Cycle ergometry as an intensive care unit–based in-bed rehabilitation intervention can be used while a patient is mechanically ventilated and sedated or awake. O'Grady and colleagues report a meta-analysis of randomized controlled trials examining the effect of cycle ergometry on physical function.
In this randomized trial of 80 children/youth with type 1 diabetes and an elevated hemoglobin A1c, automated insulin delivery significantly improved glycemic control compared with usual diabetes care (i.e., multiple daily insulin dosing or non automated insulin delivery). Furthermore, automated insulin delivery was not associated with an increased risk of either severe hypoglycemia or diabetic ketoacidosis.
Automated insulin delivery is the most advanced technology currently available for the management of type 1 diabetes. Automated insulin delivery systems combine an insulin pump, a continuous glucose monitor, and a mathematical algorithm to automatically adjust insulin delivery based on current and predicted blood glucose levels. Owing to their impressive benefits on both glycemic outcomes and patient-reported outcome measures, such as quality of life, the American Diabetes Association and the International Society for Pediatric and Adolescent Diabetes recommend automated insulin delivery for all individuals with type 1 diabetes who are willing and able to use it appropriately.1,2
There are more than 90 recognized sleep disorders, many of which impair sleep and daytime function and adversely impact heath, well-being, and chronic disease risk. The authors describe how to identify, evaluate, and treat common sleep disorders.
In this Patient Platform, Beth Ciavaglia shares her experience in a randomized, open-label trial of a single one-time dose of zoledronate compared with the standard 6-monthly dose of zoledronate.
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