Clinical Care

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Anthropometric indicators of obesity for identifying cardiometabolic risks in a rural Bangladeshi population – Chandra Diabetes Study

Professor Akhtar Hussain’s aim of studying anthropometric indicators of obesity was to evaluate the predictive ability of body mass index, waist circumference, waist-to-hip ratio, waist-to-height ratio and body fat percentages for the presence of cardiometabolic risks—namely type 2 diabetes, hypertension, dyslipidemia and the metabolic syndrome.

SGLT2 inhibitors – a useful addition to therapy?

SGLT2 stands for ‘sodium-glucose linked transporter 2’. This is a protein within the kidney tubules that regulates the reabsorption of glucose in the kidney. There is also, predictably, an SGLT1, which is present in both the kidney and the gut. In the kidneys, under normal circumstances, virtually all the glucose that passes into the urine from the blood is reabsorbed by the action of SGLT2.

Preventing diabetes-related amputations in a developing country – steps in the right direction

In Pakistan, between 4% and 10% of people with diabetes develop a foot ulcer, and more than 10% of those ulcers lead to an amputation. The ‘diabetic foot’ is saddling Pakistan’s already resource-constrained economy with a tremendous and growing cost burden. Significant achievements have been made in preventing diabetes-related foot ulcers and improving foot care throughout the country, including the implementation of a highly effective ‘Step by Step’ programme. Under the auspices of that programme, training is provided for physicians, diabetes educators and foot care assistants.

Depression and diabetes - a significant challenge with diabetes and healthcare providers

A diagnosis of diabetes is always stressful. People are suddenly faced with having to manage a complex treatment regimen, including amended diet, regular monitoring and pharmacological therapies, often leading to a variety of new fears and responsibilities about their health. Problems with emotional adjustment to the condition can have negative effects on diabetes self-management – which in turn can impact on emotional wellbeing, in a classical vicious cycle.

Managing diabetes during fasting - a focus on buddhist lent

Ritual fasting is an essential part of many major faiths. Lent in Christianity, Ramadan in Islam, Yom Kippur in Judaism, or the Navratras in Hinduism – fasts vary in duration and in degree. Some ritual fasts pose challenges to the physical health and fitness of those following the ritual, which are significant in people with diabetes, who have metabolic disorders and use treatments that impair their capacity to fast for long periods of time.

IDF breaking new ground – building bridges around the world

With its latest round of funding complete, the International Diabetes Federation’s translational research programme, BRIDGES, has raised its game again, receiving 57 applications from 32 countries. This round of financial support ensured USD 65,000 per project and was dedicated to short-term projects lasting a maximum two years. Having undergone rigorous screening by recognized experts, nine of the projects were selected and will benefit from financial backing from IDF. Ronan L’Heveder describes the latest innovative projects to quality for BRIDGES funding.


Exploring ethnicity in people with type 2 diabetes in Australia

In 2011, the Royal Prince Alfred Hospital Diabetes Centre in Sydney, Australia, joined the voluntary network of International Diabetes Federation (IDF) Centres of Education. There are currently eight such centres providing excellent diabetes care and education services in Latin America, Asia (including the Indian sub-continent and China), Europe and now Australia. Central to the aims of the Centres of Education are efforts to increase regional capacity to respond to the diabetes epidemic.

Needlestick injury prevention – puncturing the myths

Issues relating to people with diabetes injecting themselves with insulin quite rightly are an important focus of diabetes care. Concerns include avoiding the complications of inaccurate dosing, and ensuring the proper care of injection sites and correct use of blood glucose selfmonitoring. The current implementation of the 2010 EU Directive on sharps injury prevention, places the spotlight of attention on the safety and protection of healthcare professionals when they are administering treatment to people with diabetes. Questions arise over the risks to the diabetes specialist.

CDS facing down challenges to improved care for type 1 diabetes

China is experiencing an increase in the number of people with type 1 diabetes. New cases as well as improved life expectancy among people with established diabetes are behind the rising prevalence. The incidence of type 1 diabetes among children has been put at 0.59 per 100,000 people per year. Although this is farlower than in some other regions, such as northern Europe, our numbers are huge because China has such a large population – in excess of 1.3 billion.



The key to managing diabetes without tears – the treatment and teaching programme for flexible insulin therapy in Germany

Successful implementation of structured education programmes that teach people with type 1 diabetes to use insulin flexibly around normal

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