Whose diabetes is it anyway?
(Source: Practical Diabetes)
Source: Practical Diabetes - June 15, 2017 Category: Endocrinology Authors: Lindsay Oliver Tags: State of the art lecture Source Type: research
Effect of dehydration on blood tests
(Source: Practical Diabetes)
Source: Practical Diabetes - June 15, 2017 Category: Endocrinology Authors: Muhammad Masood Ashraf, Rustam Rea Tags: Test tips Source Type: research
Evaluation of the effect of GLP ‐1 agonists on quality of bowel preparation for colonoscopy in patients with diabetes
Abstract
People with diabetes mellitus warrant a greater need for colonoscopy owing to the increased risk of colorectal cancer and autonomic neuropathy. Unfortunately, this population is reported to have a higher proportion of inadequate bowel preparation during colonoscopy, which translates into lower adenoma detection rates and repeat colonoscopies. Glucagon‐like peptide‐1 (GLP‐1) agonists commonly used in the management of diabetes are well known to cause delayed gastrointestinal (GI) transit times, yet it is unknown if they contribute to the higher frequency of inadequate bowel preparation in people with diabetes...
Source: Practical Diabetes - June 15, 2017 Category: Endocrinology Authors: Toishi Sharma, Nitin Das, Bahaaeldeen Ismail, Fernando Castro ‐Pavia, Jose Cabral, Carmen Villabona Tags: Original short report Source Type: research
Novel therapies in type 2 diabetes: insulin resistance
Abstract
Insulin resistance plays an important role in the pathogenesis of type 2 diabetes and cardiovascular disease. Obesity is a major risk factor for the development of insulin resistance. Hence, treating obesity with lifestyle interventions is the cornerstone of managing insulin resistance. However, when lifestyle interventions fail to produce sustainable impact, then pharmacotherapy and/or bariatric surgery can produce significant improvements in weight, insulin resistance and glycaemic measures. Ectopic fat in the liver and muscle is one of the main mechanisms via which obesity impacts on insulin sensitivity. Hence,...
Source: Practical Diabetes - June 15, 2017 Category: Endocrinology Authors: Abd A Tahrani Tags: Review Source Type: research
Quality in Care Diabetes: more than an award
(Source: Practical Diabetes)
Source: Practical Diabetes - June 15, 2017 Category: Endocrinology Authors: Mark Greener Tags: Policy profile Source Type: research
Motivations for physical activity in youth with type 1 diabetes participating in the ActivPals project: a qualitative study
Abstract
Around two‐thirds of 5–18 year olds fail to meet physical activity (PA) recommendations. Children with type 1 diabetes tend to be less active and more sedentary than non‐diabetic peers. Research into motivations for PA in this population is lacking.
We aimed to investigate motivating factors for PA in youth with type 1 diabetes participating in a four‐week PA intervention (ActivPals study) to inform the practice of health care professionals promoting PA.
Sixteen semi‐structured interviews with participants plus a parent (n = 32) were carried out between May and July 2016. Following completion of the Acti...
