Abraham Thomas

Are You Sure the Patient Requires Continuous Glucose Monitoring? Continuous glucose monitoring has the potential to offer several benefits, enabling patients and their health care providers to: Identify large excursions of hyperglycemia or hypoglycemia that the patient may not be aware of. Recognize real-time trends in glucose levels that permit therapeutic intervention to minimize glucose…

Diagnosis of Cholesterol Issues in the Diabetic Patient In the patient with diabetes mellitus (DM), the diabetes itself is a well-established coronary risk equivalent, with a risk of a coronary heart disease (CHD) event greater than 20% in 10 years. Coronary artery disease (CAD) is the leading cause of death in patients with diabetes over…

Description of the Condition Incidence Diabetic ketoacidosis (DKA) and hyperglycemic hyperosmolar state (HHS) are the most serious acute metabolic complications of diabetes. Recent data indicate there are more than 144,000 hospital admissions per year for DKA in the United States and the number of cases show an upward trend, with a 30% increase in the…

Are You Sure the Patient Has Diabetic Nephropathy? Definition: Diabetic nephropathy (DN) is a clinical syndrome characterized by persistent albuminuria, a relentless decline in the glomerular filtration rate (GFR) and raised arterial blood pressure (BP). Persistent albuminuria (>300 mg/24 hr or >200 µg/min) in at least two of three consecutive nonketotic urine samples is the…