Clinical Care


The double burden of diabetes and cardiovascular disease

The important relationship between diabetes and cardiovascular disease (CVD) may not be widely realised. However, CVD is a major cause of morbidity and mortality in people with diabetes since people with diabetes, both those with type 1 and those with type 2, have an increased risk of developing CVD compared to people without diabetes. The term CVD includes a range of diseases which affect the heart and the circulatory system.

The DiRECT route to remission?

Overweight and obesity, labels for ranges of weight that are not considered healthy, are not the only causes of type 2 diabetes, but they are the most important modifiable risk factors for the condition. They are also the reason why type 2 diabetes has transformed from a problem for older adults into a global epidemic affecting all ages.

Improving healthcare education for type 2 diabetes nutrition

According to the American Diabetes Association (ADA), the complexity of nutrition issues in type 2 diabetes care warrants the use of a skilled and registered dietician to implement nutrition therapy into individualised diabetes management and education.1 Today, however, people with type 2 diabetes are becoming a larger part of practices of primary care clinicians, and may not always have access to a specialised nutritionist o

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