Diabetes managed care

Kim D, An B, Reinhardt RR. Inhaled insulin using the AERx Insulin Diabetes Management System in healthy and asthmatic subjects. Diabetes Care 2003 26(3) 764-9. 

Hermansen K, Ronnemaa T, Petersen AH, Bellaire S, Adamson U. Intensive therapy with inhaled insulin via the AERx insulin diabetes management system. Diabetes Care 2004 27 162-7. 

Jaber LA, Halapy H, Fernet M, et al. 1996. Evaluation of a pharmaceutical care model on diabetes management. 

Haardt, M.J. Selam, J.L. Slama, G. Bethoux, J.P. Dorange, C. Mace, B. Ramaniche, M.L. Bruzzo, F. A cost-benefit comparison of intensive diabetes management with implantable pumps versus multiple subcutaneous injections in patients with type I diabetes. Diabetes Care 1994,17 (8), 847-851. 

Hermansen, K. Ronnemaa, T. Petersen, A.H. Bellaire, S. Adamson, U. Intensive therapy with inhaled insuhn via the AERx insuhn diabetes management system a 12-week proof-of-concept trial in patients with type 2 diabetes. Diabetes Care 2004, 27 (1), 162-167. 

Hsiao, L.C.D. Salmon, J.W. Predicting adherence to prescription medication purchase among HMO enrollees with diabetes. J. Manag. Care Pharm. 1999, 5 (4), 336-341. 

Cefalu WT, Buse JB, Del Prato S et al (2014) Beyond metformin safety considerations in the decision-making process for selecting a second medication for type 2 diabetes management reflections from a diabetes care editors expert forum. Diabetes Care 37 2647-2659 Cemea S, Cahn A, Raz 1 (2016) SaxagUptm for the treatment of diabetes a focus on stifety. Expert Opin Drug Saf 15 696-707... 

Selby JV, Ray GT, Zhang D, Colby CJ (1997) Excess costs of medical care for patients with diabetes in a managed care population. Diabetes Care 20 1396-1402... 

Nursing management of a patient with diabetes requires diligent, skillful, and comprehensive nursing care... 

MANAGING LACTIC ACIDOSIS. When taking metformin, the patient is at risk for lactic acidosis. The nurse monitors die patient for symptoms of lactic acidosis, which include unexplained hyperventilation, myalgia, malaise, gastrointestinal symptoms, or unusual somnolence If the patient experiences these symptoms, the nurse should contact the primary care provider at once. Elevated blood lactate levels of greater than 5 mmol/L are associated with lactic acidosis and should be reported immediately. Once a patient s diabetes is stabilized on metformin therapy, the adverse GI reactions that often occur at the beginning of such therapy are unlikely to be related to the drug therapy. A later occurrence of GI symptoms is more likely to be related to lactic acidosis or other serious disease. 

Before administering die first dose of vasopressin for die management of diabetes insipidus, die nurse takes die patient s blood pressure, pulse, and respiratory rate. The nurse weighs the patient to obtain a baseline weight for future comparison. Serum electrolyte levels and odier laboratory tests may be ordered by die primary health care provider. 

JT, Talbert RL, Yee GC, et al, (eds.) Pharmacotherapy A Pathophysiological Approach. 6th ed. New York McGraw-Hill 2005, Fig. 72-8, p. 1356. Also refer to Nathan DM, Buse JB, Davidson MB, et al. Management of Hyperglycerin in type 2 diabetes a consensus algorithm for the initiation and adjustment of therapy. Diabetes Care 2006 29 1963-1972.)... 

Pooley, C.G., et al., " Oh It s A Wonderful Practice. You Can Talk To Them A Qualitative Study of Patients and Health Professionals Views on the Management of Type 2 Diabetes," Hlth. Soc. Care Community, 9, 318-326 (2001). 

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