Diabetes Care




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Introduction: Standards of Medical Care in Diabetes—2022

American Diabetes Association

doi : 10.2337/dc22-Sint

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Professional Practice Committee: Standards of Medical Care in Diabetes—2022

American Diabetes Association

doi : 10.2337/dc22-Sppc

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Summary of Revisions: Standards of Medical Care in Diabetes—2022

American Diabetes Association Professional Practice Committee

doi : 10.2337/dc22-Srev

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1. Improving Care and Promoting Health in Populations: Standards of Medical Care in Diabetes—2022

American Diabetes Association Professional Practice Committee

doi : 10.2337/dc22-S001

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2. Classification and Diagnosis of Diabetes: Standards of Medical Care in Diabetes—2022

American Diabetes Association Professional Practice Committee

doi : 10.2337/dc22-S002

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3. Prevention or Delay of Type 2 Diabetes and Associated Comorbidities: Standards of Medical Care in Diabetes—2022

American Diabetes Association Professional Practice Committee

doi : 10.2337/dc22-S003

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4. Comprehensive Medical Evaluation and Assessment of Comorbidities: Standards of Medical Care in Diabetes—2022

American Diabetes Association Professional Practice Committee

doi : 10.2337/dc22-S004

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5. Facilitating Behavior Change and Well-being to Improve Health Outcomes: Standards of Medical Care in Diabetes—2022

American Diabetes Association Professional Practice Committee

doi : 10.2337/dc22-S005

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6. Glycemic Targets: Standards of Medical Care in Diabetes—2022

American Diabetes Association Professional Practice Committee

doi : 10.2337/dc22-S006

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7. Diabetes Technology: Standards of Medical Care in Diabetes—2022

American Diabetes Association Professional Practice Committee

doi : 10.2337/dc22-S007

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8. Obesity and Weight Management for the Prevention and Treatment of Type 2 Diabetes: Standards of Medical Care in Diabetes—2022

American Diabetes Association Professional Practice Committee

doi : 10.2337/dc22-S008

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9. Pharmacologic Approaches to Glycemic Treatment: Standards of Medical Care in Diabetes—2022

American Diabetes Association Professional Practice Committee

doi : 10.2337/dc22-S009

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10. Cardiovascular Disease and Risk Management: Standards of Medical Care in Diabetes—2022

American Diabetes Association Professional Practice Committee

doi : 10.2337/dc22-S010

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11. Chronic Kidney Disease and Risk Management: Standards of Medical Care in Diabetes—2022

American Diabetes Association Professional Practice Committee

doi : 10.2337/dc22-S011

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12. Retinopathy, Neuropathy, and Foot Care: Standards of Medical Care in Diabetes—2022

American Diabetes Association Professional Practice Committee

doi : 10.2337/dc22-S012

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13. Older Adults: Standards of Medical Care in Diabetes—2022

American Diabetes Association Professional Practice Committee

doi : 10.2337/dc22-S013

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14. Children and Adolescents: Standards of Medical Care in Diabetes—2022

American Diabetes Association Professional Practice Committee

doi : 10.2337/dc22-S014

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15. Management of Diabetes in Pregnancy: Standards of Medical Care in Diabetes—2022

American Diabetes Association Professional Practice Committee

doi : 10.2337/dc22-S015

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16. Diabetes Care in the Hospital: Standards of Medical Care in Diabetes—2022

American Diabetes Association Professional Practice Committee

doi : 10.2337/dc22-S016

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17. Diabetes Advocacy: Standards of Medical Care in Diabetes—2022

American Diabetes Association Professional Practice Committee

doi : 10.2337/dc22-S017

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Disclosures: Standards of Medical Care in Diabetes—2022

doi : 10.2337/dc22-Sdis

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Here’s to 100 Years of Insulin and Science—and More to Come!

Matthew C. Riddle

doi : 10.2337/dci21-0013

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Heterogeneity of Diabetes: β-Cells, Phenotypes, and Precision Medicine: Proceedings of an International Symposium of the Canadian Institutes of Health Research’s Institute of Nutrition, Metabolism and Diabetes and the U.S. National Institutes of Health’s National Institute of Diabetes and Digestive and Kidney Diseases

William T. Cefalu; Dana K. Andersen; Guillermo Arreaza-Rubín; Christopher L. Pin; Sheryl Sato; C. Bruce Verchere; Minna Woo; Norman D. Rosenblum; on behalf of the symposium planning committee, moderators, and speakers

doi : 10.2337/dci21-0051

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The Noble and Often Nobel Role Played by Insulin-Focused Research in Modern Medicine

