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But vaccine still recommended for diabetes patients due to increased risk of disease… Information presented at the Annual Conference on Vaccine Research states there is no statistical evidence that type 2 diabetes affects the hepatitis B vaccine (HBV). The committee also added that patients aged 19 to 59 who are …

Early screening in mothers with diabetes may be help to reduce ASD risk in children…

  Google gets the patent on a system that would likely contain a couple of parts: the contact lens, which would sense glucose levels; a "reader" device, which would communicate and power the contact lens; and a user display, where the reader and user display could be on the same …

David Levy, MD, FRCP Renal replacement therapy The decision to start dialysis is often difficult. The clinical decision is based on many factors, including the presence of uremic symptoms and weight loss, and biochemical measurements including serum creatinine (e.g. serum creatinine 700–800 μmol/L(small mu), eGFR < 12–14 mL/min, falling albumin, hyperkalemia). …

David Levy, MD, FRCP Other management problems in diabetic nephropathy Glycemic control Once nephropathy is established, good control of blood pressure and lipids is probably more important than glycemic control. Observational studies abound and show that, for example, patients with advanced renal failure entering renal replacement programmes survive longer with a …

David Levy, MD, FRCP Management of diabetic nephropathy Investigations Mid-stream urine if leucocytes on routine urinalysis. Renal tract ultrasound scan: a. Normal renal length is about 11 cm, correlating weakly with height and BMI; it is about 10 cm in South Asian and oriental subjects. Kidneys are large in the poorly …

David Levy, MD, FRCP Quantification of Urinary Albumin Excretion The following methods are in current use: Spot early-morning urine specimen expressed as ACR (mg/mmol or mg/g): albumin excretion corrected for urine output; 24-hour urinary albumin excretion (mg per 24 hours); Timed (usually overnight) AER (µg/min); Urinary albumin concentration uncorrected for creatinine …

David Levy, MD, FRCP Overview of Diabetic Kidney Disease End-stage renal disease (ESRD) is a common and terrible outcome of diabetes. However, recent data in both type 1 and type 2 diabetes are encouraging. In type 1 diabetes, where not long ago diabetic nephropathy was almost inevitable after 20–30 years, fewer …

Joseph Houmard, PhD, talks about how because diet is deemed so important in weight management that people often write off the benefits of exercise. He also talks about some of the various exercise strategies but notes that the best one is always the one that the patient will actually do. …

With this week’s Homerun Slides, we discuss several medication therapies and their effects on insulin resistance including bromocriptine, a "new" drug that has actually been around a long time….