Specialties

David Levy, MD, FRCP      Cataract Diabetes is a strong risk factor for cataract, and it occurs earlier and progresses faster than in the non-diabetic population. Cortical cataract is the most frequent, with its typical radial spoke opacities. Indications for cataract surgery include impairment of vision that reduces quality of life, and …

David Levy, MD, FRCP      Pre-proliferative retinopathy An important diagnosis, as there is a very high risk of progression to proliferative retinopathy and significant visual loss. Pre-proliferative changes are characterized by the following. Multiple (> 5) cotton-wool spots. Multiple large blot hemorrhages. Venous abnormalities: irregularities, beading, looping or reduplication. Intraretinal microvascular abnormalities: …

David Levy, MD, FRCP      Non-proliferative diabetic retinopathy Background retinopathy Microaneurysms Small, red, intraretinal lesions usually found at the posterior pole of the eye, around the disc and macula. They occur in areas of capillary non-perfusion and show leakage of fluorescein. It is worthwhile estimating the number of microaneurysms as it has …

David Levy, MD, FRCP      Introduction Diabetic retinopathy is the most common clinically significant microvascular complication of diabetes, but cataract is the most common ocular complication, with a prevalence of about 60% in those aged 30–54, five times more frequent than in those without diabetes. Diabetes is also associated with raised intraocular …

Score proposed to help facilitate diagnosis among population that infrequently sees primary physicians… As a part of campaigns to alleviate the health and financial burdens of undiagnosed diabetes, and because many Americans regularly visit their dentists, but not medical doctors, diabetes screening in dental offices has emerged as a promising …

Patients shed pounds and had fewer comorbidities with minimally invasive procedure… Apollo Endosurgery, Inc., a leader in minimally invasive endoscopic surgical products for bariatric and gastrointestinal procedures, announced the presentation of results from the ORBERA Pivotal Trial at this year’s Digestive Disease Week (DDW) conference. The study showed that ORBERA …

Further study needed on combining exercise training and diet supplementation… Scientists at the University of Southampton, UK, have shown that although some studies find diet can enhance the effects of exercise to prevent muscle loss in later life, current evidence about what works is inconsistent. Between the ages of 40 …

Test may be inexpensive way to gauge patients at increased risk of heart attack, stroke, and premature death.

Components of metabolic syndrome associated with peripheral neuropathy in prediabetic patients…

Diesease progression possible with presence of two or more autoantibodies… Autoimmune type 2 diabetes is preceded by the appearance of islet insulin autoantibodies: GAD autoantibodies (GADAs), insulinoma-associated protein 2 autoantibodies (IA-2AS), and zinc transporter 8 autoantibodies. Previous studies show that diabetes will develop within 10 years in 27-40% of children with …