Clinical Care

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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.

Debate - Insulin pump therapy: a matter of choice?

Psychological challenges for children living with diabetes

Diana Naranjo and Korey Hood

Caregiver reports of provider recommended frequency of blood glucose monitoring and actual testing frequency for youth with type 1 diabetes

 

Joyce P. Yi-Frazier and colleagues for the SEARCH for Diabetes in Youth Study Group
 

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.


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