Victor S. Harrison; Mahfuzul H. Khan; Christine E. Chamberlain; David M. Harlan

doi : 10.2337/dci21-0012

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Weighing in on Type 2 Diabetes Remission

Ameena Meerasa; Satya Dash

doi : 10.2337/dci21-0041

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The Life and Times of Dr. Robert Sherwin, One of the Greatest of Great Diabetes Investigators

William V. Tamborlane

doi : 10.2337/dci21-0036

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High-Normal Protein Intake Is Not Associated With Faster Renal Function Deterioration in Patients With Type 2 Diabetes: A Prospective Analysis in the DIALECT Cohort

Milou M. Oosterwijk; Dion Groothof; Gerjan Navis; Stephan J.L. Bakker; Gozewijn D. Laverman

doi : 10.2337/dc21-1211

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Emotional Correlates of the COVID-19 Pandemic in Individuals With and Without Diabetes

Barbara A. Myers; Rachel Klingensmith; Mary de Groot

doi : 10.2337/dc21-0769

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Characteristics of Workplace Psychosocial Resources and Risk of Diabetes: A Prospective Cohort Study

Tianwei Xu; Alice J. Clark; Jaana Pentti; Reiner Rugulies; Theis Lange; Jussi Vahtera; Linda L. Magnusson Hanson; Hugo Westerlund; Mika Kivimäki; Naja H. Rod

doi : 10.2337/dc20-2943

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Traveling Across Time Zones With Type 1 Diabetes: A Pilot Study Comparing Insulin Degludec With Insulin Glargine U100

Wendy C. Bevier; Kristin N. Castorino; Ceara Axelrod; Gal Haroush; Christian C. Farfan; Nina Shelton; Kristen Nelson; Lisa A. Spink; Hanqing Liu; David Kerr

doi : 10.2337/dc21-1524

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Changes in the Prevalence of Symptoms of Depression, Loneliness, and Insomnia in U.S. Older Adults With Type 2 Diabetes During the COVID-19 Pandemic: The Look AHEAD Study

Ariana M. Chao; Thomas A. Wadden; Jeanne M. Clark; Kathleen M. Hayden; Marjorie J. Howard; Karen C. Johnson; Blandine Laferrère; Jeanne M. McCaffery; Rena R. Wing; Susan Z. Yanovski; Lynne E. Wagenknecht; the Look AHEAD Research Group

doi : 10.2337/dc21-1179

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Foot Ulcer and Risk of Lower Limb Amputation or Death in People With Diabetes: A National Population-Based Retrospective Cohort Study

Rosemary C. Chamberlain; Kelly Fleetwood; Sarah H. Wild; Helen M. Colhoun; Robert S. Lindsay; John R. Petrie; Rory J. McCrimmon; Fraser Gibb; Sam Philip; Naveed Sattar; Brian Kennon; Graham P. Leese

doi : 10.2337/dc21-1596

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Minimum Threshold of Bariatric Surgical Weight Loss for Initial Diabetes Remission

Douglas Barthold; Elizabeth Brouwer; Lee J. Barton; David E. Arterburn; Anirban Basu; Anita Courcoulas; Cecelia L. Crawford; Peter N. Fedorka; Heidi Fischer; Benjamin B. Kim; Edward C. Mun; Sameer B. Murali; Kristi Reynolds; Tae K. Yoon; Robert E. Zane; Karen J. Coleman

doi : 10.2337/dc21-0714

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Hypoglycemic and Hyperglycemic Crises Among U.S. Adults With Diabetes and End-stage Kidney Disease: Population-Based Study, 2013–2017

Rodolfo J. Galindo; Mohammed K. Ali; Shealeigh A. Funni; Andrew B. Dodge; Shaheen S. Kurani; Nilay D. Shah; Guillermo E. Umpierrez; Rozalina G. McCoy

doi : 10.2337/dc21-1579

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The Impact of Racial and Ethnic Health Disparities in Diabetes Management on Clinical Outcomes: A Reinforcement Learning Analysis of Health Inequity Among Youth and Young Adults in the SEARCH for Diabetes in Youth Study

Anna R. Kahkoska; Teeranan Pokaprakarn; G. Rumay Alexander; Tessa L. Crume; Dana Dabelea; Jasmin Divers; Lawrence M. Dolan; Elizabeth T. Jensen; Jean M. Lawrence; Santica Marcovina; Amy K. Mottl; Catherine Pihoker; Sharon H. Saydah; Michael R. Kosorok; Elizabeth J. Mayer-Davis

doi : 10.2337/dc21-0496

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Diabetic Peripheral Neuropathy and Urological Complications in Type 1 Diabetes: Findings From the Epidemiology of Diabetes Interventions and Complications Study

