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Mixed Influence of Electronic Health Record Implementation on Diabetes Order Patterns for Michigan Medicaid Adults
Conclusions: These mixed results provide evidence of the varied diabetes care ordering patterns likely seen from increased office use of EHR technologies. The authors attempt to explain these post-EHR differences (or lack of) that generally resemble some of the authors’ results from another funded project. Ideally, these findings provide Medicaid and health care officials with a more realistic indication of how EHRs may, or may not, influence diabetes care ordering patterns for vulnerable lower-income primary health care consumers. (Source: Journal of Diabetes Science and Technology)
Source: Journal of Diabetes Science and Technology - March 1, 2016 Category: Endocrinology Authors: Corser, W., Yuan, S. Tags: Original Articles Source Type: research

An Automatic Assessment System of Diabetic Foot Ulcers Based on Wound Area Determination, Color Segmentation, and Healing Score Evaluation
Conclusion: Our system provides a promising real-time method for wound assessment based on image analysis. Clinical comparisons indicate that the optimized mean-shift-based algorithm is well suited for wound area determination. Clinical evaluation of our healing score algorithm shows its potential to provide clinicians with a quantitative method for evaluating wound healing status. (Source: Journal of Diabetes Science and Technology)
Source: Journal of Diabetes Science and Technology - March 1, 2016 Category: Endocrinology Authors: Wang, L., Pedersen, P. C., Strong, D. M., Tulu, B., Agu, E., Ignotz, R., He, Q. Tags: Original Articles Source Type: research

Changes in Type 2 Diabetes Mellitus Patients in German Primary Care Prior to (2006) and After (2010, 2014) Launch of New Drugs
Conclusions: The new drugs analyzed in this study had positive effects on HbA1c levels, macrovascular complications, and mean time before first insulin treatment. (Source: Journal of Diabetes Science and Technology)
Source: Journal of Diabetes Science and Technology - March 1, 2016 Category: Endocrinology Authors: Jacob, L., Waehlert, L., Kostev, K. Tags: Original Articles Source Type: research

Metabolic Control With the Bio-inspired Artificial Pancreas in Adults With Type 1 Diabetes: A 24-Hour Randomized Controlled Crossover Study
Conclusions: The BiAP is safe and achieved equivalent time in target as measured by sensor glucose, with improvement in hypoglycemia, when compared to standard pump therapy. (Source: Journal of Diabetes Science and Technology)
Source: Journal of Diabetes Science and Technology - March 1, 2016 Category: Endocrinology Authors: Reddy, M., Herrero, P., Sharkawy, M. E., Pesl, P., Jugnee, N., Pavitt, D., Godsland, I. F., Alberti, G., Toumazou, C., Johnston, D. G., Georgiou, P., Oliver, N. S. Tags: Original Articles Source Type: research

Using Remote Communication Technology in Insulin Pump Training: A Feasibility Study
Conclusion: Although this study has limitations associated with the small sample size and self-selection bias, the results suggest that remote communication technology may be an effective tool to provide technical training to adults who are familiar with insulin pump therapy. Additional research is required to determine the effectiveness of the remote insulin pump training. (Source: Journal of Diabetes Science and Technology)
Source: Journal of Diabetes Science and Technology - March 1, 2016 Category: Endocrinology Authors: Parks, L., Kim, T. Y. Tags: Original Articles Source Type: research

IDegLira Improves Both Fasting and Postprandial Glucose Control as Demonstrated Using Continuous Glucose Monitoring and a Standardized Meal Test
Conclusions: Once-daily IDegLira provides significantly better PPG control following a mixed meal test than insulin degludec. The improvement is at least partially explained by higher endogenous insulin secretion and improved beta cell function with IDegLira. The benefits of liraglutide on PPG control are maintained across all main meals in the combination. (Source: Journal of Diabetes Science and Technology)
Source: Journal of Diabetes Science and Technology - March 1, 2016 Category: Endocrinology Authors: Holst, J. J., Buse, J. B., Rodbard, H. W., Linjawi, S., Woo, V. C., Boesgaard, T. W., Kvist, K., Gough, S. C. Tags: Original Articles Source Type: research

Impact of Frequent and Persistent Use of Continuous Glucose Monitoring (CGM) on Hypoglycemia Fear, Frequency of Emergency Medical Treatment, and SMBG Frequency After One Year
Conclusions: "Almost daily" use of CGM with the Dexcom G4 system reduced incidence of emergency treatment events and daily SMBG utilization among survey respondents and a trend toward reduced hypoglycemia fear. This may indicate cost savings in reduction of emergency medical intervention and likely improved quality of life without increasing safety concerns related to hypoglycemia. (Source: Journal of Diabetes Science and Technology)
Source: Journal of Diabetes Science and Technology - March 1, 2016 Category: Endocrinology Authors: Chamberlain, J. J., Dopita, D., Gilgen, E., Neuman, A. Tags: Original Articles Source Type: research

