MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Diabetic Medicine' source. Wed, 08 Feb 2012 15:08:54 +0100 http://www.medworm.com/index.php?rid=5667660&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2012.03602.x Conclusions:  Participation in the study lowered depression scores, with no specific group effect. Among the lifestyle changes, particularly successful reduction of body weight was associated with the greater reduction of depressive symptoms. Thus, regardless of the intensity of the treatment, the success in executing alterations in one’s lifestyle and behaviour is associated with beneficial changes in mood.© 2012 The Authors. Diabetic Medicine © 2012 Diabetes UK (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5667660 Tue, 07 Feb 2012 05:00:00 +0100 5667660 http://www.medworm.com/index.php?rid=5667659&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2012.03603.x Conclusions:  Although this is a rare condition, clinicians should bear in mind that insulinomas may exist together with diabetes mellitus, and it is important to have this suspicion when considering the perioperative approach and for the prevention of morbidities.© 2012 The Authors. Diabetic Medicine © 2012 Diabetes UK (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5667659 Tue, 07 Feb 2012 05:00:00 +0100 5667659 http://www.medworm.com/index.php?rid=5667658&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2012.03604.x Conclusions:  Striving for near‐normoglycaemia with focus on reduction of plasma glucose fluctuations during pregnancy should have high priority among clinicians with the persistent aim of improving pregnancy outcome among women with Type 1 diabetes. Pre‐conception counselling, carbohydrate counting, use of insulin analogues, continuous subcutaneous insulin infusion (insulin pump) therapy and real‐time continuous glucose monitoring with alarms for low glucose values might be relevant tools to obtain near‐normoglycaemia without episodes of severe hypoglycaemia.© 2012 The Authors. Diabetic Medicine © 2012 Diabetes UK (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5667658 Tue, 07 Feb 2012 05:00:00 +0100 5667658 http://www.medworm.com/index.php?rid=5667657&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2012.03605.x Conclusions:  Glucose control is inadequate among insulin‐treated patients, in part attributable to insulin omission/non‐adherence and lack of dose adjustment. There is a need for insulin regimens that are less restrictive and burdensome with lower risk of hypoglycaemia.© 2012 The Authors. Diabetic Medicine © 2012 Diabetes UK (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5667657 Tue, 07 Feb 2012 05:00:00 +0100 5667657 http://www.medworm.com/index.php?rid=5667656&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2012.03607.x Conclusions:  Almost two‐thirds of new cases of Type 2 diabetes can be detected before symptoms are reported, at reasonable cost by opportunistic screening in general practice, without the use of extra resources. As an affordable alternative to population screening, clinical opportunistic screening merits further consideration.© 2012 The Authors. Diabetic Medicine © 2012 Diabetes UK (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5667656 Tue, 07 Feb 2012 05:00:00 +0100 5667656 http://www.medworm.com/index.php?rid=5667655&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2012.03608.x Conclusions:  Increased urine albumin/creatinine ratio and macroalbuminuria were the only independent predictors of haematuria in patients with Type 2 diabetes, raising questions on the justifications of excluding haematuria in interpreting urinary albumin excretion in patients with Type 2 diabetes and including haematuria as an indication for renal biopsy in those with macroalbuminuria.© 2012 The Authors. Diabetic Medicine © 2012 Diabetes UK (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5667655 Wed, 01 Feb 2012 05:00:00 +0100 5667655 http://www.medworm.com/index.php?rid=5648745&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2012.03582.x AbstractThese Joint British Diabetes Societies guidelines, commissioned by NHS Diabetes, for the perioperative management of the adult patient undergoing surgery are available in full in the Supporting Information.This document goes through the seven stages of the patient journey when having surgery. These are: primary care referral to surgical outpatients; preoperative assessment; hospital admission; surgery; post‐operative care; discharge. Each stage is given its own considerations, outlining the roles and responsibilities of each group of healthcare professionals. The evidence base for the recommendations made at each stage, discussion of controversial areas and references are provided in the report.This document has two key recommendations. Firstly, that the management of the electiv... Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5648745 Wed, 01 Feb 2012 05:00:00 +0100 5648745 http://www.medworm.com/index.php?rid=5648747&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2012.03589.x Conclusions:  In patients with Type 2 diabetes, well controlled with metformin monotherapy, addition of liraglutide improves several cardiovascular risk markers beyond glycaemic control.© 2012 The Authors. Diabetic Medicine © 2012 Diabetes UK (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5648747 Mon, 30 Jan 2012 05:00:00 +0100 5648747 http://www.medworm.com/index.php?rid=5648746&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2012.03592.x Conclusions:  While acanthosis nigricans is undoubtedly associated with insulin resistance, its appearance is not ubiquitous in patients at any given level of HOMA‐IR. The higher levels of pigment epithelium‐derived factor in those with acanthosis nigricans compared with those without, with similar levels of resistance, suggest that pigment epithelium‐derived factor levels are associated with acanthosis nigricans.© 2012 The Authors. Diabetic Medicine © 2012 Diabetes UK (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5648746 Mon, 30 Jan 2012 05:00:00 +0100 5648746 http://www.medworm.com/index.php?rid=5638900&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2012.03600.x (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5638900 Sun, 29 Jan 2012 19:42:43 +0100 5638900 http://www.medworm.com/index.php?rid=5638903&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2012.03569.x (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5638903 Fri, 27 Jan 2012 05:00:00 +0100 5638903 http://www.medworm.com/index.php?rid=5638902&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2012.03599.x Conclusions:  Using HbA1c in place of fasting plasma glucose will reclassify different proportions of the population in different ethnic groups. This may have implications in interpretation of HbA1c results across ethnic groups and the use of HbA1c for diagnosing diabetes mellitus.© 2012 The Authors. Diabetic Medicine © 2012 Diabetes UK (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5638902 Fri, 27 Jan 2012 05:00:00 +0100 5638902 http://www.medworm.com/index.php?rid=5638901&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2012.03570.x Conclusions:  Screening for diabetes is not associated with long‐term harms at the population level. However, screening has limited long‐term impact on those testing negative; benefits may largely be restricted to those whose diabetes is detected early through screening.© 2012 The Authors. Diabetic Medicine © 2012 Diabetes UK (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5638901 Fri, 27 Jan 2012 05:00:00 +0100 5638901 http://www.medworm.com/index.php?rid=5629372&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2012.03598.x Conclusions:  Asymmetrical attenuation of vibration sensation may predict the side that will develop a Charcot joint and may suggest a more important role for vibration sense loss than loss of other sensory modalities in the pathophysiology of Charcot.© 2012 The Authors. Diabetic Medicine © 2012 Diabetes UK (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5629372 Thu, 26 Jan 2012 20:00:19 +0100 5629372 http://www.medworm.com/index.php?rid=5629384&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2012.03584.x Conclusion:  Limitations in physical functioning as assessed by the Short Form‐12 were not associated with substantial difference in diabetes care in adults ≥ 65 years of age enrolled in managed care health plans.© 2012 The Authors. Diabetic Medicine © 2012 Diabetes UK (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5629384 Tue, 24 Jan 2012 05:00:00 +0100 5629384 http://www.medworm.com/index.php?rid=5629383&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2012.03585.x Conclusions:  Spironolactone treatment in addition to standard renoprotective treatment lowers urinary albumin excretion in microalbuminuric patients with Type 1 diabetes, and thus may offer additional renoprotection independent of blood pressure.