Paloma Rodriguez Alvarez il 03/03/2025

Hyperglycemic crises in adults: A look at the 2024 consensus report

Cleve Clin J Med. 2025 Mar 3;92(3):152-158. doi: 10.3949/ccjm.92a.24089.ABSTRACTHospital admissions for diabetic ketoacidosis (DKA) and hyperglycemic hyperosmolar state (HHS), the most severe hyperglycemic emergencies in patients with diabetes, have increased considerably over the past decade. The p

Anira Iqbal il 03/02/2025

Hypoglycemia after bariatric surgery: Management updates

Cleve Clin J Med. 2025 Feb 3;92(2):103-108. doi: 10.3949/ccjm.92a.24033.ABSTRACTBariatric procedures have been shown to decrease mortality in patients with obesity and even induce remission of type 2 diabetes, hypertension, hyperlipidemia, and obstructive sleep apnea. One common complication of bari

Thomas W Martens il 01/10/2024

Using continuous glucose monitoring data in daily clinical practice

Cleve Clin J Med. 2024 Oct 1;91(10):611-620. doi: 10.3949/ccjm.91a.23090.ABSTRACTAccess to and use of glycemic data are central to optimal management of diabetes. Use of continuous glucose monitoring (CGM) data to guide the management of diabetes has increased dramatically thanks to improved ease of

David D Chong il 01/08/2024

Diabetic retinopathy: Screening, prevention, and treatment

Cleve Clin J Med. 2024 Aug 1;91(8):503-510. doi: 10.3949/ccjm.91a.24028.ABSTRACTInternists are integral in the multidisciplinary approach to diabetic retinopathy, contributing significantly to the management of diabetes and diabetes-related complications. Effective screening processes, timely referr

Jayachidambaram Ambalavanan il 03/06/2024

Diabetes technology: A primer for clinicians

Cleve Clin J Med. 2024 Jun 3;91(6):353-360. doi: 10.3949/ccjm.91a.23073.ABSTRACTDiabetes technology is evolving rapidly and is changing the way both patients and clinicians approach the management of diabetes. With more devices gaining US Food and Drug Administration approval and insurance coverage

Jorge Araujo-Duran il 03/06/2024

Gastroparesis for the nongastroenterologist

Cleve Clin J Med. 2024 Jun 3;91(6):373-383. doi: 10.3949/ccjm.91a.23078.ABSTRACTGastroparesis is a heterogeneous motility disorder characterized by nausea, vomiting, and postprandial fullness. Its diagnosis requires objective documentation of delayed gastric emptying of solid food and exclusion of m

Michelle D Lundholm il 02/10/2023

Inpatient glycemic management in noncritically ill patients: Updated guidelines

Cleve Clin J Med. 2023 Oct 2;90(10):615-618. doi: 10.3949/ccjm.90a.23049.ABSTRACTHyperglycemia is common in hospitalized patients and is traditionally managed with scheduled and correctional doses of insulin. The authors present an overview of the latest (2022) guidelines from the Endocrine Society

Byron J Hoogwerf il 03/01/2023

Statins may increase diabetes, but benefit still outweighs risk

Cleve Clin J Med. 2023 Jan 3;90(1):53-62. doi: 10.3949/ccjm.90a.22069.ABSTRACTData have been accumulating on the risk of developing type 2 diabetes in patients receiving statins and on the potential adverse effects of these drugs on glycemic control in patients who already have type 2 diabetes. This

Noura Nachawi il 01/08/2022

The role of GLP-1 receptor agonists in managing type 2 diabetes

Cleve Clin J Med. 2022 Aug 1;89(8):457-464. doi: 10.3949/ccjm.89a.21110.ABSTRACTGlucagon-like peptide-1 (GLP-1) receptor agonists improve glycemic control in patients with type 2 diabetes mellitus, have cardioprotective and renoprotective effects, and do not cause weight gain or significant hypoglyc

Ghaith Alhatemi il 02/04/2022

Glycemic control in the critically ill: Less is more

Cleve Clin J Med. 2022 Apr 1;89(4):191-199. doi: 10.3949/ccjm.89a.20171.ABSTRACTHyperglycemia is associated with poor clinical outcomes in critically ill patients. Initial clinical trials of intensive insulin therapy targeting blood glucose levels of 80 to 110 mg/dL showed improved outcomes, but sub

Lauren Anne Buehler il 02/10/2021

Ketogenic diets in the management of type 1 diabetes: Safe or safety concern?

Cleve Clin J Med. 2021 Oct 1;88(10):547-555. doi: 10.3949/ccjm.88a.20121.ABSTRACTThe jury is still out on whether a low-carbohydrate, ketosis-inducing diet is an effective and safe adjunctive therapy to insulin in type 1 diabetes. The limited published literature reports an association with weight l

George Dimeling il 04/05/2021

CABG: When, why, and how?

Cleve Clin J Med. 2021 May 3;88(5):295-303. doi: 10.3949/ccjm.88a.20115.ABSTRACTCoronary revascularization has matured as a field since coronary artery bypass grafting (CABG) was first developed over 50 years ago, with diagnostic and treatment methods having advanced dramatically. CABG remains the s

Yumiko Tsushima il 01/01/2021

The role of SGLT-2 inhibitors in managing type 2 diabetes

Cleve Clin J Med. 2021 Jan 1;88(1):47-58. doi: 10.3949/ccjm.88a.20088.ABSTRACTSodium-glucose cotransporter-2 (SGLT-2) inhibitors are an exceptionally versatile class of medication, and their glycemic and nonglycemic benefits could help millions of patients with type 2 diabetes. Of note, they have be

Ryan Miller il 07/05/2020

Clinical presentation and course of COVID-19

Cleve Clin J Med. 2020 Jun 30;87(7):384-388. doi: 10.3949/ccjm.87a.ccc013.ABSTRACTInformation about the clinical presentation and course of COVID-19 is evolving rapidly. On presentation, cough and fever predominate, but extrapulmonary symptoms are also common; in some patients, loss of sense of smel