April 25, 2020: Issue #1039

TOP STORIES - Diabetes News & Research

Costs vs. Outcomes:
How To Overcome The Complexities of Treatment Decisions For Patients With Type 2 Diabetes, Part 2

Prevalence of Type 2 Diabetes in Genetic Dyslipidemia

How Diabetes Cost Is Directly Related To A1c

Letter from the Editor

Lately my email has been full of information on the increased risk of death from Covid-19 if you have diabetes. There is evidently enough clamor that insulin companies are offering special discounts and free insulin to patients. I think that it is great, but why did it take an epidemic to make insulin prices go down? More importantly, will they go back up when the pandemic is over?

This points out the dilemma that many medical professionals face when they manage complex patients. This week we have part 2 of our series, on Cost Vs Outcomes, that delves into why medication prices are so high.

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We can make a difference!

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Dave Joffe

Editor-in-chief

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Did You Know?  Why More Attention Needs to Be Provided to Those with Young-Onset Diabetes:

The prevalence of type 2 diabetes is increasing among adults under age 45. The onset of type 2 diabetes at a younger age increases an individual’s risk for diabetes-related complications. Given the lasting benefits conferred by early glycemic control, this study compared glycemic control and initial care between adults with younger-onset (21–44 years) and mid-age onset (45–64 years) of type 2 diabetes. Using data from an extensive, integrated health care system, they identified 32,137 adults (aged 21–64 years) with incident diabetes (first HbA1c ≥6.5% [≥48 mmol/mol]). Anyone with evidence of prior type 2 diabetes, gestational diabetes, or type 1 diabetes was excluded. Of identified individuals, 26.4% had younger-onset, and 73.6% had mid-age onset type 2 diabetes. Adults with younger-onset had higher initial mean HbA1c values (8.9% [74 mmol/mol]) than adults with onset in mid-age (8.4% [68 mmol/mol]) (P < 0.0001) and lower odds of achieving an HbA1c <7% (<53 mmol/mol) 1 year after the, even after accounting for HbA1c at diagnosis. Adults with younger-onset had lower odds of in-person primary care contact than those with onset during mid-age, but they did not differ in telephone contact. Adults with younger-onset had higher odds of starting metformin, but lower odds of adhering to that medication. From the results, it was concluded that adults with the onset of type 2 diabetes at a younger age were less likely to achieve glycemic control at one year following diagnosis, suggesting the need for tailored care approaches to improving outcomes for this high-risk patient population. Diabetes Care

Diabetes in Control gratefully acknowledges the assistance of the following pharmacy doctoral candidates in the preparation of this week’s newsletters:

Deonna Andrews, PharmD Candidate 2020 of Florida Agricultural & Mechanical University College of Pharmacy and Pharmaceutical Sciences

Mia Flowers, PharmD. Candidate of Florida Agricultural & Mechanical University School of Pharmacy

Mit Suthar, PharmD. Candidate, LECOM School of Pharmacy

Chardae Whitner PharmD Candidate L|E|C|O|M Bradenton School of Pharmacy

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April 25, 2020: Issue #1039

TOP STORIES - Diabetes News & Research

TOP STORIES - Diabetes News and Research

Did You Know? Why More Attention Needs to Be Provided to Those with Young-Onset Diabetes:

Diabetes in Control gratefully acknowledges the assistance of the following pharmacy doctoral candidates in the preparation of this week’s newsletters:

Did You Know?  Why More Attention Needs to Be Provided to Those with Young-Onset Diabetes: