Scholars@Duke
Jashalynn German

Selected Publications

An obesity medicine curriculum increases the obesity care self-efficacy of internal medicine residents in the primary care setting.

Journal Article Clin Obes · August 2024 Primary care physicians (PCPs) report insufficient knowledge and training gaps in obesity care. Internal Medicine (IM) residency offers an opportunity to address this educational gap for future PCPs. We designed an innovative, multicomponent curriculum on ... Full text Link to item Cite

Accessibility of diabetes education in the United States: barriers, policy implications, and the road ahead.

Journal Article Health Aff Sch · August 2024 Diabetes Self-Management Education and Support (DSMES) programs are an effective, yet underutilized, resource to improve health outcomes and behaviors for people with diabetes. We examined the attendance and referral rates for people with diabetes to DSMES ... Full text Link to item Cite

What are Internal medicine residents' attitudes toward obesity as a disease, people living with obesity, and obesity treatment?

Journal Article Obes Sci Pract · April 2024 OBJECTIVE: Despite the rising prevalence of people living with obesity, physicians are providing suboptimal care to these individuals, which may be a consequence of inadequate education in weight management and negative attitudes toward people living with ... Full text Link to item Cite

Interactive visualization tool to understand and monitor health disparities in diabetes care and outcomes.

Journal Article J Clin Transl Sci · 2024 OBJECTIVE: Type 2 diabetes (T2DM) poses a significant public health challenge, with pronounced disparities in control and outcomes. Social determinants of health (SDoH) significantly contribute to these disparities, affecting healthcare access, neighborhoo ... Full text Link to item Cite

Equity in Obesity Review.

Journal Article Endocrinol Metab Clin North Am · December 2023 Obesity disproportionately affects racial and ethnic minoritized populations and those of lower socioeconomic status. Similarly, disparities exist in the development of its downstream consequences, such as type 2 diabetes and hypertension. The causes of th ... Full text Link to item Cite

Factors Associated With Diabetes Distress Among Patients With Poorly Controlled Type 2 Diabetes.

Journal Article J Endocr Soc · March 6, 2023 OBJECTIVE: Examine factors associated with increased diabetes distress (DD) among patients with type 2 diabetes with DD assessed by Diabetes Distress Scale (DDS) total and subscale scores (emotional burden, physician-related distress, regimen-related distr ... Full text Link to item Cite

Adherence to Low-Carbohydrate Diets in Patients with Diabetes: A Narrative Review.

Journal Article Diabetes Metab Syndr Obes · 2022 Evidence suggests that low carbohydrate (<130 g/day of carbohydrate) (LCD) and very low carbohydrate, ketogenic diets (typically <50 g/day of carbohydrate) (VLCKD) can be effective tools for managing diabetes given their beneficial effects on weight loss a ... Full text Link to item Cite

Clinical, Laboratory, and Radiological Diagnosis of Pancreatic Islet Cell Tumors

Chapter · January 1, 2022 Neuroendocrine tumors include a diverse group of tumors that stem from a lineage of sensory/neural and secretory cells and are predominately located within the bronchopulmonary and gastrointestinal systems. The overall prevalence of neuroendocrine tumors i ... Full text Cite

Underrecognition of Nonalcoholic Fatty Liver Disease in Poorly Controlled Diabetes: A Call to Action in Diabetes Care.

Journal Article J Endocr Soc · December 1, 2021 Individuals with type 2 diabetes (T2DM) are at high risk for nonalcoholic fatty liver disease (NAFLD), and evidence suggests that poor glycemic control is linked to heightened risk of progressive NAFLD. We conducted an observational study based on data fro ... Full text Link to item Cite

47-LB: Patient Factors Associated with Diabetes Distress among Veterans with Poorly Controlled Type 2 Diabetes

Conference Diabetes · June 1, 2021 Diabetes distress (DD), the psychological distress specific to living with diabetes, is associated with poor glycemic control. This study sought to examine the association of diabetes distress with demographic, clinical, and psychosocial factors in ... Full text Cite

48-LB: Associations between Health Literacy and Patient Perceptions of Care in Poorly Controlled Diabetes

Conference Diabetes · June 1, 2021 Background: Low health literacy (HL) is a barrier to improving health outcomes in patients with type 2 diabetes (T2DM). The Newest Vital Sign (NVS) is a validated, short questionnaire for assessing HL. The relationship between NVS HL and patient-re ... Full text Cite

Changes in Health Care Use Among Undocumented Patients, 2014-2018.

Journal Article JAMA Netw Open · March 1, 2021 IMPORTANCE: The 2016 presidential campaign was marked by intensified rhetoric around the deportation of undocumented immigrants. The association of such rhetoric with primary, emergency, and inpatient care among undocumented immigrants is unclear. OBJECTIV ... Full text Link to item Cite

EMERGENCY CARE TRENDS AMONG UNDOCUMENTED IMMIGRANTS, 2014-2018

Conference JOURNAL OF GENERAL INTERNAL MEDICINE · 2020 Cite

A RARE MANIFESTATION OF PORTAL HYPERTENSION IN A PATIENT WITH CIRRHOSIS

Conference JOURNAL OF GENERAL INTERNAL MEDICINE · 2018 Cite

Lack of nitric oxide synthases increases lipoprotein immune complex deposition in the aorta and elevates plasma sphingolipid levels in lupus.

Journal Article Cell Immunol · 2012 Systemic lupus erythematosus (SLE) patients display impaired endothelial nitric oxide synthase (eNOS) function required for normal vasodilatation. SLE patients express increased compensatory activity of inducible nitric oxide synthase (iNOS) generating exc ... Full text Link to item Cite