© 2012 The Authors. Diabetic Medicine © 2012 Diabetes UK (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5629383 Tue, 24 Jan 2012 05:00:00 +0100 5629383 http://www.medworm.com/index.php?rid=5629382&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2012.03586.x Conclusions:  The majority of patients had HbA1c above the 53 mmol/mol (< 7%) target at baseline and post‐intensification/switch. The HbA1c levels were reduced by intensification/switch suggesting that insulin changes did have some impact. Most patients did not change insulin treatment despite having higher than recommended HbA1c levels. Reasons for not changing treatment in face of unsatisfactory clinical outcomes are unclear. Further research is warranted to explore barriers towards therapy change.© 2012 The Authors. Diabetic Medicine © 2012 Diabetes UK (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5629382 Tue, 24 Jan 2012 05:00:00 +0100 5629382 http://www.medworm.com/index.php?rid=5629381&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2012.03587.x Conclusion:  Insulin sensitivity increased within 3 days of hyperbaric oxygen treatment and this was maintained for 30 sessions. This increase in insulin sensitivity is equivalent to that observed following moderate weight loss. The mechanisms underlying the insulin‐sensitizing effect of hyperbaric oxygen require further elucidation.© 2012 The Authors. Diabetic Medicine © 2012 Diabetes UK (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5629381 Tue, 24 Jan 2012 05:00:00 +0100 5629381 http://www.medworm.com/index.php?rid=5629380&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2012.03588.x Conclusions:  Inferior quadrant retinal nerve fibre layer thinning is associated with peripheral neuropathy in patients with Type 2 diabetes, and is more pronounced in those at higher risk of foot ulceration.© 2012 The Authors. Diabetic Medicine © 2012 Diabetes UK (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5629380 Tue, 24 Jan 2012 05:00:00 +0100 5629380 http://www.medworm.com/index.php?rid=5629379&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2012.03590.x Conclusions:  Although high prevalence of diabetic ketoacidosis at diagnosis of Type 1 diabetes in Brazil is observed, recently, more patients have been diagnosed by other methods.© 2012 The Authors. Diabetic Medicine © 2012 Diabetes UK (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5629379 Tue, 24 Jan 2012 05:00:00 +0100 5629379 http://www.medworm.com/index.php?rid=5629378&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2012.03591.x Conclusions:  The prevalence of diabetic retinopathy in contemporary young individuals was substantial, particularly among minority youth and those with Type 2 diabetes. Further long‐term study of diabetic retinopathy in youth is needed.© 2012 The Authors. Diabetic Medicine © 2012 Diabetes UK (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5629378 Tue, 24 Jan 2012 05:00:00 +0100 5629378 http://www.medworm.com/index.php?rid=5629377&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2012.03593.x Conclusion:  Renal resistive index levels were highest in patients with Type 2 diabetes with both decreased 24‐h creatinine clearance and increased 24‐h urinary albumin excretion, whereas they were lowest in patients with normal creatinine clearance and normal urinary albumin excretion.© 2012 The Authors. Diabetic Medicine © 2012 Diabetes UK (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5629377 Tue, 24 Jan 2012 05:00:00 +0100 5629377 http://www.medworm.com/index.php?rid=5629376&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2012.03594.x Conclusions:  These data suggest that the T allele of the CYBA C242T polymorphism may be used as a marker for adverse metabolic features in Brazilian subjects with systemic hypertension.© 2012 The Authors. Diabetic Medicine © 2012 Diabetes UK (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5629376 Tue, 24 Jan 2012 05:00:00 +0100 5629376 http://www.medworm.com/index.php?rid=5629375&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2012.03595.x Conclusions:  In patients using intensive insulin therapy, an individually calculated insulin dose for 60 g carbohydrate results in postprandial hypoglycaemia or hyperglycaemia for meals containing 40 and 80 g carbohydrate. To calculate mealtime insulin in order to maintain postprandial control, carbohydrate estimations should be within 10 g of the actual meal carbohydrate.© 2012 The Authors. Diabetic Medicine © 2012 Diabetes UK (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5629375 Tue, 24 Jan 2012 05:00:00 +0100 5629375 http://www.medworm.com/index.php?rid=5629374&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2012.03596.x Conclusions:  Obesity is associated with an increased risk of impaired glucose tolerance. An HbA1c value of 40 mmol/mol (5.8%) should be used as a screening tool to identify children and adolescents with impaired glucose tolerance.© 2012 The Authors. Diabetic Medicine © 2012 Diabetes UK (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5629374 Tue, 24 Jan 2012 05:00:00 +0100 5629374 http://www.medworm.com/index.php?rid=5629373&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2012.03597.x Conclusion:  Factors associated with pancreatic exocrine failure differ in patients with Type 1 diabetes compared with patients with type 2 diabetes. In patients with Type 2 diabetes, association of decreased pancreatic exocrine function with BMI and vascular disease suggests a role of pancreatic arteriopathy.© 2012 The Authors. Diabetic Medicine © 2012 Diabetes UK (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5629373 Tue, 24 Jan 2012 05:00:00 +0100 5629373 http://www.medworm.com/index.php?rid=5598359&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2012.03581.x (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5598359 Tue, 17 Jan 2012 20:29:30 +0100 5598359 http://www.medworm.com/index.php?rid=5598369&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2012.03572.x Conclusions:  Our results suggested that the HbA1c cut‐off for high‐risk of diabetes should be 39 mmol/mol (5.7%), consistent with the American Diabetes Association recommendation. Further research is needed to determine whether our results are applicable to other populations.© 2012 The Authors. Diabetic Medicine © 2012 Diabetes UK (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5598369 Mon, 16 Jan 2012 05:00:00 +0100 5598369 http://www.medworm.com/index.php?rid=5598368&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2012.03571.x Conclusions:  In men and women, depression and disability are important factors that are associated with self‐rated health in a large sample of individuals with Type 2 diabetes.© 2012 The Authors. Diabetic Medicine © 2012 Diabetes UK (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5598368 Mon, 16 Jan 2012 05:00:00 +0100 5598368 http://www.medworm.com/index.php?rid=5598367&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2012.03573.x Conclusions:  These results suggest that lower circulating levels of dehydroepiandrosterone are associated with decreased activated protein C generation and higher intima‐media thickness in patients with Type 2 diabetes.© 2012 The Authors. Diabetic Medicine © 2012 Diabetes UK (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5598367 Mon, 16 Jan 2012 05:00:00 +0100 5598367 http://www.medworm.com/index.php?rid=5598366&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2012.03574.x Conclusions:  Fluconazole plus standard care was superior to standard care alone in accelerating wound reduction among patients with diabetes with deep‐seated fungal infections in diabetic foot wounds. Those in the treatment group who did heal, healed more quickly (P = 0.022), but overall healing was not different.© 2012 The Authors. Diabetic Medicine © 2012 Diabetes UK (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5598366 Mon, 16 Jan 2012 05:00:00 +0100 5598366 http://www.medworm.com/index.php?rid=5598365&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2012.03575.x Conclusions:  The findings suggest that vitamin D deficiency, possibly involving altered insulin sensitivity, is associated with an increased risk for diabetes mellitus in the Korean population.© 2012 The Authors. Diabetic Medicine © 2012 Diabetes UK (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5598365 Mon, 16 Jan 2012 05:00:00 +0100 5598365 http://www.medworm.com/index.php?rid=5598364&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2012.03576.x Conclusions  Our data demonstrated that men with Type 2 diabetes have higher prevalence of andropausal symptoms, especially those with diabetic complications.© 2012 The Authors. Diabetic Medicine © 2012 Diabetes UK (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5598364 Mon, 16 Jan 2012 05:00:00 +0100 5598364 http://www.medworm.com/index.php?rid=5598363&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2012.03577.x Conclusions:  Our results did not identify an increased mortality risk among the different combinations of sulfonylureas and metformin, suggesting that overall mortality is not substantially influenced by the choice of sulfonylurea.