Some positive effects seen but no decrease in pain intensity was observed…. A common complication of diabetes is painful diabetic peripheral neuropathy (P-DPN). Current standard of care for patients with P-DPN involves pharmacological interventions that are limited by their potential adverse side effects. Numerous drugs are still being developed and …
Read More »Psychological Stressors during Childhood Associated with Higher Risk for T1
SLE (Stressful Life Events) experienced by child during first 14 years of life associated with higher risk of diabetes… Genetic and environmental factors are involved in the development of type 1 diabetes. Multiple environmental factors have been studied, such as viral infections, dietary habits in infancy, birthweight, early weight gain, …
Read More »Practical Diabetes Care, 3rd Ed., Excerpt #14: Diabetic Renal Disease Part 3 of 5
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 …
Read More »Practical Diabetes Care, 3rd Ed., Excerpt #12: Diabetic Renal Disease Part 1 of 5
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 …
Read More »Four Keys to Improving Medication Adherence Among the Diabetic Elderly
Greater supply, mail order pharmacy use, lower copays, lower out-of-pocket expense shown effective…. The Center for Medicare and Medicaid Services (CMS) uses a STAR program to monitor the quality of care in Medicare Advantage health plans. Researchers from Kaiser Permanente examined the relationship between those STAR medication adherence metrics and …
Read More »Risk of Retinopathy in Type 1 and Type 2 Diabetic Patients
DR prevalence of DR higher in T1s; T2s have the major burden…. One of the microvascular complications of type 1 and type 2 diabetes is diabetic retinopathy (DR), which can cause blindness and low vision in this patient population along with other age-related eyes condition. Many screening programs have been …
Read More »Women Retain Insulin Sensitivity Better than Men
Protein activity in female muscles said more efficient… It’s long been known that obese men are more likely to develop type 2 diabetes than obese women, but researchers at McMaster University have discovered it may be related to a difference between the sexes in the activity of a protein in …
Read More »Gastric Electrical Stimulation an Alternative to Insulin Injections?
Device implantation could be the future in T2DM and weight loss… Weight gain is often a side effect of several different oral antidiabetic drugs (OADs), such as sulfonylureas and thiazolidinedion, along with insulin. Lifestyle modification and weight loss is always recommended in T2DM, but we all know it takes great …
Read More »Glycemic Control and Medications in T2DM Elderly with Dementia
Older veterans with T2DM and dementia may need to decrease intensity of diabetes medications… One study predicts that the prevalence of diabetes among adults aged ≥65 years is projected to increase dramatically by 2050. Other studies have observed that dementia affects up to 16% of diabetic patients aged ≥65 years …
Read More »The Relationship of Cardiorespiratory Fitness and Diabetes
Higher fitness may be linked to a lower risk of incident diabetes… Many cross-sectional studies have observed a relationship between reduced cardiorespiratory fitness and glucose intolerance or diabetes risk. Other large cohort studies have also demonstrated that low fitness may precede the development of insulin resistance and diabetes. However, not …
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