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Insulin resistance: the link between diabetes and cardiovascular disease

As everyone with diabetes knows, insulin is the most important hormone controlling the blood glucose level, with effects particularly directed to muscle, fat and liver. It has been known for several decades that a poor response of the body’s tissues to insulin – called ‘insulin resistance’ – is of major importance in the development of type 2 diabetes. Many people develop insulin resistance and have a significant metabolic disturbance and increased risk of cardiovascular disease.

Minneapolis shows the way in improving large-scale diabetes care

More than 16 million Americans have diabetes. It is the sixth leading cause of death by disease in the USA. The American Diabetes Association’s Provider Recognition Programme, launched in 1997 to encourage and set standards for comprehensive and quality healthcare for people with diabetes, is working. Minneapolis has created such a model which has achieved ADA recognition. The result has been a significant improvement in blood glucose control among the HMOs’ patients, as well as better screening for – and control of – related risk factors for cardiovascular disease.

Turkey responds to St Vincent

In Anatolia, the quality of diabetes care is generally lower than in the rest of Turkey. Half the people with diabetes living in this region are not aware of their condition. Neither are many on any treatment. Since last year, prompted by the aims of the St Vincent Declaration, the South-eastern Anatolia Diabetes Project (GAPDIAB) has been in operation in response to this situation.

Latest studies clarify state of health in Bahrain

For the past few decades, the Government of Bahrain has been consistently and conscientiously updating the country’s healthcare system, endeavouring to keep up with the demands placed upon it. Luckily so, because, in 1994 it was found that the figures they had been dealing with were way off track. In 1989, a Committee for Primary Care was formed by the Government of Bahrain’s Ministry of Health, standardizing care through establishing rules and regulations to guide physicians treating people with diabetes.

Psychological insulin resistance: what do patients and providers fear most?

If insulin is such an effective drug, why are so many people with type 2 diabetes reluctant to take it, and sometimes really apprehensive, despite acknowledged poor outcomes on diet and oral blood glucose lowering agents? Are healthcare providers part of the problem? Is there such syndrome as Insulin Resistance (PIR)? For a better understanding of PIR, which is commonly observed as a problem in type 2 diabetes, we need to look beyond the demonstrated efficacy of insulin, and understand people’s beliefs, emotions and concerns regarding insulin treatment.

Obesity: how to respond to a huge challenge

People with obesity have been illustrated by artists throughout our modern cultural history. Who would not recognize the clearly overweight Milon Venus or obese women in paintings by Rubens? These people, however, were rather rare exceptions during times when labour required physical work and food shortage was much more common than in the present. Although we lack specific data, it is likely that the industrial revolution together with improved food hygiene were associated with an increase in the prevalence of obesity at least among those whose labour was physically less demanding.

Epidemiological studies lay the ground for Syrian diabetes campaign

As in many countries of the world, Syria, with its 16 million inhabitants, has witnessed a tremendous change in food habits and lifestyle within the last few decades. This has been reflected in the rise of metabolic diseases in general and diabetes in particular. Three studies have shown that the prevalence of diabetes in Syria is probably higher than published reports have claimed. One of the aims of the Syrian National Diabetes Programme, adopted in 1995, was to assess the national situation by carrying out epidemiological studies.

The next step: the diabetic foot - costs, prevention and future policies

Of all the serious and costly complications affecting individuals with diabetes – heart disease, kidney failure and blindness – foot complications take the greatest toll.

Insulin therapy: current views and new options

Since the discovery of insulin, treatment for diabetes has come a long way towards saving the lives of those affected. There are now many options which make diabetes care more convenient and comfortable. People with diabetes have become more and more responsible for their own care through the development of new knowledge and new possibilities. This article presents a brief commentary on what is now available in diabetes insulin treatment.

The case for and against screening for type 2 diabetes

The decision to screen for diabetes may seem an easy one to make as the condition is common, expensive, chronic and with a prognosis highly dependent on the correct treatment. On the other hand, there is a general lack of adequate screening tools, lack of knowledge regarding appropriate treatment, uncertainties regarding economic consequences and a total lack of knowledge regarding the psychological consequences of screening. Studies focusing on these issues should, therefore, be performed before systematic screening can be recommended.

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