© 2012 The Authors. Diabetic Medicine © 2012 Diabetes UK (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5598363 Mon, 16 Jan 2012 05:00:00 +0100 5598363 http://www.medworm.com/index.php?rid=5598362&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2012.03578.x Conclusion:  The prevalence of known Type 2 diabetes mellitus showed a southwest‐to‐northeast gradient within Germany, which is in accord with regional differences in the distribution of risk factors for Type 2 diabetes. Furthermore, the treatment with antidiabetic agents showed regional differences.© 2012 The Authors. Diabetic Medicine © 2012 Diabetes UK (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5598362 Mon, 16 Jan 2012 05:00:00 +0100 5598362 http://www.medworm.com/index.php?rid=5598361&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2012.03579.x Conclusions:  Research is required to understand the social context of alcohol consumption in this population with a view to developing appropriate interventions to minimize the risks associated with its use.© 2012 The Authors. Diabetic Medicine © 2012 Diabetes UK (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5598361 Mon, 16 Jan 2012 05:00:00 +0100 5598361 http://www.medworm.com/index.php?rid=5598360&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2012.03580.x (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5598360 Mon, 16 Jan 2012 05:00:00 +0100 5598360 http://www.medworm.com/index.php?rid=5582794&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03397.x (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5582794 Sat, 14 Jan 2012 00:31:13 +0100 5582794 http://www.medworm.com/index.php?rid=5582793&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03405.x Conclusions  Medical nutrition therapy provided by dietitians to Arab patients with Type 2 diabetes in Oman resulted in significant improvements in anthropometric and biochemical outcomes in both the usual nutritional care group and the group receiving practice guidelines nutritional care. Subjects with Type 2 diabetes tended to do better with practice guidelines nutritional care than with usual nutritional care. Ongoing medical counselling in nutrition by a trained dietitian is important for better long‐term metabolic control. (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5582793 Sat, 14 Jan 2012 00:30:54 +0100 5582793 http://www.medworm.com/index.php?rid=5582792&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03471.x Conclusions  Although gestational diabetes may be a risk factor for development of cardiovascular disease, women with gestational diabetes do not have higher aortic stiffness than healthy pregnant women. Time of exposure to hyperglycaemia may have been insufficient to increase central arterial stiffness in women with gestational diabetes. (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5582792 Sat, 14 Jan 2012 00:30:51 +0100 5582792 http://www.medworm.com/index.php?rid=5582791&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03427.x Conclusions  Our findings demonstrate that ultrasound‐diagnosed non‐alcoholic fatty liver is associated with a higher prevalence of chronic kidney disease in patients with Type 1 diabetes, independently of several risk factors, including the components of the metabolic syndrome. (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5582791 Sat, 14 Jan 2012 00:30:49 +0100 5582791 http://www.medworm.com/index.php?rid=5582790&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03425.x Conclusions  A high achievement of treatment goals and a low mean modifiable 10‐year coronary heart disease risk was found at the 3‐year follow‐up, both in the cross‐sectional survey in 2008 and in patients individually followed since diagnosis. This indicates the feasibility and significance of early multifactorial risk factor treatment. (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5582790 Sat, 14 Jan 2012 00:30:43 +0100 5582790 http://www.medworm.com/index.php?rid=5582789&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03469.x (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5582789 Sat, 14 Jan 2012 00:30:34 +0100 5582789 http://www.medworm.com/index.php?rid=5582786&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2012.03567.x Conclusions:  The numbers of reagent strips dispensed for self‐monitoring of blood glucose has increased and almost all insulin‐treated patients receive strips. While few diet‐treated patients receive strips, they are more extensively dispensed to those treated with oral agents. Given that self‐monitoring of blood glucose is no longer routinely recommended in non‐insulin treated patients, strategies to reduce unnecessary dispensing of reagent strips are needed.© 2012 The Authors. Diabetic Medicine© 2012 Diabetes UK (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5582786 Sat, 14 Jan 2012 00:26:38 +0100 5582786 http://www.medworm.com/index.php?rid=5582787&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2012.03563.x Conclusion:  We observed that, with active glucose monitoring, alteration of drug dosage and timing, dietary counselling and patient education, the majority of the patients did not have any serious acute complications of diabetes during Ramadan.© 2012 The Authors. Diabetic Medicine© 2012 Diabetes UK (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5582787 Wed, 11 Jan 2012 05:00:00 +0100 5582787 http://www.medworm.com/index.php?rid=5582788&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2012.03558.x (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5582788 Mon, 09 Jan 2012 05:00:00 +0100 5582788 http://www.medworm.com/index.php?rid=5552779&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03568.x Conclusions:  Logistical regression models using age, sex and the John Hopkins’ Aggregated Diagnosis Groups were able to accurately predict 1‐year mortality in population‐based samples of patients with diabetes.© 2011 The Authors. Diabetic Medicine© 2011 Diabetes UK (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5552779 Sat, 31 Dec 2011 09:06:00 +0100 5552779 http://www.medworm.com/index.php?rid=5552780&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03566.x Conclusions:  Mean fasting serum non‐esterified fatty acid level during an 8‐year observation was independently associated with long‐term progressive deterioration of insulin secretion in Japanese patients with Type 2 diabetes.© 2011 The Authors. Diabetic Medicine© 2011 Diabetes UK (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5552780 Thu, 29 Dec 2011 05:00:00 +0100 5552780 http://www.medworm.com/index.php?rid=5544826&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03565.x Conclusion:  Our results demonstrate that lower peripheral blood mtDNA content is associated with Type 2 diabetes in Chinese individuals, and HbA1c, fasting plasma glucose and age of onset are the major factors affecting the mtDNA content.© 2011 The Authors. Diabetic Medicine© 2011 Diabetes UK (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5544826 Wed, 28 Dec 2011 11:10:02 +0100 5544826 http://www.medworm.com/index.php?rid=5544831&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03560.x Conclusions:  This study documents the utility of C‐reactive protein in predicting risk for all‐cause mortality in European Americans with Type 2 diabetes and supports its use as a screening tool in risk prediction models.© 2011 The Authors. Diabetic Medicine© 2011 Diabetes UK (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5544831 Wed, 28 Dec 2011 05:00:00 +0100 5544831 http://www.medworm.com/index.php?rid=5544830&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03559.x (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5544830 Wed, 28 Dec 2011 05:00:00 +0100 5544830 http://www.medworm.com/index.php?rid=5544829&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03561.x Conclusions:  Typical symptoms of myocardial infarction were equally prevalent in patients with and without diabetes and there were no sex differences in symptoms among persons with diabetes. Diabetes was not a predictor of atypical symptoms.© 2011 The Authors. Diabetic Medicine© 2011 Diabetes UK (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5544829 Wed, 28 Dec 2011 05:00:00 +0100 5544829 http://www.medworm.com/index.php?rid=5544828&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03562.x Conclusions:  Ocular and skin autofluorescence and vascular stiffness correlate in non‐diabetic and Type 1 diabetes subjects and are increased in Type 1 diabetes.. Tissue advanced glycation end‐products correlate with vascular risk factors, including circulating advanced glycation end‐products.© 2011 The Authors. Diabetic Medicine© 2011 Diabetes UK (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5544828 Wed, 28 Dec 2011 05:00:00 +0100 5544828 http://www.medworm.com/index.php?rid=5544827&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03564.x Conclusions:  From our preliminary results, human zinc‐α2‐glycoprotein may be a novel urinary biomarker for non‐albuminuric diabetic nephropathy.