New research suggests older patients with diabetes and depression are less likely to use a smartphone app to help with diabetes self-management. Self-care apps are an important tool, and use likely will increase as people become more comfortable using them.
A multicenter, multinational prospective case-cohort study concludes that an increase in dietary consumption of fruits and vegetables is beneficial in reducing the risk of diabetes mellitus type 2 regardless of the current level of consumption.
In this retrospective cohort study of 243 pregnant women who had combined hemoglobin A1c (HbA1c) and a two-step oral glucose tolerance testing at less than 21 weeks of gestation, median values of HbA1c were higher in women with gestational diabetes compared to nondiabetics (5.8% compared to 5.3%; P < 0.001). The predictive probability of using HbA1c in diagnosing diabetes in early pregnancy was high compared to two-step testing (area under the curve, 0.8), with an optimal diagnostic threshold of 5.6%. Although a HbA1c level of > 6.5% is diagnostic of early gestational diabetes, a lower diagnostic threshold might be justified during pregnancy.
Case managers need tremendous tools to help them manage care of chronically ill patients along the continuum, she notes. It is important that case managers use evidence-based tools in their practice, outcomes, and decisions.
Obesity and diabetes are important risk factors for severity of COVID-19, according to the results of a new study. The research also revealed that patients with diabetes and coronavirus infections need continuous glucose monitoring and insulin to better manage both their chronic illness and their infection.
These reviews of studies presented at the 2020 International Stroke Conference were written by Neurology Alert's editor after personal attendance at the presentations, followed by review of the simultaneous publications in Stroke. All comments and opinions are solely those of the editor.