Diabetes takes two forms: Type 1 and Type 2. In both conditions, the pancreas produces little to no insulin, which is necessary to metabolize sugar. While both conditions have similarities, there is no known way to prevent Type 1 diabetes. Further, Type 1 typically begins in children and young adults. Type 2, which usually begins in older adults, is a considered a preventable, chronic metabolic disorder. Long-term complications from both conditions include heart disease, stroke, diabetic retinopathy (which can result in blindness), kidney failure, and poor blood flow in the limbs, which may lead to amputations. VA research focuses on Type 2 diabetes, which more commonly impacts Veterans.
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(5 of more than 1695 DIABETES focused publications)
- Lee RH, Sloane R, Pieper C, Lyles KW, Adler RA, Van Houtven C, LaFleur J, Colón-Emeric C. Glycemic control and insulin treatment alter fracture risk in older men with type 2 diabetes mellitus. Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research. 2019 Jul 3.
- Reaven PD, Emanuele NV, Wiitala WL, Bahn GD, Reda DJ, McCarren M, Duckworth WC, Hayward RA, VADT Investigators. Intensive Glucose Control in Patients with Type 2 Diabetes - 15-Year Follow-up. The New England journal of medicine. 2019 Jun 6; 380(23):2215-2224.
- Shaw RJ, Barnes A, Steinberg D, Vaughn J, Diane A, Levine E, Vorderstrasse A, Crowley MJ, Wood E, Hatch D, Lewinski A, Jiang M, Stevenson J, Yang Q. Enhancing Diabetes Self-Management Through Collection and Visualization of Data From Multiple Mobile Health Technologies: Protocol for a Development and Feasibility Trial. JMIR research protocols. 2019 Jun 3; 8(6):e13517.
- Everett CM, Morgan P, Smith VA, Woolson S, Edelman D, Hendrix CC, Berkowitz T, White B, Jackson GL. Primary care provider type: Are there differences in patients' intermediate diabetes outcomes? JAAPA : official journal of the American Academy of Physician Assistants. 2019 Jun 1; 32(6):36-42.
- Li G, Crowley MJ, Tang H, Yang JY, Sandler RS, Wang T. Dipeptidyl Peptidase 4 Inhibitors and Risk of Inflammatory Bowel Disease Among Patients With Type 2 Diabetes: A Meta-analysis of Randomized Controlled Trials. Diabetes Care. 2019 Jul 1; 42(7):e119-e121.
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(5 of more than 94 DIABETES focused publication briefs)
- Cardiovascular Benefits of Intensive Glucose Control in Veterans with Type 2 Diabetes Did Not Persist in Long-term Post-Trial Follow-Up
Long-term follow-up of glucose lowering in patients with type 2 diabetes may help clarify the duration of any potential cardiovascular disease (CVD) benefit. Investigators here report on the full 15-year follow-up of Veterans with type 2 diabetes who were randomly assigned to receive either intensive or standard glucose control as part of the Veterans Affairs Diabetes Trial. Findings showed that V...
Date: June 6, 2019
- VA Nurse Practitioners and Physician Assistants Lower Cost of Care for Complex Primary Care Patients with Diabetes
This study compared health services use and costs depending on whether a Veteran’s primary care provider was a physician, NP, or PA. Findings showed that Veterans in this study were medically complex, averaging almost seven chronic conditions each and 3.5 times the complexity of the typical Medicare patient. Investigators found greater rates of hospitalizations and ED visits and higher healthcare ...
Date: June 1, 2019
- No Difference in Intermediate Outcomes for Veterans with Diabetes by Type of Primary Care Provider
This study examined whether intermediate diabetes outcomes differed among Veterans treated at one of 568 VA primary care facilities by a physician, nurse practitioner (NP), or physician assistant (PA) primary care provider. Findings showed that there were no clinically significant differences in intermediate diabetes outcomes – or the control of those outcomes – among patients with NP, PA, or phys...
Date: December 18, 2018
- Preoperative Surgical Screening for Asymptomatic Bacteriuria is Not Beneficial
Strong evidence that preoperative screening for bacteria in the urine, and treatment with antibiotics if found to be positive, improves clinical outcomes is lacking. This study sought to measure the association between asymptomatic bacteriuria (ASB) and key postoperative infectious outcomes, including surgical-site infection (SSI) and UTI, and determine if directed antimicrobial therapy was associ...
Date: December 12, 2018
- Evidence Review Identifies Modest Mortality Disparities among Racial and Ethnic Minority Groups in VA Healthcare
To support VA’s efforts to better understand the scale and determinants of disparities in racial and ethnic mortality – and to develop interventions to reduce disparities, investigators from the VA Evidence-based Synthesis Program (ESP) Coordinating Center in Portland, OR conducted an evidence review of mortality disparities specific to VA. Findings showed that although VA’s equal access healthcar...
Date: March 1, 2018
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( 5 of more than 104 DIABETES focused projects
|| Impact of VA Disability and Health Benefits on Long-Term Diabetes Outcomes among Vietnam-Era Veterans
|| Development and Implementation of Decision Aids to Promote Safe Use of Hypoglycemia-prone Medications in Diabetes: Shared Decision Making around Glycemic Control (A1c) Targets
|| Prediction and Prevention of Hypoglycemia in Veterans with Diabetes
|| Practical Telemedicine to Improve Control and Engagement for Veterans with Clinic-Refractory Diabetes Mellitus (PRACTICE-DM)
|| Improving Diabetes Care through Effective Personalized Patient Portal Interactions
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5 sample "Diabetes" publications displayed.
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Obesity Disparities and the Use of Activity Tracker Technology to Facilitate Healthy Behavior
|| Korshak, Lauren
Improving Veteran Engagement in Diabetes Prevention
|| Kullgren, Jeff
Implementing Web-Based Interventions at VA: Case Studies in Diabetes Prevention and Cognitive Behavioral Therapy for Women Veterans
|| Brunner, Julian
Balancing Measures: Identifying Unintended Consequences of Diabetes Quality Performance Measures
|| Aron, David
Diabetes Prevention Program (DPP) Translation in VA
|| Damschroder, Laura
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