© 2011 The Authors. Diabetic Medicine© 2011 Diabetes UK (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5544827 Wed, 28 Dec 2011 05:00:00 +0100 5544827 http://www.medworm.com/index.php?rid=5525495&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03548.x Conclusion:  We found an increase in blood pressure control in the 6 months following initiation of diabetes treatment. However, overall blood pressure control remained suboptimal and with no further improvement over the next 18 months.Published 2011. This article is a US Government work and is in the public domain in the USA (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5525495 Thu, 22 Dec 2011 08:02:23 +0100 5525495 http://www.medworm.com/index.php?rid=5505735&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03557.x Conclusions:  Short‐term clinical measurements of heart rate variability in patients with Type 2 diabetes are characterized by poor absolute reliability, but substantial to good relative reliability, suggesting greater clinical utility in diagnosis than in sequential follow‐up.© 2011 The Authors. Diabetic Medicine© 2011 Diabetes UK (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5505735 Fri, 16 Dec 2011 07:58:12 +0100 5505735 http://www.medworm.com/index.php?rid=5495186&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03553.x Conclusions:  Glycaemic control deteriorated in patients with diabetes following high‐dose statin therapy. Future controlled studies are needed to verify these findings and, if confirmed, determine whether such changes represent a true decline in glycaemic control. Presently, it appears that, based on the overwhelming prospective trial data available, the preventive effect of statin therapy supersedes that of the slight increase in HbA1c.© 2011 The Authors. Diabetic Medicine© 2011 Diabetes UK (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5495186 Tue, 13 Dec 2011 08:13:42 +0100 5495186 http://www.medworm.com/index.php?rid=5495203&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03534.x Conclusions:  Our findings extend previous evidence for the links between psychosocial vulnerabilities and impaired glucose metabolism in black women, by documenting significant associations between anxiety and clinical indicators of glycaemic control among black women without diabetes. Thus, anxiety might constitute an intervention target in black women, a subgroup disproportionately affected by Type 2 diabetes, its complications, and premature mortality.© 2011 The Authors. Diabetic Medicine© 2011 Diabetes UK (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5495203 Mon, 12 Dec 2011 05:00:00 +0100 5495203 http://www.medworm.com/index.php?rid=5495202&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03535.x Conclusions:  Diabetes has an independent adverse effect on key aspects of hospital inpatient stays. Most of this effect occurs in those patients identified as having diabetes in discharge coding. If more hospitals could achieve the lowest levels of adverse impact on inpatients with diabetes substantial cost savings and improved experience of care would be realised.© 2011 The Authors. Diabetic Medicine© 2011 Diabetes UK (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5495202 Mon, 12 Dec 2011 05:00:00 +0100 5495202 http://www.medworm.com/index.php?rid=5495201&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03536.x Conclusions:  Repeated measurements of fasting plasma glucose better predicts incidence of diabetes than a single test. In particular, persistent fasting hyperglycaemia adds more substantial precision to the prediction of future diabetes than transient impaired fasting glucose. This combination is cost efficient and may be practical for early detection of high‐risk individuals.© 2011 The Authors. Diabetic Medicine© 2011 Diabetes UK (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5495201 Mon, 12 Dec 2011 05:00:00 +0100 5495201 http://www.medworm.com/index.php?rid=5495200&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03537.x Conclusions:  Professionally led support groups may have utility for increasing social support and optimizing diabetes outcomes in young adults with Type 1 diabetes.© 2011 The Authors. Diabetic Medicine© 2011 Diabetes UK (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5495200 Mon, 12 Dec 2011 05:00:00 +0100 5495200 http://www.medworm.com/index.php?rid=5495199&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03538.x Conclusions:  This study suggests that the Diabetes Medication System Rating Questionnaire has good reliability and validity and provides a more comprehensive set of measures than existing medication satisfaction questionnaires.© 2011 The Authors. Diabetic Medicine© 2011 Diabetes UK (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5495199 Mon, 12 Dec 2011 05:00:00 +0100 5495199 http://www.medworm.com/index.php?rid=5495198&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03540.x Conclusions:  Clinical decision support systems have been used, often as part of a complex programme, to improve the care of hospitalized patients with diabetes. There is some evidence that they may have a beneficial effect, but this needs further confirmation.© 2011 The Authors. Diabetic Medicine© 2011 Diabetes UK (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5495198 Mon, 12 Dec 2011 05:00:00 +0100 5495198 http://www.medworm.com/index.php?rid=5495197&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03541.x Conclusions:  Europe‐wide agreement on screening approaches and diagnostic standards for gestational diabetes could lead to better detection and treatment, improved outcomes for women and children and a strengthened evidence base. There is an urgent need for well‐designed research that can inform decisions on best practice in gestational diabetes mellitus screening and diagnosis.© 2011 The Authors. Diabetic Medicine© 2011 Diabetes UK (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5495197 Mon, 12 Dec 2011 05:00:00 +0100 5495197 http://www.medworm.com/index.php?rid=5495196&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03542.x Conclusions:  Adolescents/young adults with Type 2 diabetes lose approximately 15 years from average remaining life expectancy and may experience severe, chronic complications of Type 2 diabetes by their 40s. The net clinical benefit of intensive treatment may be sensitive to preferences for treatment. A comprehensive management plan that includes early and aggressive control of cardiovascular risk factors is likely needed to reduce lifetime risk of coronary heart disease.© 2011 The Authors. Diabetic Medicine© 2011 Diabetes UK (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5495196 Mon, 12 Dec 2011 05:00:00 +0100 5495196 http://www.medworm.com/index.php?rid=5495195&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03543.x Conclusion:  Increased liver enzyme concentrations do not bias the correlation between HbA1c and fasting plasma glucose. However, men with low plasma glucose and increased concentrations of both liver enzymes do have a slightly decreased HbA1c and, if the clinical suspicion is strong enough, one should consider supplement testing.© 2011 The Authors. Diabetic Medicine© 2011 Diabetes UK (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5495195 Mon, 12 Dec 2011 05:00:00 +0100 5495195 http://www.medworm.com/index.php?rid=5495194&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03544.x Conclusion:  IL‐10 serum levels associate inversely with age and C‐peptide. As age and C‐peptide also associate, a triangular association is proposed. Genetic influence on IL‐10 production seems to be masked by distinct disease mechanisms. Increased serum IFNγ concentrations associate with rapid disease progression. Functional genetic variants do not associate with a single progression pattern group, implying that disease processes override genetically predisposed cytokine production.© 2011 The Authors. Diabetic Medicine© 2011 Diabetes UK (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5495194 Mon, 12 Dec 2011 05:00:00 +0100 5495194 http://www.medworm.com/index.php?rid=5495193&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03545.x Conclusions:  In Type 1 diabetes, when noise and calibration error are minimized to reduce effects that confound delay measurement, subcutaneous glucose sensors demonstrate a shorter lag duration and greater accuracy when glucose is falling than when rising.© 2011 The Authors. Diabetic Medicine© 2011 Diabetes UK (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5495193 Mon, 12 Dec 2011 05:00:00 +0100 5495193 http://www.medworm.com/index.php?rid=5495192&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03546.x Conclusions:  Systemic concentrations of adhesion molecules, but not chemokines, relate to cardiovascular risk factors, but remain higher after adjustments in Type 2 diabetes, suggesting a diabetes‐type specific effect without difference between latent autoimmune diabetes in adults and Type 1 diabetes, despite their dissimilar phenotype.