Consumption of high-fat yogurt and cheese linked to reduction in risk of type 2 diabetes by as much as a fifth… The findings are in line with previous studies of eating habits that indicated a link between high consumption of dairy products and a reduced risk of type 2 diabetes. …

Adult offspring of mothers who had GDM or type 1 diabetes during pregnancy showed lower levels of fasting GLP-1 and weakened glucagon suppression… Louise Kepstrup, MD, of Copenhagen University Hospital in Denmark, and colleagues in the follow-up study, evaluated data on adult children (aged 18-27 years) from all pregnancies complicated …

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Lifestyle-based weight loss intervention trials achieve modest reductions in weight and glycated hemoglobin (HbA1c) levels, according to a meta-analysis. From six studies comparing lifestyle intervention with usual care, the researchers found the pooled effect on weight (5,795 patients) to be −3.33 kg, and −0.29% on HbA1c (5,784 patients), with both …

Combo Drug Glyxambi is a combination of empagliflozin and linagliptin in a tablet form for adults with type 2 diabetes. Both empagliflozin, an SGLT-2, and linagliptin, a DPP-4 inhibitor, are already on the market separately. Glyxambi’s main benefit is combining two different diabetes drugs into a single pill (in this …

Obesity is costly. Some of those costs are surprising ($2.5 billion wasted in gasoline). Others represent true injustice (obese black women earn 34% less than the rest of the workforce). But as significant as these diverse amounts are, they are almost incidental in comparison to the health care costs resulting …

An Artificial Pancreas People with type 1 diabetes may soon be able to set their insulin doses by smartphone. Researchers from Massachusetts General Hospital and Boston University are testing a "bionic pancreas," a pump that goes under the skin that, when paired with an app and a small chip, tracks …

David Levy, MD, FRCP Diabetic foot infections (see also Chapter 10) Multidisciplinary teamwork with specialist podiatrists is crucial. Patients in primary care must be referred for specialist wound débridement and dressing, which are as important as antibiotic treatment. Worsening clinical features of infection are associated with increasing rates of hospitalization and …

David Levy, MD, FRCP Urinary tract infections (British National Formulary, section 5.1.13) Type 1 patients in the long-term EDIC study were no more likely to have cystitis than non-diabetic women. Poor glycemic control and vascular complications were not associated with increased risk of cystitis and pyelonephritis, but cystitis was strongly associated …

Have you ever had your patients tell you that they only eat small servings and they are never hungry? I find it interesting that obese patients will suddenly swear that they are eating less just because we tell them to. They had to have had that message over and over …