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Diabetes Spectrum 14:64-65, 2001
© American Diabetes Association ®, Inc., 2001

Preface

From Research to Practice

Three Controversies, Many Answers: Preface

Patrick J. Boyle, MD and Virginia Valentine, RN, MSN, CDE

Controversy is defined in Webster’s Collegiate Dictionary as "a disagreement on a contentious topic, strongly felt or expressed by all those concerned." Even when a position on a significant issue has reached a level of consensus that most professionals can accept, uncertainty may remain regarding implementation. Exploring these uncertainties or controversies gives us an opportunity to illuminate the facets of a topic that will most likely lead to better patient care. Said succinctly, the "devil is in the details."

We began planning this From Research to Practice section with a long list of current controversies in the care of people with diabetes. After much discussion, we whittled our list down to the three issues that we believe most affect diabetes care providers: 1) how best to diagnose diabetes and measure blood glucose control, 2) how best to match insulin therapy to our patients’ individual needs, and 3) how best to decide which children, if any, should be candidates for insulin pump therapy.

How Do We Diagnose Diabetes and Measure Blood Glucose Control?

We begin our section with a look at the continuing controversy surrounding the diagnosis of diabetes and blood glucose measurement. First, Mayer B. Davidson, MD, a past president of the American Diabetes Association (ADA) and member of its Expert Committee on the Diagnosis and Classification of Diabetes Mellitus, provides an alternative view from the current committee report on diagnosis and classification of diabetes mellitus (p. 67).

Recognizing that diabetes care teams regularly encounter patients who do not . . . [Full Text of this Article]

Fine-Tuning Control: Pattern Management Versus Supplementation

Pump Therapy for Children: Weighing the Risks and Benefits


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Diabetes Diabetes Care Clinical Diabetes Diabetes Spectrum
Copyright © 2001 by the American Diabetes Association.