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Vice Chair, Morehouse School of Medicine


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Glibenclamide diabetes powerpoint best order forxiga, metformin diabetes insipidus case study purchase forxiga online now, and insulin for the treatment of gestational diabetes: a systematic review and meta-analysis blood sugar in pregnancy purchase forxiga american express. Effect of glyburide vs sube cutaneous insulin on perinatal complications among women with gestational diabetes: a randomized clinical trial. Association of adverse pregnancy outcomes with glyburide vs insulin in women with gestational diabetes. Metformin versus placebo from first trimester to delivery in polycystic ovary syndrome: a randomized, controlled multicenter study. Prospective parallel randomized, double-blind, doubledummy controlled clinical trial comparing clomiphene citrate and metformin as the firstline treatment for ovulation induction in nonobese anovulatory women with polycystic ovary syndrome. Metformin administration versus laparoscopic ovarian diathermy in clomiphene citrate-resistant women with polycystic ovary syndrome: a prospective parallel randomized double-blind placebocontrolled trial. Continuous subcutaneous insulin infusion versus multiple daily injections of insulin for pregnant women with diabetes. Insulin requirements throughout pregnancy in women with type 1 diabetes mellitus: three changes of direction. Transplacental passage of insulin in pregnant women with insulindependent diabetes mellitus. Evaluation of insulin antibodies and placental transfer of insulin aspart in pregnant women with type 1 diabetes mellitus. Different insulin types and regimens for pregnant women with preexisting diabetes. Risk factors for preeclampsia at antenatal booking: systematic review of controlled studies. Lowdose aspirin for the prevention of morbidity and mortality from preeclampsia: a systematic evidence review for the U. A costbenefit analysis of low-dose aspirin prophylaxis for the prevention of preeclampsia in the United States. American College of Obstetricians and Gynecologists; Task Force on Hypertension in Pregnancy. Does breastfeeding influence the risk of developing diabetes mellitus in children? Healthful dietary patterns and type 2 diabetes mellitus risk among women with a history of gestational diabetes mellitus. Interpregnancy weight change and risk of adverse pregnancy outcomes: a population-based study. Changes in postpartum insulin requirements for patients with well-controlled type 1 diabetes. Diabetes Care in the Hospital: Standards of Medical Care in Diabetesd2019 Diabetes Care 2019;42(Suppl. In the hospital, both hyperglycemia and hypoglycemia are associated with adverse outcomes, including death (1,2). Therefore, inpatient goals should include the prevention of both hyperglycemia and hypoglycemia. Hospitals should promote the shortest safe hospital stay and provide an effective transition out of the hospital that prevents acute complications and readmission. For in-depth review of inpatient hospital practice, consult recent reviews that focus on hospital care for diabetes (3,4). B High-quality hospital care for diabetes requires both hospital care delivery standards, often assured by structured order sets, and quality assurance standards for process improvement. Because inpatient insulin use (5) and discharge orders (6) can be more effective if based on an A1C level on admission (7), perform an A1C test on all patients with diabetes or hyperglycemia admitted to the hospital if the test has not been performed in the prior 3 months (8). In addition, diabetes self-management knowledge and behaviors should be assessed on admission and Suggested citation: American Diabetes Association. S174 Diabetes Care in the Hospital Diabetes Care Volume 42, Supplement 1, January 2019 diabetes self-management education should be provided, if appropriate. Diabetes self-management education should include appropriate skills needed after discharge, such as taking antihyperglycemic medications, monitoring glucose, and recognizing and treating hypoglycemia (2).

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Minimally Acceptable Care the lowest appropriate level of lifesaving medical and surgical interventions (crisis management care) delivered in the acute phase of the disaster diabetes 85 cheap forxiga 5 mg on line. Mitigation Activities that healthcare facilities and professionals undertake in an attempt to diabetes test edinburgh purchase 10mg forxiga otc lessen the severity and impact of a potential disaster blood sugar at 5990 purchase generic forxiga canada. These include establishing alternative sites for the care of mass casualties, triage sites outside the hospital, and procedures in advance of a disaster for the transfer of stable patients to other medical facilities to allow for care of incoming disaster victims. Preparedness Activities that healthcare facilities and providers undertake to build capacity and identify resources that may be used if a disaster occurs. Recovery Activities designed to assist health care facilities and professionals resume normal operations after a disaster situation is resolved. Response Activities that healthcare facilities and professionals undertake in providing crisis management care to patients in the acute phase of the disaster. Surge Capability the extra assets (personnel and equipment) that can be deployed in a disaster. Surge Capacity Extra assets (personnel and equipment) that potentially can be used in mass-casualty event without consideration of the essential supporting assets. Successful application of these principles during the chaos that typically comes in the aftermath of such catastrophes requires both familiarity with the disaster response and knowledge of the medical conditions likely to be encountered. Disasters involving weapons of mass destruction and terrorist events are particular challenges for trauma teams. Seventy percent of terrorist attacks involve the use of explosive weapons with the potential to cause multidimensional injuries. Explosions produce blast injuries which are complex because of the multiple mechanisms of injury that result. Multidisciplinary medical experts must be involved in all four phases of management with respect to the medical components of the operational plan. Trauma team members must be prepared to participate in all aspects of the medical response to disasters, and they are uniquely qualified to do so. Ensuring scene safety and determining the necessity for decontamination of affected disaster victims are among the first priorities of disaster response before initiating medical care both at the disaster site and in the hospital. This approach is based on a single plan for all disasters that is flexible and includes branch points that lead to specific actions depending on the type of disaster encountered. Unique to disasters is the degree to which certain capabilities are needed in specific disasters and the degree to which outside assistance. Rapid assessment will determine which of these elements are needed in the acute phase of the disaster. Trauma teams are uniquely qualified to participate in all four aspects of the disaster medical response given their expertise in triage, emergency surgery, care of critically injured patients, and rapid decision making. It allows for effective coordination in disaster preparedness and response activities with prehospital, public health, public safety, and other response organizations. An important part of hospital disaster planning is to identify the incident commander and other key positions before a disaster occurs. Hospitals should be able to deploy sufficient staff, equipment, and resources to care for an increase, or "surge," in patient volume that is approximately 20% higher than its baseline. Too often, hospital disaster plans use surge capacity only in referring to the number of additional personnel, beds, or assets. By contrast, surge capability refers to the number of additional beds that can be staffed, or to the number of ventilators and monitors with qualified personnel who can operate the equipment in caring for patients. Hospital Preparedness Hospital preparedness for disasters includes both planning and training. Preparedness involves the activities a hospital undertakes to identify risks, build capacity, and identify resources that may be used if an internal or external disaster occurs. These activities include doing a risk assessment of the area, developing an all hazards disaster plan that is regularly reviewed and revised as necessary, and providing disaster training that is necessary to allow these plans to be implemented when indicated. All plans must include training in emergency preparedness appropriate to the skills of the individuals being trained and to the specific functions they will be asked to perform in a disaster. It is important for individuals to do what they are familiar with, if at all possible.


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