Silver Fern Science

This paper describes a common, but often missed or unmanaged clinical problem related to insulin therapy initiation or intensification to improve diabetes control for patients failing clinically on lifestyle management and pills or basal insulin alone. This paper highlights practical clinical strategies for common insulin therapy barriers, including tailored patient education content and support that …

Continue reading “Treating psychological insulin resistance in type 2 diabetes. (2017) Journal of Clinical and Translational Endocrinology.”

This paper describes a social determinants of health (SDoH) assessment developed by Dr. Welch that was used by front-line clinician teams in a busy community health center. The assessment allowed clinicians to quickly refer high-risk diabetes patients with identified SDoH issues to social support services and resources in the care network and community. The assessment …

Continue reading “Reducing social distress for chronic disease patients in primary care. (2017) Diabetes Spectrum.”

This position paper from the American Diabetes Association outlines for front-line clinical teams a comprehensive diabetes team approach to assessing and managing key psychosocial issues that can improve patient engagement in treatment and patient health outcomes. Dr. Welch was part of the broader ADA workgroup that developed several clinical reference books and reviews, which led …

Continue reading “Psychosocial care for people with diabetes: A position statement of the American Diabetes Association. (2016) Diabetes Care.”

This paper highlights a “diabetes dashboard” software application developed by Dr. Welch and his clinical team. The dashboard focused on care provided by the diabetes team and the systematic assessment and management of common upstream behavior and psychosocial issues such as diabetes distress and depression. It also evaluated other patient engagement and treatment adherence issues. …

Continue reading “An internet-based diabetes management platform improves team care and outcomes in an urban Latino population. (2015) Diabetes Care.”