Rodica Pop-Busui; Barbara H. Braffett; Hunter Wessells; William H. Herman; Catherine L. Martin; Alan M. Jacobson; Aruna V. Sarma; for the DCCT/EDIC Research Group

doi : 10.2337/dc21-1276

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Glycemic Control and Risk of Sepsis and Subsequent Mortality in Type 2 Diabetes

Anca Balintescu; Marcus Lind; Mikael Andersson Franko; Anders Oldner; Maria Cronhjort; Ann-Marie Svensson; Björn Eliasson; Johan Mårtensson

doi : 10.2337/dc21-1050

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Risk of Incident Dementia According to Glycemic Status and Comorbidities of Hyperglycemia: A Nationwide Population-Based Cohort Study

Woo Jung Kim; Seo Jung Lee; Eun Lee; Eun Y. Lee; Kyungdo Han

doi : 10.2337/dc21-0957

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30-Year Cardiovascular Disease in Type 1 Diabetes: Risk and Risk Factors Differ by Long-term Patterns of Glycemic Control

Rachel G. Miller; Trevor J. Orchard; Tina Costacou

doi : 10.2337/dc21-1381

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Gestational Diabetes Mellitus and the Risks of Overall and Type-Specific Cardiovascular Diseases: A Population- and Sibling-Matched Cohort Study

Yongfu Yu; Melissa Soohoo; Henrik Toft Sørensen; Jiong Li; Onyebuchi A. Arah

doi : 10.2337/dc21-1018

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Islet Autoantibody Type-Specific Titer Thresholds Improve Stratification of Risk of Progression to Type 1 Diabetes in Children

Kenney Ng; Harry Stavropoulos; Vibha Anand; Riitta Veijola; Jorma Toppari; Marlena Maziarz; Markus Lundgren; Kathy Waugh; Brigitte I. Frohnert; Frank Martin; William Hagopian; Peter Achenbach; for the T1DI Study Group

doi : 10.2337/dc21-0878

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Clinically Relevant Circulating Protein Biomarkers for Type 1 Diabetes: Evidence From a Two-Sample Mendelian Randomization Study

Nahid Yazdanpanah; Mojgan Yazdanpanah; Ye Wang; Vincenzo Forgetta; Michael Pollak; Constantin Polychronakos; J. Brent Richards; Despoina Manousaki

doi : 10.2337/dc21-1049

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Remission of Type 2 Diabetes Following a Short-term Intensive Intervention With Insulin Glargine, Sitagliptin, and Metformin: Results of an Open-label Randomized Parallel-Design Trial

Natalia McInnes; Stephanie Hall; Irene Hramiak; Ronald J. Sigal; Ronald Goldenberg; Nikhil Gupta; Remi Rabasa-Lhoret; Manoela Braga; Vincent Woo; Farah Sultan; Rose Otto; Ada Smith; Diana Sherifali; Yan Yun Liu; Hertzel C. Gerstein; on behalf of the REMIT-sita Collaborative Group

doi : 10.2337/dc21-0278

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Impact of a Novel Diabetes Support System on a Cohort of Individuals With Type 1 Diabetes Treated With Multiple Daily Injections: A Multicenter Randomized Study

Alessandro Bisio; Stacey Anderson; Lisa Norlander; Grenye O’Malley; Jessica Robic; Selassie Ogyaadu; Liana Hsu; Camilla Levister; Laya Ekhlaspour; David W. Lam; Carol Levy; Bruce Buckingham; Marc D. Breton

doi : 10.2337/dc21-0838

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A Randomized Crossover Trial Comparing Glucose Control During Moderate-Intensity, High-Intensity, and Resistance Exercise With Hybrid Closed-Loop Insulin Delivery While Profiling Potential Additional Signals in Adults With Type 1 Diabetes

Barbora Paldus; Dale Morrison; Dessi P. Zaharieva; Melissa H. Lee; Hannah Jones; Varuni Obeyesekere; Jean Lu; Sara Vogrin; André La Gerche; Sybil A. McAuley; Richard J. MacIsaac; Alicia J. Jenkins; Glenn M. Ward; Peter Colman; Carmel E.M. Smart; Rowen Seckold; Bruce R. King; Michael C. Riddell; David N. O’Neal

doi : 10.2337/dc21-1593

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Cluster Analysis of Cardiovascular Phenotypes in Patients With Type 2 Diabetes and Established Atherosclerotic Cardiovascular Disease: A Potential Approach to Precision Medicine

