Neurology

Single episode of moderate/severe DKA in young children at diagnosis associated with lower cognitive scores, altered brain growth.

Can statins provide neuroprotective properties in diabetes patients?

Improvements seen in children with developmental delays associated with neonatal diabetes.

Thomas Burke Ph.D provides a PDF on nitric oxide and diabetes. Nitric oxide (NO), is a free radical gas that is a powerful regulator of circulation (it is an endogenous vasodilator) and a neurotransmitter (it helps in the processing of nerve signals as they cross synapses). L-arginine, one of 20 …

Scores of the diabetes patients decreased by an additional 12 percent during the two-year period… Type 2 diabetes is known to put individuals at risk for numerous health complications. Now a study led by researchers at Beth Israel Deaconess Medical Center (BIDMC) sheds new light on the often overlooked toll …

And the longer the pioglitazone treatment the lower the risk for developing dementia…. Previous studies confirm that diabetes patients have a higher risk of developing dementia than non-diabetics. Michael Heneka and colleagues conducted a prospective cohort study in 145,928 non-insulin dependent diabetes mellitus aged from 60 or older, who were …

David Levy, MD, FRCP      Erectile dysfunction This is the commonest neuropathic complication: 20% of men have erectile dysfunction (ED) at diagnosis, increasing to 34% at 12 years (UKPDS). The prevalence in a newly diagnosed Kuwaiti population was 30%, and nearly 50% in a large survey of Canadians attending their primary-care physicians …

David Levy, MD, FRCP      Mononeuropathies and other focal syndromes Peripheral mononeuropathies Upper limb Carpal tunnel syndrome (median nerve) Carpal tunnel syndrome is very common (remember the association with primary hypothyroidism, especially in type 1 diabetes) and may present with atypical symptoms, as it is often superimposed on diabetic polyneuropathy. Consider it …

David Levy, MD, FRCP      Charcot neuroarthropathy Charcot neuroarthropathy is a serious and poorly understood condition associated with rapid destruction of bones and joints and resulting in bone fragmentation. It occurs only in patients with advanced sensory and autonomic neuropathy, and is characteristic of long-duration type 1 diabetes with other microvascular complications, …

David Levy, MD, FRCP      Foot ulceration The ulcerated, infected and possibly gangrenous foot is a common reason for hospital admission. Anatomically, diabetic foot ulceration is restricted to the region distal to the ankle; proximal lesions are more likely ischemic, vasculitic, venous, or to have another underlying cause. Most ulcers are predominantly …