Articles related toPublic Health and Primary Care

Bursting the bubble: hereditary spherocytosis masking poor glycemic control

Ashley Gordon, DO; Deep Pachu, MD; and Matthew J. Hadfield, DO
The authors present a case of a patient who was found to have hereditary spherocytosis (HS) after developing nephrotic range proteinuria. The patient had diabetes that was previously thought to be well controlled, but his HS was masking his poor glycemic control. This case highlights the importance of understanding the limitations of the hemoglobin A1c in managing patients with diabetes.
Advance Article

A pilot of a modified diabetes prevention program in Quito, Ecuador

Susana Alvear Durán, MD, MPH; Galo Sanchez-del-Hierro, MD, PhD; Diego Gomez-Correa, MD; Andrés Enriquez, MD; Enver Sanchez, MD; Melissa Belec, DO, MPH; Sharon Casapulla, EdD, MPH; Mario J. Grijlava, PhD; and Jay H. Shubrook, DO
Diabetes has become a global noninfectious pandemic with rates rapidly rising around the globe. The major drivers of this increase in type 2 diabetes are obesity, an increase in processed foods, and a decrease in physical activity. In the United States, the National Diabetes Prevention Program has proven to be an effective lifestyle intervention to delay or prevent new-onset type 2 diabetes. However, there is limited evidence that such a lifestyle program will work in a South American community. This pilot program aims to determine if a modified version of the Centers for Disease Control and Prevention Diabetes Prevention Program would be feasible in an Ecuadorian population.
J Osteopath Med; 121(12): 905-911

A renaissance in the treatment of diabetic kidney disease, hypertension in chronic kidney disease, and beyond

Jordana Yahr, DO; Juan Calle, MD; and Jonathan J. Taliercio, DO
Chronic kidney disease (CKD) affects approximately 15% of the US population and is associated with significant cardiovascular morbidity and mortality. In this article, the authors define CKD staging, review new hypertension and diabetic guidelines for CKD patients, and discuss major trials for new potential therapies in CKD, particularly diabetic kidney disease. They also provide practical guidance for primary care physicians to diagnose CKD and implement these agents early in the disease course to prevent the progression of disease and reduce the morbidity and mortality of this vulnerable population.
Advance Article

Masqueraders: how to identify atypical diabetes in primary care

Sumera Ahmed, MD; Sana Saeed, MS; and Jay H. Shubrook, DO
While type 1 diabetes, type 2 diabetes, and gestational diabetes are most frequently encountered, there are many other types of diabetes with which healthcare providers are less familiar. These atypical forms of diabetes make up nearly 10% of diabetes cases and can masquerade as type 1 or 2 diabetes mellitus (T1DM or T2DM), and the treatment may not be optimized if the diagnosis is not accurate. This paper will detail the defining characteristics of each atypical form and demonstrate how they can masquerade as T1DM or T2DM.
J Osteopath Med; 121(12): 899-904

Characteristics of Osteopathic Physicians Choosing to Practice Rural Primary Care

Thaddeus Miller, MPH; Roderick S. Hooker, PhD; and Douglas A. Mains, DrPH
J Osteopath Med; 106(5): 274-279

A 44-Year-Old Woman With Hematemesis and Cutaneous Hemorrhages as a Result of Superwarfarin Poisoning

Elizabeth K. Dolin, DO; Damon L. Baker, DO; and Steven C. Buck, DO
J Osteopath Med; 106(5): 280-284

New Strategies for Diagnosis and Management of Celiac Disease

Dyanne P. Westerberg, DO; James M. Gill, MD, MPH; Bhavin Dave, MD; Marie J. DiPrinzio, RN, MSN, MBA; Anna Quisel, MD; and Andrew Foy, BA
J Osteopath Med; 106(3): 145-151

Magnetic Resonance Spectroscopy as an Imaging Tool for Cancer: A Review of the Literature

Naishadh Shah, DO, MBA; Ayesha Sattar, BS; Michael Benanti, DO; Scott Hollander, DO; and Lanna Cheuck, DO
J Osteopath Med; 106(1): 23-27

Beating Asthma: A Community-Based Asthma Education Initiative

Paula D. Scariati, DO, MPH; Linda Roberge, PhD; and Timothy Dye, PhD
J Osteopath Med; 106(1): 16-22

Tophaceous Gout in a Patient With Rheumatoid Arthritis

Damon L. Baker, DO; Jeffrey S. Stroup, PharmD; and Carrie Ann Gilstrap, DO
J Osteopath Med; 107(12): 554-556