© 2011 The Authors. Diabetic Medicine© 2011 Diabetes UK (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5495192 Mon, 12 Dec 2011 05:00:00 +0100 5495192 http://www.medworm.com/index.php?rid=5495191&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03547.x Conclusions:  In the context of comparable overall glycaemic control with glargine, degludec improved mental well‐being as measured using the mental component score of the Short Form 36 Health Survey. The improvements in overall mental component score and the underlying social functioning and mental health domains with degludec compared with glargine may relate to the observed reduction in hypoglycaemic events.© 2011 The Authors. Diabetic Medicine© 2011 Diabetes UK (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5495191 Mon, 12 Dec 2011 05:00:00 +0100 5495191 http://www.medworm.com/index.php?rid=5495190&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03549.x Conclusion:  There are significant variations in prevalence of diabetes and primary healthcare support for diabetes across low‐ and middle‐income countries. Aggressively preventing abnormal body weight and improving healthcare support may play a pivotal role in ameliorating the unfavourable epidemic of diabetes in developing countries.© 2011 The Authors. Diabetic Medicine© 2011 Diabetes UK (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5495190 Mon, 12 Dec 2011 05:00:00 +0100 5495190 http://www.medworm.com/index.php?rid=5495189&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03550.x Conclusions:  Lower vitamin D status in early pregnancy was associated with a significantly increased risk of subsequent gestational diabetes that was independent of race, age, season and maternal weight. This study suggests that vitamin D may influence glucose tolerance during pregnancy and provides support for studies of vitamin D as a potential intervention to prevent gestational diabetes.© 2011 The Authors. Diabetic Medicine© 2011 Diabetes UK (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5495189 Mon, 12 Dec 2011 05:00:00 +0100 5495189 http://www.medworm.com/index.php?rid=5495188&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03551.x Conclusions:  An association between mid‐gestational 25‐hydroxy vitamin D and fasting glucose was confirmed in a largely normoglycaemic and vitamin D‐replete pregnant population. The correlation between 25‐hydroxy vitamin D and β‐cell function suggests that vitamin D may influence glucose metabolism through this mechanism. Intervention studies are required to determine causality and the role of vitamin D replacement in deficient individuals.© 2011 The Authors. Diabetic Medicine© 2011 Diabetes UK (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5495188 Mon, 12 Dec 2011 05:00:00 +0100 5495188 http://www.medworm.com/index.php?rid=5495187&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03552.x Conclusions:  In this study in primary care, depression and objection to lifelong insulin therapy are associated with psychological insulin resistance. Analysis of the objection to the indefiniteness of insulin therapy showed a sense of limitation of daily life and loss of independence that should not be underestimated. Insulin should be offered as a means to improve health as this might facilitate the acceptance of insulin therapy.© 2011 The Authors. Diabetic Medicine© 2011 Diabetes UK (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5495187 Mon, 12 Dec 2011 05:00:00 +0100 5495187 http://www.medworm.com/index.php?rid=5487630&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03509.x (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5487630 Sat, 10 Dec 2011 08:36:49 +0100 5487630 http://www.medworm.com/index.php?rid=5487628&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03486.x (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5487628 Sat, 10 Dec 2011 08:36:46 +0100 5487628 http://www.medworm.com/index.php?rid=5487627&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03395.x (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5487627 Sat, 10 Dec 2011 08:36:41 +0100 5487627 http://www.medworm.com/index.php?rid=5487626&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03428.x Conclusions  In patients with Type 2 diabetes, a single urine C‐peptide creatinine ratio is a stable, reproducible measure that is well correlated with serum C‐peptide following meal stimulation, even if there is moderate renal impairment. Urine C‐peptide creatinine ratio therefore has potential for use in clinical practice in the assessment of Type 2 diabetes. (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5487626 Sat, 10 Dec 2011 08:36:22 +0100 5487626 http://www.medworm.com/index.php?rid=5487625&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03391.x Conclusion  This is the first description of fulminant Type 1 diabetes after influenza vaccination. Our observation raises the possibility that influenza vaccination might trigger this condition via the TLR7 pathway. (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5487625 Sat, 10 Dec 2011 08:36:20 +0100 5487625 http://www.medworm.com/index.php?rid=5487624&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03473.x Conclusions  A single injection of 300 000 IU of vitamin D3 achieves a 3‐month serum 25‐hydroxyvitamin D range of 50–80 nmol/l and is an efficient, effective and safe procedure for improving the vitamin status and indices of insulin resistance in mothers with gestational diabetes after delivery. (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5487624 Sat, 10 Dec 2011 08:36:05 +0100 5487624 http://www.medworm.com/index.php?rid=5487623&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03480.x Diabet. Med. 29, 5–13 (2012)AbstractAn ideal biomarker should refine identification of those at risk of disease occurrence or progression, improve prediction of complications of disease, and/or guide and help tailor responses to different therapies. Biomarkers that give insights into disease pathogenesis are also of interest. With this in mind, this review describes biomarker studies relevant to diabetes, focusing on those conducted by the author, his colleagues and collaborators. The review highlights several points. (1) Novel biomarkers may not improve prediction of new‐onset diabetes in a meaningful way beyond what can be achieved with simple measures combined with HbA1c, and a sensible way ahead may be to combine diabetes and cardiovascular disease prediction using HbA1c and such m... Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5487623 Sat, 10 Dec 2011 08:35:56 +0100 5487623 http://www.medworm.com/index.php?rid=5487622&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03524.x (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5487622 Sat, 10 Dec 2011 08:35:52 +0100 5487622 http://www.medworm.com/index.php?rid=5487621&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03528.x Conclusion:  A low rate of recurrence of osteomyelitis after surgical treatment for osteomyelitis was achieved. Despite new episodes, our approach to managing this cohort of patients with diabetes and foot osteomyelitis achieved 98.6% limb salvage.© 2011 The Authors. Diabetic Medicine© 2011 Diabetes UK (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5487621 Sat, 10 Dec 2011 08:32:23 +0100 5487621 http://www.medworm.com/index.php?rid=5477034&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03533.x Conclusions:  Metabolic control improved over time but this was largely independently of the diabetes annual review, which appears to add little clinical value to existing New Zealand general practice care processes. Currently, general practitioners are paid to undertake a diabetes annual review and report the measurements collected. We would argue that payment needs to be directed to demonstrating appropriate changes in clinical management or achieving meaningful clinical goals, and that the annual review results should be part of systematic feedback to general practitioners, particularly directed at clinical inertia.© 2011 The Authors. Diabetic Medicine© 2011 Diabetes UK (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5477034 Mon, 05 Dec 2011 05:00:00 +0100 5477034 http://www.medworm.com/index.php?rid=5477033&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03532.x Conclusions:  Independent of all relevant covariates, better glycaemic control over 1 year was associated with reduced patient‐reported diabetes symptoms and symptom distress, and increased treatment satisfaction, but not overall physical and mental health. Further investigation is required to understand the specific psychosocial mechanisms that affect how patients value health and treatments.