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Guidelines for type 2 diabetes - designed to help newly diagnosed children and adolescents

The prevalence of childhood obesity has increased dramatically worldwide with potentially dire consequences to the health of children and to their future. Drs. Warren Lee of Singapore and Stuart Brink of the USA introduce the new American Academy of Pediatrics guidelines for newly diagnosed type 2 diabetes in children and adolescents, explaining how the evidence-based recommendations are essential for all physicians involved in the care of children.


Debate: How low can you go? The low-down on the low carbohydrate debate in type 1 diabetes nutrition

As a means of representing relevant issues to the diabetes community, Diabetes Voice will be providing a forum in which experts can examine controversial issues and provide an argument supporting their point of view. The low carbohydrate debate marks the first in a series of many more to come.
 

Voices of type 1 diabetes: doing my best each and every day

Voices of type 1 diabetes is a new Diabetes Voice instalment reflecting the personal burden of diabetes in society. This new series will present individual stories from all over the world and provide an opportunity to appreciate different perspectives about life with type 1 or type 2 diabetes. In this first edition, voices from the type 1 diabetes community share their thoughts about every day life beyond diagnosis.
 


A medical student with type 1 diabetes in Mali

Bakary Coulibaly was born in 1984 in Mogola, a rural region of Mali. His father, who died a year after Bakary’s birth, was a farmer and his mother, a life-long homebuilder, who now lives in Touba in the southwest of the country. Despite facing many daunting socioeconomic challenges, Bakary continues to cover ground on the way to achieving his ambition: to become an expert in all aspects of diabetes and share his knowledge to the benefit of others. In this frank and courageous account, he describes his journey with diabetes.


Solidarity with Haiti: the global diabetes response

On 12 January 2010, a violent earthquake, measuring 7.0 on the Richter scale, rocked the Haitian capital, Port-au-Prince, and its surroundings. The exact number of victims remains unclear, but the Haitian Government has put the death toll at 230,000 people; 250,000 more were injured and more than 1.5 million reported homeless in the immediate aftermath of the disaster. The Haitian Foundation for Diabetes and Cardiovascular Diseases (FHADIMAC) launched a major campaign to help all people with diabetes and hypertension in the region. Nancy Larco and René Charles report from Port-au-Prince.

Access to insulin and barriers to care: results of the RAPIA in Vietnam

Access to diabetes care in many countries is problematic due to a variety of factors. These can range from the cost of medication to the distance that people with diabetes need to travel to access a trained healthcare provider. Without adequate access to medication and care, people with diabetes face complications and early death. The authors report on an evaluation of the provision of care and supplies for people with diabetes in Vietnam.

 


Diabetes care in Nicaragua: results of the RAPIA study

Nicaragua, located in Central America, is the second poorest country in the western hemisphere. Around half of its population of 5 million people lives on less than 1 USD per day. Nicaragua is facing a growing burden of non-communicable diseases. In 2000, the Ministry of Health reported that the leading causes of death were heart attack, stroke, perinatal death (foetal and new-born) and diabetes. In 2002, deaths due to chronic diseases represented 37% of the total; deaths due to communicable diseases fell from 14.5% in 1985 to less than 5% in 2002.

Breastfeeding and diabetes - benefits and special needs

Breastfeeding has numerous advantages for mothers with diabetes and their babies. Nursing mothers have lower insulin requirements and better control of their blood glucose; breastfed babies may have a lower risk of developing diabetes themselves. Alison Stuebe describes these potential benefits and highlights the special needs of breastfeeding mothers with diabetes.

Convivencias: a low-cost model for holistic diabetes education

The objective of holiday camps for children and adolescents with diabetes is to create an environment in which they can learn to embrace their condition and its treatment. Achieving and maintaining good blood glucose control is a key aim; the camps provide excellent opportunities for young people to learn and practise diabetes skills and become familiar with the latest techniques.

Helping people in times of crisis - mobilizing the power of humanity

Average temperatures are rising due primarily to the release of increased amounts of carbon dioxide and other greenhouse gases through the burning of fossil fuels. This is provoking other changes, including rising sea levels and changes in rainfall. These changes appear to be increasing the frequency and intensity of extreme weather events – floods, droughts, heat waves, hurricanes, and tornados – which have the potential to provoke large-scale human crises.

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