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Diabetes Journal: ADA publications Several randomized clinical trials have shown the possibility of preventing or delaying the onset of type 2 diabetes in nondiabetic adults at high risk of developing the disease. Successful interventions have included drugs (not further discussed here) and lifestyle interventions emphasizing weight loss...
In patients with type 2 diabetes mellitus, insulin may be used to augment therapy with oral glycemic medications or as insulin replacement therapy.The goals of therapy should be individualized based on many factors, including age, life expectancy, comorbid conditions, duration of diabetes, risk of hypoglycemia, cost, patient motivation, and qu...
The American Diabetes Association (ADA) “Standards of Medical Care in Diabetes” includes the ADA’s current clinical practice recommendations and is intended to provide the components of diabetes care, general treatment goals and guidelines, and tools to evaluate quality of care. Recommendations Chronic Kidney Disease - Screening At...
JAMA Internal MedicineTAKE-HOME MESSAGEThis retrospective study evaluated the association between statin initiation and diabetes progression. Progression of diabetes occurred in significantly more statin users. There was a dose–response relationship with higher-intensity statin use.The study examined 12 years of data on patients covered by the...
Children who are infected with COVID-19 are at a higher risk of developing diabetes, according to a new study by the Centers for Disease Control and Prevention (CDC). Increased incidence of diabetes seen among patients aged younger than 18 years after acute COVID-19 infection versus those without COVID-19. Key Summary What is already...
DIET, PHYSICAL ACTIVITY, AND BEHAVIORAL THERAPY Diet, physical activity, and behavioral therapy designed to achieve and maintain >5% weight loss should be prescribed for patients with type 2 diabetes who are overweight or obese and ready to achieve weight loss.    Such interventions should be high intensity (≥16 sessi...
COVID-19 may elevate the risk of hyperglycemia and other complications in patients with and without prior diabetes history. Individuals with preexisting diabetes show higher incidence of COVID-19 illness and poorer prognosis upon infection. Likewise, an increased frequency of diabetes onset and diabetes complications has been reported in patie...
Diabetes, a silent killer, is a leading cause of neuropathy. Around 50% of diabetic patients develop peripheral neuropathy in 25 years. Painful diabetic neuropathy manifests as burning, excruciating, stabbing or intractable type of pain or presents with tingling or numbness. The pathophysiology of this condition is due to primarily metabolic a...
Obesity is now recognised as a disease that is associated with serious morbidity and increased mortality. One of its main metabolic complications is type 2 diabetes, as the two conditions share key pathophysiological mechanisms. Weight loss is known to reverse the underlying metabolic abnormalities of type 2 diabetes and, as such, improve gluc...
Insulin Initiation in Patients with Type 2 Diabetes Insulin initiation and titration is a challenge for many primary care providers (PCPs) involved in the treatment of patients with type 2 diabetes. What are ADA recommendations?The early introduction of insulin should be considered -·        if there is evidence of ongoing catabolism (weight...