Source: Practical Diabetes - June 15, 2017 Category: Endocrinology Authors: Louise Wilkie, Fiona Mitchell, Kenneth Robertson, Alison Kirk Tags: Original article Source Type: research
Tuberculosis and diabetes
(Source: Practical Diabetes)
Source: Practical Diabetes - June 1, 2017 Category: Endocrinology Authors: Rowan Hillson Tags: Leader Source Type: research
Reflections on carbohydrate counting: walking in our patients ’ shoes
(Source: Practical Diabetes)
Source: Practical Diabetes - May 19, 2017 Category: Endocrinology Authors: Nina Bailey, Claire Henke, Jennie Gibb, Aish Chalise, Sarah Maynard, Celia Mannering Tags: Comment Source Type: research
Tapentadol modified release
(Source: Practical Diabetes)
Source: Practical Diabetes - May 19, 2017 Category: Endocrinology Authors: Kubra Boza, Gerry McKay, Andrea Llano Tags: Drug notes Source Type: research
Praise and brickbats: the latest results of National Diabetes Audits for England and Wales
(Source: Practical Diabetes)
Source: Practical Diabetes - May 19, 2017 Category: Endocrinology Authors: Steve Chaplin Tags: Short report Source Type: research
Why we're failing to tackle the twin challenges of diabetes and dementia
(Source: Practical Diabetes)
Source: Practical Diabetes - May 19, 2017 Category: Endocrinology Authors: Mark Greener Tags: Policy profile Source Type: research
Revisit of a rare complication of type 1 diabetes mellitus: Mauriac syndrome
In conclusion, ensuring compliance with insulin therapy, and providing supportive treatment, nutritional support and good follow‐up care can help to mitigate most of the complications relating to Mauriac syndrome. Copyright © 2017 John Wiley & Sons. (Source: Practical Diabetes)
Source: Practical Diabetes - May 19, 2017 Category: Endocrinology Authors: Umang G Thakkar, Aruna V Vanikar, Hargovind L Trivedi Tags: Case report Source Type: research
The impact of dapagliflozin on HbA1c, systolic blood pressure and weight: a review of dapagliflozin use in a Scottish city
Abstract
We aimed to determine the efficacy of dapagliflozin in the management of type 2 diabetes in a Scottish population through measurements of glycaemic control, blood pressure and weight.
Dapagliflozin was effective in improving HbA1c by 10 mmol/mol (SE 1.8, p < 0.001), systolic blood pressure by 9.8mmHg (SE 2.2, p < 0.001) and weight by 3.2 kg (SE 0.6, p < 0.001). There was a significant proportion of people with diabetes who reported side effects with dapagliflozin relating to genital and urinary tract infections.
Dapagliflozin appears to be an effective drug in improving HbA1c, systolic blood pressure and ...
Source: Practical Diabetes - May 19, 2017 Category: Endocrinology Authors: Christopher JL Kueh, Paul Connelly, Rachael Harte, Christopher Smith, James G Boyle Tags: Original short report Source Type: research
Demographics, insulin use and clinical targets in type 2 diabetes insulin users: comparison of a local integrated diabetes service vs a UK ‐wide cohort
Abstract
Insulin‐treated patients with type 2 diabetes require specialist multidisciplinary input to achieve treatment targets. We compared the demographics, achievement of combined NICE targets for HbA1c (≤7.5%), blood pressure (<140/80mmHg) and total cholesterol (<4mmol/L), and insulin use between patients from a local integrated diabetes service with those from a representative UK population.
A cross‐sectional evaluation of individual patient data from six randomly‐selected primary care practices in Erewash (Integrated) Diabetes Service was compared with The Health Improvement Network (THIN) UK primary car...
Source: Practical Diabetes - May 19, 2017 Category: Endocrinology Authors: Uchenna Anyanwagu, Karissa Owen, Jil Mamza, Suma Sugunendran, Lisa Stone, Lin Langeland, Iskandar Idris Tags: Original article Source Type: research
Assessing the prevalence of dexamethasone use in patients undergoing surgery, and subsequent glucose measurements: a retrospective cohort study
Abstract
A single dose of glucocorticoid can cause hyperglycaemia. Hyperglycaemia is associated with poor outcomes in all surgical specialties. Dexamethasone is widely used to prevent postoperative nausea and vomiting. We aimed to assess how many individuals were given dexamethasone as part of their general anaesthetic regimen, and how many had a subsequent capillary blood glucose concentration measured during the next 24 hours.
We undertook a retrospective case‐note analysis, set in a single centre teaching hospital, of all patients undergoing surgery during one week in August 2013. In terms of interventions and measure...
Source: Practical Diabetes - May 19, 2017 Category: Endocrinology Authors: Alexis Sudlow, Henry M O'Connor, Vishal Narwani, Leyla Swafe, Ketan Dhatariya Tags: Original article Source Type: research
