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Clinical Accuracy Spoken Here
Diabetes: Nutritional Therapy

Types of Carbohydrates

  • Monosaccharides and disaccharides (glucose, fructose, sucrose, and lactose) are sugars. Sources include fruit, some vegetables, milk, and sweets.

  • Fructose and galactose (from lactose) are primarily metabolized by the liver and converted into glycogen. Only a small amount is converted to glucose affecting postprandial blood glucose levels. Sugars (fructose, lactose, sucrose) produce a lower blood glucose response than starches and glucose.

  • Polysaccharides are classified as starch (amylopectin and amylase) or fiber. Non-digestible carbohydrate components of plants are commonly referred to as fiber. A more accurate term for these would be non-starch polysaccharides.

Diabetes: Module D, Care Standards www.athenaforum.com

RA: Disease Modification with DMARDs

A DMARD (disease modifying anti-rheumatic drug) must have demonstrated radiological efficacy in reducing joint destruction. DMARDs slow, and ideally, halt the progression of RA. These drugs are slow-acting, taking anywhere from 2 to 6 months to take effect. There are numerous DMARDs to choose from. It is essential to begin treatment with a DMARD early in the course of the disease. In autoimmune diseases such as RA, adherence to the treatment regimen is critical. Compliance with treatment is benefited by patient education concerning outcome expectations.

RA: Module C, Treatments and Interventions
Excellence in Case Mgmnt
UM: Gauging Success

Performance measures are points of reference used to compare outcomes (performance) against set standards. Performance measurement tools assess the actual process and the degree to which the expected outcome is being met in areas such as clinical care, resource management, and services. The focus for changes needed in established processes is identified by negative variance when measured against the set standard.

[Reference: UM: Module A, Standards and Regulations in UM]

In the Headlines . . .
New Uses for Existing Meds

Researchers used computers and genomic data to find new applications for existing FDA-approved drugs. The research team created a computer program to compare the expression profiles of about 164 drugs and 100 diseases. Based on their findings, the researchers selected 2 candidate drug-disease pairs for further testing. Cimetidine, which is prescribed for heartburn, successfully inhibited the growth of human lung tumors both in the laboratory and when implanted in mouse. Topiramate, an epilepsy drug, effectively decreased symptoms in rodents with inflammatory bowel disease. The accomplishment represents a major step forward in drug discovery. [NIH Research Matters, September 12, 2011]

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Cathy Wright Cathy Wright, BSN, RN
Clinical Editor
Athena Forum


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