© 2011 The Authors. Diabetic Medicine© 2011 Diabetes UK (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5477033 Thu, 01 Dec 2011 05:00:00 +0100 5477033 http://www.medworm.com/index.php?rid=5469441&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03526.x (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5469441 Thu, 01 Dec 2011 05:00:00 +0100 5469441 http://www.medworm.com/index.php?rid=5469440&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03525.x Conclusions:  DAFNE structured education is associated with an improvement in glycaemic control at 1 year, and there remains a persistent and clinically relevant reduction in HbA1c of 3 mmol/mol (0.3%) after 7 years. The improvement in glycaemic control after DAFNE is achieved without excess weight gain.© 2011 The Authors. Diabetic Medicine© 2011 Diabetes UK (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5469440 Thu, 01 Dec 2011 05:00:00 +0100 5469440 http://www.medworm.com/index.php?rid=5469439&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03527.x Conclusion:  Diabetes and impaired fasting glycaemia decreased with urbanization contrary to the results of most studies. It appears that Greenland Inuit follow the pattern usually observed in industrialized countries with the highest risk of diabetes in the lower socio‐economic groups.© 2011 The Authors. Diabetic Medicine© 2011 Diabetes UK (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5469439 Thu, 01 Dec 2011 05:00:00 +0100 5469439 http://www.medworm.com/index.php?rid=5469438&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03529.x Conclusions:  According our findings, mumps and rubella viral infections are associated with the onset of Type 1 diabetes. The statistical significance observed after exclusion of the Sardinian data suggests that other environmental factors may operate over populations with different genetic susceptibility.© 2011 The Authors. Diabetic Medicine© 2011 Diabetes UK (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5469438 Thu, 01 Dec 2011 05:00:00 +0100 5469438 http://www.medworm.com/index.php?rid=5469437&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03530.x Conclusions:  The risk of depression among patients with diabetes varies strongly according to age and type of treatment for diabetes.© 2011 The Authors. Diabetic Medicine© 2011 Diabetes UK (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5469437 Thu, 01 Dec 2011 05:00:00 +0100 5469437 http://www.medworm.com/index.php?rid=5469436&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03531.x Conclusions:  Evidence‐based patient information significantly increased knowledge about elevated glucose levels, but also increased decisional conflict and critical attitude to screening and treatment options. The intention to undergo metabolic screening decreased. Future studies are warranted to assess uptake of metabolic testing and satisfaction with this decision in a broader population of patients with unknown diabetes.© 2011 The Authors. Diabetic Medicine© 2011 Diabetes UK (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5469436 Thu, 01 Dec 2011 05:00:00 +0100 5469436 http://www.medworm.com/index.php?rid=5422702&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03507.x (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5422702 Sat, 19 Nov 2011 08:22:56 +0100 5422702 http://www.medworm.com/index.php?rid=5422701&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03506.x (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5422701 Sat, 19 Nov 2011 08:22:54 +0100 5422701 http://www.medworm.com/index.php?rid=5422700&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03499.x (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5422700 Sat, 19 Nov 2011 08:22:53 +0100 5422700 http://www.medworm.com/index.php?rid=5422699&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03462.x (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5422699 Sat, 19 Nov 2011 08:22:51 +0100 5422699 http://www.medworm.com/index.php?rid=5422698&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03435.x (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5422698 Sat, 19 Nov 2011 08:22:50 +0100 5422698 http://www.medworm.com/index.php?rid=5422697&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03421.x Conclusions  Residents with diabetes in care homes are potentially at risk of harm from adverse drug events pertaining to insulin and oral glucose‐lowering agents. Because of under‐reporting, our data most likely represent only a fraction of events. (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5422697 Sat, 19 Nov 2011 08:22:47 +0100 5422697 http://www.medworm.com/index.php?rid=5422696&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.3508.x (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5422696 Sat, 19 Nov 2011 08:22:28 +0100 5422696 http://www.medworm.com/index.php?rid=5422695&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03399.x (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5422695 Sat, 19 Nov 2011 08:22:27 +0100 5422695 http://www.medworm.com/index.php?rid=5422694&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03488.x (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5422694 Sat, 19 Nov 2011 08:22:23 +0100 5422694 http://www.medworm.com/index.php?rid=5388002&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03518.x (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5388002 Mon, 07 Nov 2011 05:00:00 +0100 5388002 http://www.medworm.com/index.php?rid=5388001&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03519.x Nearly a quarter of the world’s population is Muslim, with increasing numbers living in non‐equatorial regions. Fasting in Ramadan is one of the five pillars of Islam, but the observance of this tenet is challenging for those living in temperate climates when Ramadan (the annual fasting month for Muslims) falls during the summer months, as will occur over the next decade. This can be especially problematic for people with diabetes, many of whom require treatment with insulin. Clinicians are divided in their views concerning the safety and management of these individuals during the long fasts at the height of summer. However, this need not be the case if clinicians and patients consider following a religious dispensation that has been underutilized in clinical decisions on the safety of... Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5388001 Mon, 07 Nov 2011 05:00:00 +0100 5388001 http://www.medworm.com/index.php?rid=5388000&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03520.x (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5388000 Mon, 07 Nov 2011 05:00:00 +0100 5388000 http://www.medworm.com/index.php?rid=5387999&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03521.x Conclusions:  Support groups are able to reduce diabetes‐related and psychological distress 1 year after the intervention for patients with both good and poor glycaemic control displaying high levels of distress. Patients with severely high levels of diabetes‐related distress might need more extensive therapeutic interventions to further reduce their level of distress. Further, interventions that target specific self‐management problems are needed for patients with poor glycaemic control to help them accomplish lower levels of HbA1c. Healthcare providers must be aware that patients with good glycaemic control might have an unacknowledged psychosocial burden of living with the illness. (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5387999 Mon, 07 Nov 2011 05:00:00 +0100 5387999 http://www.medworm.com/index.php?rid=5387998&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03522.x Conclusions:  Our results suggested that the rs553668 polymorphism is associated with glucose worsening in subjects without diabetes at baseline. (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5387998 Mon, 07 Nov 2011 05:00:00 +0100 5387998 http://www.medworm.com/index.php?rid=5388010&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03511.x (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5388010 Thu, 03 Nov 2011 04:00:00 +0100 5388010 http://www.medworm.com/index.php?rid=5388009&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03512.x (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5388009 Thu, 03 Nov 2011 04:00:00 +0100 5388009 http://www.medworm.com/index.php?rid=5388008&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03513.x Conclusions:  In these explorative analyses, the soluble urokinase plasminogen activator receptor associated independently with incident diabetes in non‐smokers, supporting an immune origin of Type 2 diabetes. Competing disease risk may explain lack of association among smokers. (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5388008 Thu, 03 Nov 2011 04:00:00 +0100 5388008 http://www.medworm.com/index.php?rid=5388007&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03514.x Conclusions:  Excess use of health care among patients with diabetes remained 16 years after the first follow‐up. Utilization patterns were stable, except for a major decrease in inpatient care 1 year after diagnosis and an increase in day care 8 years after diagnosis. Observed changes probably reflect successive reforming of diabetes