Abhinav Sharma; Yinggan Zheng; Justin A. Ezekowitz; Cynthia M. Westerhout; Jacob A. Udell; Shaun G. Goodman; Paul W. Armstrong; John B. Buse; Jennifer B. Green; Robert G. Josse; Keith D. Kaufman; Darren K. McGuire; Giuseppe Ambrosio; Lee-Ming Chuang; Renato D. Lopes; Eric D. Peterson; Rury R. Holman

doi : 10.2337/dc20-2806

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Relationships of Changes in Physical Activity and Sedentary Behavior With Changes in Physical Fitness and Cardiometabolic Risk Profile in Individuals With Type 2 Diabetes: The Italian Diabetes and Exercise Study 2 (IDES_2)

Stefano Balducci; Jonida Haxhi; Massimo Sacchetti; Giorgio Orlando; Patrizia Cardelli; Martina Vitale; Lorenza Mattia; Carla Iacobini; Lucilla Bollanti; Francesco Conti; Silvano Zanuso; Antonio Nicolucci; Giuseppe Pugliese; for the Italian Diabetes and Exercise Study 2 (IDES_2) Investigators

doi : 10.2337/dc21-1505

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Body Fat Distribution, Cardiometabolic Traits, and Risk of Major Lower-Extremity Arterial Disease in Postmenopausal Women

Guo-Chong Chen; Rhonda Arthur; Victor Kamensky; Jin Choul Chai; Bing Yu; Aladdin H. Shadyab; Matthew Allison; Yangbo Sun; Nazmus Saquib; Robert A. Wild; Wei Bao; Andrew J. Dannenberg; Thomas E. Rohan; Robert C. Kaplan; Sylvia Wassertheil-Smoller; Qibin Qi

doi : 10.2337/dc21-1565

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Obesity Partially Mediates the Diabetogenic Effect of Lowering LDL Cholesterol

Peitao Wu; Jee-Young Moon; Iyas Daghlas; Giulianini Franco; Bianca C. Porneala; Fariba Ahmadizar; Tom G. Richardson; Jonas L. Isaksen; Georgy Hindy; Jie Yao; Colleen M. Sitlani; Laura M. Raffield; Lisa R. Yanek; Mary F. Feitosa; Rafael R.C. Cuadrat; Qibin Qi; M. Arfan Ikram; Christina Ellervik; Ulrika Ericson; Mark O. Goodarzi; Jennifer A. Brody; Leslie Lange; Josep M. Mercader; Dhananjay Vaidya; Ping An; Matthias B. Schulze; Lluis Masana; Mohsen Ghanbari; Morten S. Olesen; Jianwen Cai; Xiuqing Guo; James S. Floyd; Susanne Jäger; Michael A. Province; Rita R. Kalyani; Bruce M. Psaty; Marju Orho-Melander; Paul M. Ridker; Jørgen K. Kanters; Andre Uitterlinden; George Davey Smith; Dipender Gill; Robert C. Kaplan; Maryam Kavousi; Sridharan Raghavan; Daniel I. Chasman; Jerome I. Rotter; James B. Meigs; Jose C. Florez; Josée Dupuis; Ching-Ti Liu; Jordi Merino

doi : 10.2337/dc21-1284

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Haptoglobin Phenotype Modifies the Effect of Fenofibrate on Risk of Coronary Event: ACCORD Lipid Trial

Rachel A. Warren; Allie S. Carew; Pantelis Andreou; Christine Herman; Andrew P. Levy; Henry N. Ginsberg; John Sapp; Eric B. Rimm; Susan Kirkland; Leah E. Cahill

doi : 10.2337/dc21-1429

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Effect of Loss-of-Function Genetic Variants in PCSK9 on Glycemic Traits, Neurocognitive Impairment, and Hepatobiliary Function

Jonas Ghouse; Gustav Ahlberg; Henning Bundgaard; Morten S. Olesen

doi : 10.2337/dc21-0955

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Acute-to-Chronic Glycemic Ratio as a Predictor of COVID-19 Severity and Mortality

Jordi Ramon; Gemma Llauradó; Roberto Güerri; Elisenda Climent; Silvia Ballesta; David Benaiges; Inmaculada López-Montesinos; Humberto Navarro; Natalia Fernández; Maria José Carrera; Dídac Mauricio; Juana A. Flores-Le Roux; Juan-José Chillarón

doi : 10.2337/dc21-1321

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Effect of Fenofibrate Therapy on Laser Treatment for Diabetic Retinopathy: A Meta-Analysis of Randomized Controlled Trials

