Elevated fasting insulin levels in children aged 3 to 6 years may help predict which children will develop type 2 diabetes as adults… Although researchers did not find the same association for older children and adolescents, they did find an association between body mass index (BMI) in peripubertal years and …
Read More »Diabetes Mellitus 101 for Cardiologists, Part 12
In this week’s Homerun Slides, we continue our discussion of incretins and then examine the benefits of adding SGLT-2 inhibitors to patient medication regimens…. To download these slides in PowerPoint (.ppt) format, use this link: Diabetes Mellitus 101 for Cardiologists, Part 12 Other sets in this series: Diabetes Mellitus 101 for Cardiologists, Part …
Read More »Handbook of Diabetes, 4th Ed., Excerpt #24: Psychological and Psychiatric Problems in Diabetes
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, …
Read More »Metformin for Obese Children
Metformin was linked to reduced food intake, decreased hunger ratings, and increased fullness ratings… For obese hyperinsulinemic children, metformin seems to decrease perceived hunger and increase perceived fullness, according to a published study. Mopelola A. Adeyemo, M.P.H., from the National Institutes of Health in Bethesda, Md., and colleagues examined the …
Read More »New Guidelines Recommend Off-Loading to Increase Likelihood of Diabetic Foot Ulcer Healing
According to consensus guidelines, relieving pressure on the foot through the use of off-loading improves healing outcomes and reduces complications in patients with diabetic foot ulcers… “The Management of Diabetic Foot Ulcers Through Optimal Off-Loading – Building Consensus Guidelines and Practical Recommendations to Improve Outcomes,” was authored by a multidisciplinary …
Read More »Children with Type 1 Diabetes are Showing Declines in IQ
Evidence suggests that the timing of diabetes onset and exposure to serious hypoglycemia may be factors in the cognitive decline of type 1 diabetics… The new study is the first of its kind to follow intelligence quotient (IQ) in type 1 diabetes patients from diagnosis in childhood into young adulthood …
Read More »Diabetes Mellitus 101 for Cardiologists, Part 11
In this week’s Homerun Slides, we cover the importance of the Incretin Effect with an examination of the mechanisms of action of GLP-1 agonist and DPP-4 inhibitor drugs including the cardioprotective aspects of these medications…. To download these slides in PowerPoint (.ppt) format, use this link: Diabetes Mellitus 101 for Cardiologists, Part 11 …
Read More »Adverse Outcomes Up with High A1c in Late Pregnancy for Type 1 Women
An HbA1c of 6.5-6.9% at 26 weeks’ gestation correlated with significantly elevated risk of preterm delivery, preeclampsia, need for neonatal glucose infusion, and a composite adverse outcome… Michael J.A. Maresh, M.D., from St. Mary’s Hospital in Manchester, U.K., and colleagues conducted a prospective assessment involving 725 women with type 1 …
Read More »Simple Breath Test May Aid Early Diagnosis in Children
Increased breath acetone was linked to increases in beta hydroxybutyrate (a ketone) levels in the blood… Researchers may have identified a chemical marker for type 1 diabetes in the breath of children. Around 1 in 4 children with type 1 diabetes are unaware they have a condition until they develop …
Read More »Cancer Rates Higher in Both Type 1 and Type 2 Diabetes
High glucose, obesity studied for possible link to cancer development… The findings highlight the importance of screening for carcinomas in patients with diabetes to aid early detection and reduce premature mortality, say the researchers. The Australian researchers found that the highest excess risks were observed for cancers of the pancreas, …
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