type 2 Diabetes: The National Diabetes Education Program

Article Abstract:

The National Diabetes Education Program plans to start a public campaign to educate doctors and patients about diabetes. The program is a joint initiative of the National Institutes of Health and the Centers for Disease Control and Prevention. Diabetes has an enormous impact on the economy but there are effective diagnostic tests and treatments. A fasting blood sugar test performed twice has replaced the glucose tolerance test. Nutrition, exercise therapy, insulin, and oral hypoglycemic agents used singly or in combination allow treatment to be tailored to patient needs. Tight blood sugar control can reduce the risk of complications.

Planning, Type 2 diabetes, Consumer education

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When Is Diabetes Diabetes?

Article Abstract:

Diagnostic recommendations from the American Diabetes Association and the World Health Organization should be used to identify more people who have diabetes. These recommendations state that people who have a fasting blood sugar level of 126 or more should be considered to have diabetes. Formerly, the value was 140 or more. A 1999 study states that many of these people may not actually have diabetes. It recommends using the level of glycosylated hemoglobin as the final determining factor. However, even this measurement will result in many false-negatives and false-positives.

Editorial, Measurement, Diabetes, Diabetes mellitus, Blood sugar, Blood glucose, Glycosylated hemoglobin

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Renal insufficiency in the absence of albuminuria and retinopathy among adults with type 2 diabetes mellitus

Article Abstract:

Doctors should use other kidney function tests in addition to measuring albumin in the urine to detect kidney disease in people with type 2, or adult-onset, diabetes. In a study of 1,197 adults with type 2 diabetes, 171 were found to have kidney disease and only 64% had albumin in their urine. Albumin in the urine is a sign of a certain type of kidney disease, but some diabetics may have a different type of kidney disease.

Physiological aspects, Diabetic nephropathies, Albuminuria

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