David Preiss; Enti Spata; Rury R. Holman; Ruth L. Coleman; Laura Lovato; Henry N. Ginsberg; Jane Armitage

doi : 10.2337/dc21-1439

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Durability of High-Frequency 10-kHz Spinal Cord Stimulation for Patients With Painful Diabetic Neuropathy Refractory to Conventional Treatments: 12-Month Results From a Randomized Controlled Trial

Erika A. Petersen; Thomas G. Stauss; James A. Scowcroft; Elizabeth S. Brooks; Judith L. White; Shawn M. Sills; Kasra Amirdelfan; Maged N. Guirguis; Jijun Xu; Cong Yu; Ali Nairizi; Denis G. Patterson; Kostandinos C. Tsoulfas; Michael J. Creamer; Vincent Galan; Richard H. Bundschu; Neel D. Mehta; Dawood Sayed; Shivanand P. Lad; David J. DiBenedetto; Khalid A. Sethi; Johnathan H. Goree; Matthew T. Bennett; Nathan J. Harrison; Atef F. Israel; Paul Chang; Paul W. Wu; Charles E. Argoff; Christian E. Nasr; Rod S. Taylor; David L. Caraway; Nagy A. Mekhail

doi : 10.2337/dc21-1813

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Comment on Parente et al. The Relationship Between Body Fat Distribution and Nonalcoholic Fatty Liver in Adults With Type 1 Diabetes. Diabetes Care 2021;44:1706–1713

Marieke de Vries; Karin H.A.H. Kaasjager; Harold W. de Valk

doi : 10.2337/dc21-1773

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Response to Comment on Parente et al. The Relationship Between Body Fat Distribution and Nonalcoholic Fatty Liver in Adults With Type 1 Diabetes. Diabetes Care 2021;44:1706–1713

Erika B. Parente; Emma H. Dahlström; Valma Harjutsalo; Jussi Inkeri; Stefan Mutter; Carol Forsblom; Niina Sandholm; Daniel Gordin; Per-Henrik Groop; on behalf of the FinnDiane Study Group

doi : 10.2337/dci21-0045

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Comment on Shih et al. Increased Incidence of Pediatric Type 1 Diabetes With Novel Association With Coxsackievirus A Species in Young Children but Declined Incidence in Adolescents in Taiwan. Diabetes Care 2021;44:1579–1585

Fu-Shun Yen; James Cheng-Chung Wei

doi : 10.2337/dc21-1398

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Response to Comment on Shih et al. Increased Incidence of Pediatric Type 1 Diabetes With Novel Association With Coxsackievirus A Species in Young Children but Declined Incidence in Adolescents in Taiwan. Diabetes Care 2021;44:1579–1585

Wei-Liang Shih; Yi-Ching Tung; Luan-Yin Chang

doi : 10.2337/dci21-0046

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Comment on Liu et al. Incidence of Type 1 Diabetes May Be Underestimated in the Chinese Population: Evidence From 21.7 Million People Between 2007 and 2017. Diabetes Care 2021;44:2503–2509

Jianping Weng; Zhiguang Zhou; Lixin Guo

doi : 10.2337/dc21-1820

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Response to Comment on Liu et al. Incidence of Type 1 Diabetes May Be Underestimated in the Chinese Population: Evidence From 21.7 Million People Between 2007 and 2017. Diabetes Care 2021;44:2503–2509

Chang Liu; Jin-Kui Yang

doi : 10.2337/dci21-0047

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Comment on Hamblin et al. Capillary Ketone Concentrations at the Time of Colonoscopy: A Cross-Sectional Study With Implications for SGLT2 Inhibitor–Treated Type 2 Diabetes. Diabetes Care 2021;44:e124–e126

Venkatesan Thiruvenkatarajan; Emily J. Meyer; David Jesudason

doi : 10.2337/dc21-1413

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Response to Comment on Hamblin et al. Capillary Ketone Concentrations at the Time of Colonoscopy: A Cross-Sectional Study With Implications for SGLT2 Inhibitor–Treated Type 2 Diabetes. Diabetes Care 2021;44:e124–e126

Peter S. Hamblin; Rosemary Wong; Elif I. Ekinci; Shoshana Sztal-Mazer; Shananthan Balachandran; Aviva Frydman; Timothy P. Hanrahan; Raymond Hu; Shara N. Ket; Alan Moss; Mark Ng; Sashikala Ragunathan; Leon A. Bach

doi : 10.2337/dci21-0048

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Comment on Stempniewicz et al. Chronic Kidney Disease Testing Among Primary Care Patients With Type 2 Diabetes Across 24 U.S. Health Care Organizations. Diabetes Care 2021;44:2000–2009

Jonah Mink; Raj Thakkar; Danielle Jeddah

doi : 10.2337/dc21-2005

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