Devices

Rudy Bilous, MD, FRCP Richard Donnelly, MD, PHD, FRCP, FRACP The vast majority of cases of diabetes in children are type 1, caused by autoimmune destruction of beta cells in the pancre­atic islets. A steady increase in the incidence of type 1 dia­betes has been reported worldwide (average increase 2.5-3% per year …

Rudy Bilous, MD, FRCP Richard Donnelly, MD, PHD, FRCP, FRACP Pregestational diabetes is the most common medical problem that complicates pregnancy, affecting 1 in 264 births (0.38%) in the UK in 2002–3, with over 25% occurring in women with type 2 diabetes. The Kaiser Permanente database recorded an average rate of 1.3% …

Rudy Bilous, MD, FRCP Richard Donnelly, MD, PHD, FRCP, FRACP Exercise Regular physical exercise is an important component of the management and prevention of type 2 diabetes (Figure 26.1). Aerobic exercise, in particular, and resistance exercise improve insulin sensitivity and glycemic control. Blood glucose and lipid profiles improve, as well as insulin …

Rudy Bilous, MD, FRCP Richard Donnelly, MD, PHD, FRCP, FRACP Particular groups of patients with diabetes are at risk of different psychological problems (Table 25.1). Many chil­dren show remarkable resilience to the diagnosis of diabetes, but about one-third have some temporary psychological distress, mostly ‘adjustment disorders’ such as difficulty in sleeping, depression, …

Interoperability protocols unveiled for diabetes technologies… The communication protocols define how diabetes devices such as insulin pumps, blood glucose meters, and continuous glucose monitors talk with each other and with other devices such as smart phones and computers. They were developed jointly by JDRF and the Center for Global eHealth …

Rudy Bilous, MD, FRCP Richard Donnelly, MD, PHD, FRCP, FRACP Diabetes affects the cellular biochemistry of skin and connective tissues, in particular collagen synthesis and struc­ture, as well as cutaneous microvascular blood flow. Several non-infective skin conditions are associated with type 1 and/ or type 2 diabetes (Box 24.1). Diabetic dermopathy (‘shin …

Dr. Aaron Vinik talks about how medical devices that gauge the physical condition of patients can be used to motivate those patients to better lifestyle management. Having more data available such as A1c levels, blood pressure, and other numbers, as well as being fully aware of what the data means …

Recently, a patient of mine called about her post-meal glucose levels which were increasing.

Rudy Bilous, MD, FRCP Richard Donnelly, MD, PHD, FRCP, FRACP Disordered gastrointestinal motor function occurs in both type 1 and type 2 diabetes and can result in symptoms of nausea, vomiting, diarrhea or constipation, malnutrition, poor glycemic control and delayed absorption of orally administered drugs (Figure 23.1). Gustatory sweating, typically affecting the …

Two configurations of an artificial pancreas were recently compared to conventional diabetes treatments in a world-first clinical trial…