Saxagliptin is routinely used in the management of type 2 diabetes as monotherapy, and in combination with other oral agents and insulin. Robust clinical trials have shown consistent improvements in glycated hemoglobin, fasting and postprandial glucose levels, with few adverse effects. The agent is well tolerated with low rates of hypoglycemia in the absence of insulin or sulphonylurea therapy.

The question most frequently asked by individuals considering vocational counseling is, "How successful is such counseling?" Consultants also have a vested interest in the answers to the questions, "What are the values which the individual feels he has gained from the counseling process?"; "What are the demonstrable practical outcomes of such counseling?"There is a dearth of scientific evidence bearing on these questions. Much of the content of popular articles on the subject tends to mislead rather than inform the public as to the aims of qualified counselors and as to the justifiable expectations of the individual counseled.Careful investigation m these areas is important because of the increased public interest and professional activity in vocational counseling It is also essential for the contributions which may be made to improvements in counseling procedures.Recognition of the desirability for such research is reflected m investigations which have been initiated and reported by Veterans' Advisement Centers (1, 2, 3).Two independent but related counseling projects afforded the writer the opportunity to investigate: (1) the evaluations of their counseling experience by a group of civilian industrial employees; and (2) the practical outcomes of counseling for a group of ex-Service menThe first of these projects was initiated by the Woodward Governor Company during World War II in the interests of the post-war readjustments of temporary employees and in the interests of the most effective use of the employees' skills. Comprehensive vocational counseling by a unit* directed by the writer was made available to all employees at company expense. A total of 1184 (85 per cent) of plant personnel at all occupational and executive levels availed themselves of this opportunity.The counseling was completed the week of V-J Day. Prior to this period, a follow-up questionnaire designed to evaluate the benefits of the counseling experience had been circulated to 1086 counselees, 671 men and 415 women. The number of returns was limited by the dropping 1 The full-time counselors were: Olive Bray, Ralph Filburn, and William Van Newkirk. Miss Bray supervised the tabulation and analyses of the questionnaire returns * Other comments were included in the Psychological Service Center Bulletin for April, 1946.

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