Clinical Care

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Debate: Self-monitoring of blood glucose by people with type 2 diabetes

To what extent, if at all, should blood glucose self-monitoring be recommended for people with type 2 diabetes not treated with insulin? We have asked two experts to comment.

 


Sobrevivir con diabetes en el norte de India

Surviving diabetes in Northern India

The first time Dr Santosh Gupta visited a rural hospital in Northern India she was shocked to learn that none of the children with type 1 diabetes survived the disease to adulthood and that people with type 2 diabetes endured inadequate care resulting in life-altering complications.

Can we get it right for youth with type 2 diabetes?

The prevalence and magnitude of childhood obesity are increasing dramatically. Until two decades ago, symptomatic children and adolescents were automatically diagnosed with type 1 diabetes. In the 1990s, type 2 diabetes in children and adolescents emerged in association with the epidemic of childhood obesity, disproportionally affecting disadvantaged minority children.

Diabetes treatment and cancer - five years after the ‘breaking news’


Debate - the long-term safety of insulin in type 2 diabetes

More and more frequently insulin is being recommended as an ‘add-on’ to oral hypoglycaemic therapy for the achievement of blood glucose targets in people with established type 2 diabetes. Indeed, there are now trials of insulin therapy in type 2 diabetes from diagnosis. Concerns have been raised in the recent medical literature that long-term insulin therapy in type 2 diabetes increases the risk of cardiovascular disease and some cancers. We have asked specialists in the fields of clinical diabetes and pharmacoepidemiology to comment on the question:

The Asian diabetes phenotypes - challenges and opportunities

 

Addressing the challenge of GDM in the developing world - perspectives from rural western Kenya

IDF Diabetes Atlas reveals high burden of hyperglycaemia in pregnancy

Hyperglycaemia is one of the most prevalent metabolic disorders occurring during pregnancy. It can be a result of either existing diabetes in a pregnant woman or the development of insulin resistance and hyperglycaemia during pregnancy.

Hyperglycaemia and Adverse Pregnancy Outcome (HAPO) 2014 - fact, frustration and future needs

The concept of gestational diabetes mellitus (GDM) or hyperglycaemia in pregnancy has long been recognised but is still the subject of much controversy.1 Many different screening protocols and clinical guidelines exist, but no international consensus, and even within countries there is considerable confusion as to what constitutes best practice.

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