care in Sweden. (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5388007 Thu, 03 Nov 2011 04:00:00 +0100 5388007 http://www.medworm.com/index.php?rid=5388006&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03515.x Conclusion:  Serum uric acid is a predictor of cardiac events and correlates to N‐terminal pro‐B‐type natriuretic peptide and albuminuria, underscoring the importance of uric acid as a cardiovascular risk marker in patients with diabetes. (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5388006 Thu, 03 Nov 2011 04:00:00 +0100 5388006 http://www.medworm.com/index.php?rid=5388004&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03516.x Conclusions:  Arabs in Israel are at greater risk for adult‐onset diabetes than Jews and are younger at diabetes presentation. Culturally sensitive interventions aimed at maintaining normal body weight and active lifestyle should be targeted at this population. Possible genetic factors and gene–environmental interactions underlying the high risk for diabetes among Arabs should be investigated. (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5388004 Thu, 03 Nov 2011 04:00:00 +0100 5388004 http://www.medworm.com/index.php?rid=5388003&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03517.x Conclusions:  At 10 hospital outpatient clinics in Sweden, use of insulin pumps therapy varied by clinic. A higher proportion of women began using insulin pumps. Younger patients and patients with fewer complications were also more likely to start using an insulin pump. Further research is needed to confirm these findings in other geographical regions and to understand whether the availability of insulin pumps today is optimized. (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5388003 Thu, 03 Nov 2011 04:00:00 +0100 5388003 http://www.medworm.com/index.php?rid=5388011&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03510.x Conclusion:  Vitamin D deficiency is an independent risk factor for diabetic peripheral neuropathy,. and further studies are required to confirm if Vitamin D supplementation could prevent or delay the onset. (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5388011 Wed, 02 Nov 2011 04:00:00 +0100 5388011 http://www.medworm.com/index.php?rid=5387996&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03523.x Conclusions  Introducing personal care planning to general practice diabetes care is possible and well received. Our model for implementation of personal care planning, which includes specialist training for practice teams and ongoing support from local colleagues and health organizations, can help to meet national recommendations for the provision of personal care plans for people with long‐term conditions. When implementing personal care planning, efficient administration is vital and behaviour change is necessary for both staff and patients. (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5387996 Tue, 01 Nov 2011 04:00:00 +0100 5387996 http://www.medworm.com/index.php?rid=5348380&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03505.x Conclusions:  Self‐reported history of severe hypoglycaemia was associated with poorer late‐life cognitive ability in people with Type 2 diabetes. Persistence of this association after adjustment for estimated prior cognitive ability suggests that the association may be attributable, at least in part, to an effect of hypoglycaemia on age‐related cognitive decline. (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5348380 Wed, 26 Oct 2011 19:11:29 +0100 5348380 http://www.medworm.com/index.php?rid=5348385&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03500.x Conclusions:  This is the first validation study of DN4 for painful diabetic peripheral neuropathy, which supports its usefulness as both a screening tool for neuropathic pain in diabetes and a reliable component of the diagnostic work up. (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5348385 Mon, 24 Oct 2011 04:00:00 +0100 5348385 http://www.medworm.com/index.php?rid=5348384&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03501.x (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5348384 Mon, 24 Oct 2011 04:00:00 +0100 5348384 http://www.medworm.com/index.php?rid=5348383&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03502.x (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5348383 Mon, 24 Oct 2011 04:00:00 +0100 5348383 http://www.medworm.com/index.php?rid=5348382&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03503.x Conclusion:  Increased epicardial fat does not necessarily translate into presence or prediction of disease. In contrast, increased deposition of visceral abdominal and extra‐pericardial mediastinal fat are both associated with an enhanced cardiovascular disease risk profile. (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5348382 Mon, 24 Oct 2011 04:00:00 +0100 5348382 http://www.medworm.com/index.php?rid=5348381&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03504.x Conclusions:  A useful educational tool has been developed for image grading external quality assurance. (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5348381 Mon, 24 Oct 2011 04:00:00 +0100 5348381 http://www.medworm.com/index.php?rid=5336711&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03498.x Conclusions:  Patients with Type 2 diabetes have increased risk for acute renal failure compared with patients without diabetes, even after adjustment for known risk factors, particularly in the elderly and those with other co‐morbidities such as chronic kidney disease, congestive heart failure and hypertension. (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5336711 Sat, 22 Oct 2011 07:08:53 +0100 5336711 http://www.medworm.com/index.php?rid=5324407&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03365.x Conclusions  Screening for Type 2 diabetes was acceptable and feasible, but relatively few participants were diagnosed in all participating centres. Different strategies may be required to increase initial attendance and ensure completion of screening programmes. (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5324407 Tue, 18 Oct 2011 09:10:36 +0100 5324407 http://www.medworm.com/index.php?rid=5324406&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03316.x Conclusions  Chemosensitivity to hypercapnia was depressed in patients with diabetes mellitus, irrespective of autonomic neuropathy, in comparison with control subjects. The correlation with pulmonary diffusing capacity for carbon monoxide suggests that microcirculatory damage might contribute to depress the central chemosensitivity. (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5324406 Tue, 18 Oct 2011 09:10:33 +0100 5324406 http://www.medworm.com/index.php?rid=5324405&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03370.x Conclusions  The results of the study support the hypothesis that telomere attrition may be a marker associated with the presence and the number of diabetic complications. (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5324405 Tue, 18 Oct 2011 09:10:28 +0100 5324405 http://www.medworm.com/index.php?rid=5324404&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03358.x Conclusions BTN2A1 may be a susceptibility gene for Type 2 diabetes in Japanese individuals. (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5324404 Tue, 18 Oct 2011 09:10:26 +0100 5324404 http://www.medworm.com/index.php?rid=5324403&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03452.x (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5324403 Tue, 18 Oct 2011 09:10:05 +0100 5324403 http://www.medworm.com/index.php?rid=5324394&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03497.x Conclusions  Dynamic cerebral autoregulation is not impaired in patients with Type 2 diabetes, although a small difference could not be excluded as the study was only powered to detect an autoregulatory index difference > 2 units. Further study in a larger population with a spectrum of disease severity may reveal clinically important differences. (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5324394 Tue, 18 Oct 2011 09:06:15 +0100 5324394 http://www.medworm.com/index.php?rid=5324399&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03492.x Conclusions  The prevalence of elevated liver enzymes in people with Type 2 diabetes is high, with only modest variation between clinically defined patient groups. Further research is required to determine the prognostic value of raised, routinely measured liver enzymes to inform decisions on appropriate follow‐up investigations. (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5324399 Mon, 17 Oct 2011 04:00:00 +0100 5324399 http://www.medworm.com/index.php?rid=5324398&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03493.x Conclusions  Different profiles of smokers exist among adults with Type 2 diabetes, each suggesting different cessation treatment needs. Distinguishing between these types of smokers may enable clinicians to tailor their