View Entire Collection
By Clinical Topic
By State Requirement
Diabetes – Summer 2012
Future of Nursing Initiative
Heart Failure - Fall 2011
Influenza - Winter 2011
Nursing Ethics - Fall 2011
Trauma - Fall 2010
Traumatic Brain Injury - Fall 2010
Fluids & Electrolytes
WEDNESDAY, March 31 (HealthDay News) -- Pediatric endocrinologists vary widely in their management of pediatric type 2 diabetes, with younger providers likely managing the disease more aggressively, according to research published in the March issue of Diabetes Care.
Kam Wong, of Vanderbilt University in Nashville, Tenn., and colleagues analyzed data from a survey of a nationwide sample of 211 pediatric endocrinologists, which inquired about medications they prescribe, frequency of testing for diabetes care, and attitudes toward diabetes management, and posed three clinical vignettes to assess management aggressiveness.
The researchers found that concordance with monitoring guidelines ranged from 36 percent for foot care to 93 percent for blood pressure monitoring. Based on the clinical vignettes, only 34 percent were completely concordant with current treatment guidelines. Providers ages 45 or younger or who were in clinical practice less than 10 years showed more aggressive management behaviors and had greater concordance with guidelines.
"Possible reasons for the variation in testing and treatment include clinical inertia, lack of familiarity with current recommendations, pediatric endocrinologists' lack of experience with antihypertensive and cholesterol-lowering medications, lack of system-level approaches, and the current lack of rigorous scientific evidence to support aggressive medication therapy in adolescents. Additionally, clinicians may focus on glycemic control with insufficient consideration of other issues," the authors write.
Full Text (subscription or payment may be required)
Sign up for our free enewsletters to stay up-to-date in your area of practice - or take a look at an archive of prior issues
Join our CESaver program to earn up to 100 contact hours for only $34.95
Explore a world of online resources
Back to Top