Once Daily Self-Monitoring of Blood Glucose (SMBG) Improves Glycemic Control in Oral Hypoglycemic Agents (OHA)-Treated Diabetes: SMBG-OHA Follow-Up Study
Conclusions: HbA1c levels were maintained in SMBG-continued subjects but increased in SMBG-discontinued subjects. The study implied that almost once daily SMBG is helpful to maintain glycemic control in non-insulin-treated type 2 diabetes. (Source: Journal of Diabetes Science and Technology)
Source: Journal of Diabetes Science and Technology - March 1, 2016 Category: Endocrinology Authors: Harashima, S.-i., Nishimura, A., Ikeda, K., Wang, Y., Liu, Y., Inagaki, N. Tags: Original Articles Source Type: research

Economic Value of Improved Accuracy for Self-Monitoring of Blood Glucose Devices for Type 1 Diabetes in Canada
Conclusions: From efficiency (cost-effectiveness) and affordability (budget impact) payer perspectives, investing in devices with improved accuracy (less error) appears to be an efficient and affordable strategy. (Source: Journal of Diabetes Science and Technology)
Source: Journal of Diabetes Science and Technology - March 1, 2016 Category: Endocrinology Authors: McQueen, R. B., Breton, M. D., Ott, M., Koa, H., Beamer, B., Campbell, J. D. Tags: Original Articles Source Type: research

Assessing System Accuracy of Blood Glucose Monitoring Systems Using Rectangle Target Plots
Conclusion: Applying the RTP approach to a large number of reagent system lots showed that it was suitable in more than 93% of cases analyzed. The display of system accuracy data in RTPs enables lot-to-lot variability within specific products and product reliability of specific manufacturers to be visualized in a comprehensible manner. (Source: Journal of Diabetes Science and Technology)
Source: Journal of Diabetes Science and Technology - March 1, 2016 Category: Endocrinology Authors: Müller, P., Hattemer, A., Stephan, P. Tags: Original Articles Source Type: research

The Rectangle Target Plot: A New Approach to the Graphical Presentation of Accuracy of Systems for Self-Monitoring of Blood Glucose
Conclusions: The RTP provides a means of displaying measurement accuracy data in a simple and comprehensible manner. The visualization is simplified by reducing the displayed information from typically 200 data points to just 1 rectangle. Furthermore, this allows data for several systems or several lots from 1 system to be displayed clearly and concisely in a single graph. (Source: Journal of Diabetes Science and Technology)
Source: Journal of Diabetes Science and Technology - March 1, 2016 Category: Endocrinology Authors: Stephan, P., Schmid, C., Freckmann, G., Pleus, S., Haug, C., Müller, P. Tags: Original Articles Source Type: research

Impact of Glucose Meter Error on Glycemic Variability and Time in Target Range During Glycemic Control After Cardiovascular Surgery
Conclusions: Decreasing glucose meter error (bias) was associated with decreased glycemic variability and increased percentage of values in target glucose range for patients placed on intravenous insulin therapy following cardiovascular surgery. (Source: Journal of Diabetes Science and Technology)
Source: Journal of Diabetes Science and Technology - March 1, 2016 Category: Endocrinology Authors: Karon, B. S., Meeusen, J. W., Bryant, S. C. Tags: Original Articles Source Type: research

Hemoglobin A1c and Self-Monitored Average Glucose: Validation of the Dynamical Tracking eA1c Algorithm in Type 1 Diabetes
Conclusions: The eA1c procedure developed in type 2 diabetes to track in real-time changes in average glycemia and present the results in HbA1c-equivalent units has shown similar performance in type 1 diabetes. The eA1c calibration factors are highly predictive of the HGI, thereby explaining partially the biological variation causing discrepancies between HbA1c and its linear estimates from SMBG data. (Source: Journal of Diabetes Science and Technology)
Source: Journal of Diabetes Science and Technology - March 1, 2016 Category: Endocrinology Authors: Kovatchev, B. P., Breton, M. D. Tags: Original Articles Source Type: research

Continuous Glucose Monitoring Versus Capillary Point-of-Care Testing for Inpatient Glycemic Control in Type 2 Diabetes Patients Hospitalized in the General Ward and Treated With a Basal Bolus Insulin Regimen
Conclusions: Our preliminary results indicate that the use of CGM in type 2 patients hospitalized in the general ward provides accurate estimation of blood sugar levels and is more effective than POC for the detection of hypoglycemic episodes and asymptomatic hypoglycemia. (Source: Journal of Diabetes Science and Technology)
Source: Journal of Diabetes Science and Technology - March 1, 2016 Category: Endocrinology Authors: Gomez, A. M., Umpierrez, G. E., Munoz, O. M., Herrera, F., Rubio, C., Aschner, P., Buendia, R. Tags: Original Articles Source Type: research

The Diabetic Retinopathy Screening Workflow: Potential for Smartphone Imaging
Complications of diabetes mellitus, namely diabetic retinopathy and diabetic maculopathy, are the leading cause of blindness in working aged people. Sufferers can avoid blindness if identified early via retinal imaging. Systematic screening of the diabetic population has been shown to greatly reduce the prevalence and incidence of blindness within the population. Many national screening programs have digital fundus photography as their basis. In the past 5 years several techniques and adapters have been developed that allow digital fundus photography to be performed using smartphones. We review recent progress in smartphon...
Source: Journal of Diabetes Science and Technology - March 1, 2016 Category: Endocrinology Authors: Bolster, N. M., Giardini, M. E., Bastawrous, A. Tags: Guest Editors: Jorge Cuadros, Paolo Silva, and Emanuele Trucco Source Type: research