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 1743 DIABETES focused publications)
- Niznik JD, Hunnicutt JN, Zhao X, Mor MK, Sileanu F, Aspinall SL, Springer SP, Ersek MJ, Gellad WF, Schleiden LJ, Hanlon JT, Thorpe JM, Thorpe CT. Deintensification of Diabetes Medications among Veterans at the End of Life in VA Nursing Homes. Journal of the American Geriatrics Society. 2020 Feb 17.
- Wakefield BJ, Turvey C, Hogan T, Shimada S, Nazi K, Cao L, Stroupe K, Martinez R, Smith B. Impact of Patient Portal Use on Duplicate Laboratory Tests in Diabetes Management. Telemedicine journal and e-health : the official journal of the American Telemedicine Association. 2020 Feb 11.
- Caraballo C, Valero-Elizondo J, Khera R, Mahajan S, Grandhi GR, Virani SS, Mszar R, Krumholz HM, Nasir K. Burden and Consequences of Financial Hardship From Medical Bills Among Nonelderly Adults With Diabetes Mellitus in the United States. Circulation. Cardiovascular quality and outcomes. 2020 Feb 6; 13(2):e006139.
- Dyer KE, Moreau JL, Finley E, Bean-Mayberry B, Farmer MM, Bernet D, Kress A, Lewis JL, Batuman FK, Haskell SG, Hamilton AB, Moin T. Tailoring an evidence-based lifestyle intervention to meet the needs of women Veterans with prediabetes. Women & health. 2020 Jan 20; 1-15.
- Arney JB, Odom E, Brown C, Jones L, Kamdar N, Kiefer L, Hundt N, Gordon HS, Naik AD, Woodard LD. The value of peer support for self-management of diabetes among veterans in the Empowering Patients In Chronic care intervention. Diabetic medicine : a journal of the British Diabetic Association. 2019 Dec 23.
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(5 of more than 95 DIABETES focused publication briefs)
- Weight Management as Effective as Medication Intensification for Glycemic Control among Veterans with Type 2 Diabetes
This randomized clinical trial sought to determine whether adding intensive weight management to group medical visits (WM/GMV) improves glycemia compared with GMV alone, while enhancing weight loss and decreasing medication intensity in patients with uncontrolled type 2 diabetes. Findings showed that for Veterans with diabetes who attended group medical visits, adding intensive weight management u...
Date: November 4, 2019
- 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
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( 5 of more than 104 DIABETES focused projects
|| Prediction and Prevention of Hypoglycemia in Veterans with Diabetes
|| 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
|| 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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Causes of Excess Mortality in Veterans Treated for Post-Traumatic Stress Disorder
|| Forehand, Jenna
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
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