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Related Concept Videos

Diabetes: Management and Pharmacotherapy01:15

Diabetes: Management and Pharmacotherapy

The therapy for diabetes aims to alleviate hyperglycemia-related symptoms, prevent acute metabolic decompensation, and reduce chronic end-organ complications. Glycemic control is evaluated through short-term (self-monitoring, continuous glucose monitoring) and long-term (A1c, fructosamine) metrics, enabling near real-time tracking of blood glucose levels and reflecting glycemic control over specific time frames.
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
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Atherosclerosis III: Management

Management of atherosclerosis involves an integrated strategy encompassing pharmacological treatment, surgical interventions, lifestyle changes, and nutrition therapy to address the multifactorial nature of the disease.Pharmacological TherapyA cornerstone of atherosclerosis management is the use of pharmacological agents. Statins, such as atorvastatin, are pivotal in inhibiting HMG-CoA reductase, an enzyme that catalyzes an initial step in cholesterol synthesis in the liver. This reduction in...
Oral Hypoglycemic Agents: α-Glucosidase Inhibitors01:19

Oral Hypoglycemic Agents: α-Glucosidase Inhibitors

α-glucosidase inhibitors, including acarbose (Precose), miglitol (Glyset), and voglibose (Voglib) (primarily available in Asia), are drugs that control blood sugar levels by delaying the digestion of starch and disaccharides. They achieve this by inhibiting α-glucosidase enzymes in the intestine, which slow the absorption of carbohydrates in the intestine, which in turn leads to a prolonged release of the glucoregulatory hormone GLP-1 from intestinal L-cells.
Acarbose and miglitol are typically...
Hyperglycemia01:29

Hyperglycemia

Hyperglycemia is an abnormally high blood glucose level. It is diagnosed by fasting glucose ≥126 mg/dL, 2-hour oral glucose tolerance test (or OGTT) ≥200 mg/dL, random glucose ≥200 mg/dL with symptoms, or HbA1c ≥6.5%. However, HbA1c results may be unreliable in certain conditions, such as anemia or hemoglobinopathies, and the diagnosis should be confirmed unless classic symptoms are present. Postprandial hyperglycemia is typically considered significant when glucose levels exceed 180 mg/dL two...
Diabetes Mellitus: Type 2 and Gestational01:22

Diabetes Mellitus: Type 2 and Gestational

Type 2 diabetes, characterized by insulin resistance, arises when the insulin receptors on cells lose responsiveness to insulin, diminishing the cell's capacity to take up glucose, resulting in elevated blood glucose levels. To receive a diagnosis of Type 2 diabetes, a series of blood glucose tests are necessary to assess whether the blood glucose falls within normal parameters. If the result is out of the normal range, a patient may be diagnosed as prediabetic or diabetic, depending on the...
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Updated: Jun 2, 2026

A Zebrafish Model of Diabetes Mellitus and Metabolic Memory
10:03

A Zebrafish Model of Diabetes Mellitus and Metabolic Memory

Published on: February 28, 2013

Glycemic control and cardiovascular mortality.

Matthew C Riddle1

  • 1Division of Endocrinology, Diabetes, and Clinical Nutrition, Oregon Health & Science University, Portland, Oregon 97239-3098, USA. riddle@ohsu.edu

Current Opinion in Endocrinology, Diabetes, and Obesity
|April 28, 2011
PubMed
Summary

Treating hyperglycemia in diabetes may reduce cardiovascular risk, but benefits may be delayed. Intensive glycemic control in high-risk individuals might increase short-term mortality, necessitating further research into patient subgroups and treatment strategies.

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Improving IV Insulin Administration in a Community Hospital
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Published on: June 11, 2012

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Last Updated: Jun 2, 2026

A Zebrafish Model of Diabetes Mellitus and Metabolic Memory
10:03

A Zebrafish Model of Diabetes Mellitus and Metabolic Memory

Published on: February 28, 2013

Improving IV Insulin Administration in a Community Hospital
12:08

Improving IV Insulin Administration in a Community Hospital

Published on: June 11, 2012

Area of Science:

  • Cardiology
  • Endocrinology
  • Public Health

Background:

  • Diabetes mellitus significantly elevates cardiovascular event risk.
  • The impact of hyperglycemia treatment on cardiovascular outcomes in diabetes remains debated.
  • Cardiovascular risk associated with hyperglycemia extends to levels below diabetes diagnosis.

Purpose of the Study:

  • To review the current evidence on the relationship between hyperglycemia treatment and cardiovascular risk in diabetes.
  • To explore the controversies surrounding the efficacy of glycemic control in reducing cardiovascular events.
  • To identify potential factors influencing the cardiovascular benefits of diabetes management.

Main Methods:

  • Review of epidemiologic studies and long-term follow-up data.
  • Analysis of existing data to identify patient subgroups.
  • Evaluation of outcomes from intensive glycemic treatment in high-risk populations.

Main Results:

  • Confirmed associations between hyperglycemia and cardiovascular risk, even at sub-diagnostic levels.
  • Evidence suggests cardiovascular benefits from early diabetes treatment may manifest over a decade later.
  • Intensive glycemic control in high-risk individuals may be associated with increased short-term mortality.

Conclusions:

  • Further analysis of existing data is needed to refine treatment guidelines for specific patient subgroups.
  • Future research should focus on early diabetes intervention with long-term follow-up and improved treatment modalities.
  • Personalized treatment strategies are crucial for optimizing cardiovascular outcomes in diabetic patients.