approach to smoking cessation. (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5324398 Mon, 17 Oct 2011 04:00:00 +0100 5324398 http://www.medworm.com/index.php?rid=5324397&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03494.x Conclusion  Polypharmacy, defined as taking four or more drugs per day per resident, is highly prevalent within this population of care home residents with diabetes. A high proportion of residents are prescribed drugs for cardiovascular disease prevention, which may be entirely inappropriate in this population with limited life expectancy. Regular medication review of care home residents with diabetes should be undertaken as it has the potential to reduce costs, minimize adverse drug reactions and increase health gain. (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5324397 Mon, 17 Oct 2011 04:00:00 +0100 5324397 http://www.medworm.com/index.php?rid=5324396&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03495.x Conclusions  Sufficient physical activity and negative family history of diabetes may jointly reduce the risk of developing hyperglycaemia and Type 2 diabetes in Chinese adults. (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5324396 Mon, 17 Oct 2011 04:00:00 +0100 5324396 http://www.medworm.com/index.php?rid=5324395&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03496.x Conclusions  In patients with well‐controlled Type 2 diabetes, blood glucose, insulin and GLP‐1 responses are critically dependent on the small intestinal glucose load, and GLP‐1 responses are not deficient. (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5324395 Mon, 17 Oct 2011 04:00:00 +0100 5324395 http://www.medworm.com/index.php?rid=5324402&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03489.x Conclusions:  Earlier age at menarche is associated with a higher risk of diabetes, and specifically Type 2 diabetes, in later life, which is most strongly attenuated by adolescent and adult adiposity. Early menarche may be clinically useful in identifying women who are at risk of later adiposity and so of developing Type 2 diabetes. (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5324402 Sat, 15 Oct 2011 04:00:00 +0100 5324402 http://www.medworm.com/index.php?rid=5324401&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03488.x (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5324401 Sat, 15 Oct 2011 04:00:00 +0100 5324401 http://www.medworm.com/index.php?rid=5324400&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03490.x (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5324400 Sat, 15 Oct 2011 04:00:00 +0100 5324400 http://www.medworm.com/index.php?rid=5315167&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03483.x Conclusions:  While gestational diabetes places women and infants at increased risk of adverse perinatal outcomes, these outcomes differed for foreign‐born women from culturally and linguistically diverse backgrounds when compared with Australian‐born women. Further investigation is required to elucidate why being foreign‐born and culturally and linguistically diverse reduces the risk of several of these outcomes. (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5315167 Wed, 12 Oct 2011 04:00:00 +0100 5315167 http://www.medworm.com/index.php?rid=5315166&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03484.x (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5315166 Wed, 12 Oct 2011 04:00:00 +0100 5315166 http://www.medworm.com/index.php?rid=5315164&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03485.x Conclusions:  Good social support is significantly associated with health‐promoting behaviours and well‐being among patients with Type 2 diabetes. However, HbA1c levels are higher for cohabitant persons, indicating barriers for social support. Intervention research is needed to investigate the causal relationship between social networks and health‐promoting behaviours. This knowledge should be used in clinical practice when targeting and designing education, support and care for patients with Type 2 diabetes. (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5315164 Wed, 12 Oct 2011 04:00:00 +0100 5315164 http://www.medworm.com/index.php?rid=5315162&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03486.x (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5315162 Wed, 12 Oct 2011 04:00:00 +0100 5315162 http://www.medworm.com/index.php?rid=5315160&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03487.x (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5315160 Wed, 12 Oct 2011 04:00:00 +0100 5315160 http://www.medworm.com/index.php?rid=5304971&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03475.x (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5304971 Tue, 11 Oct 2011 04:00:00 +0100 5304971 http://www.medworm.com/index.php?rid=5304970&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03476.x (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5304970 Tue, 11 Oct 2011 04:00:00 +0100 5304970 http://www.medworm.com/index.php?rid=5304969&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03477.x Conclusions  Despite greater insulinaemia, circulating non‐esterified fatty acids are higher in women with former gestational diabetes than in control subjects, which likely results from reduced sensitivity of lipolysis inhibition to insulin. This parameter may serve as indicator of an early metabolic derangement in this population at risk for diabetes. (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5304969 Tue, 11 Oct 2011 04:00:00 +0100 5304969 http://www.medworm.com/index.php?rid=5304968&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03478.x Conclusions  There was systematic underestimation of self‐reported waist circumference in this multi‐ethnic UK population. The magnitude of underestimation might reduce the performance of risk scores; however, this can be corrected through self‐measurement with pictorial instructions. (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5304968 Tue, 11 Oct 2011 04:00:00 +0100 5304968 http://www.medworm.com/index.php?rid=5304967&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03479.x Conclusions  These results indicate that Dose Adjustment for Normal Eating delivered in routine clinical practice is associated with a range of benefits and that certain clinical and psychosocial characteristics are associated with better outcomes. (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5304967 Tue, 11 Oct 2011 04:00:00 +0100 5304967 http://www.medworm.com/index.php?rid=5304966&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03480.x AbstractAn ideal biomarker should refine identification of those at risk of disease occurrence or progression, improve prediction of complications of disease, and/or guide and help tailor responses to different therapies. Biomarkers that give insights into disease pathogenesis are also of interest. With this in mind, this review describes biomarker studies relevant to diabetes, focusing on those conducted by the author, his colleagues and collaborators. The review highlights several points. (1) Novel biomarkers may not improve prediction of new‐onset diabetes in a meaningful way beyond what can be achieved with simple measures combined with HbA1c, and a sensible way ahead may be to combine diabetes and cardiovascular disease prediction using HbA1c and such measures. (2) In terms of disea... Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5304966 Tue, 11 Oct 2011 04:00:00 +0100 5304966 http://www.medworm.com/index.php?rid=5304965&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03481.x Conclusions  The face validity of the PHQ‐9 and the WHO‐5 was established for Sylheti and Mirpuri in an audio delivery format. Psychometric testing is now needed among minority ethnic populations so that the feasibility of wider use can be determined. (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5304965 Tue, 11 Oct 2011 04:00:00 +0100 5304965 http://www.medworm.com/index.php?rid=5297443&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03465.x Conclusions  Pooled analysis of population‐based primary data offers HRQL values for subjects with Type 2 diabetes in Germany, stratified by age and sex. Type 2 diabetes has negative consequences for HRQL, particularly for women. This underlines the burden of disease and the importance of diabetes prevention. Factors that disadvantage women with Type 2 diabetes need to be researched more thoroughly. (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5297443 Thu, 06 Oct 2011 04:00:00 +0100 5297443 http://www.medworm.com/index.php?rid=5297442&cid=s_33010_15_f&fid=33010&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1464-5491.2011.03466.x Conclusions  Low numeracy skills were adversely associated with diabetes control. Assessment of numeracy skills may be relevant to the structure of diabetes education programmes. (Source: Diabetic Medicine) Diabetic Medicine journals http://www.medworm.com/rss/comments.php?id=5297442 Thu, 06 Oct 2011 04:00:00 +0100 5297442