Clinical Care

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Erectile dysfunction in men with diabetes - an early warning for heart disease

The burden of erectile dysfunction has not been well documented across age and ethnicity. A number of studies have reported a prevalence of around 35% in middle-aged men, rising to over 75% in elderly men. Some ethnic groups appear to be at increased risk. Much higher rates have been reported in men with diabetes – up to 90%. In this article, Ronald Ma and Peter Tong describe the mechanisms linking erectile dysfunction and diabetes, its association with atherosclerosis, and look at the cardiovascular implications for men with diabetes and erectile dysfunction.

Obstructive sleep apnoea and type 2 diabetes - the IDF consensus

Recent years have seen an expansion in the number of conditions that are recognized as having a link with diabetes. In people with sleep apnoea breathing stops briefly but repeatedly during sleep. It is commonly associated with obesity, and therefore frequently occurs in people with type 2 diabetes. However, recent research demonstrates the likelihood of a relationship between obstructive sleep apnoea and diabetes that is independent of obesity. The links between the conditions are particularly important as both increase the risk of cardiovascular disease.

The key to preventing burnout: understanding the burden of diabetes treatment

Type 2 diabetes significantly increases a person’s risk of developing multiple health complications, but the risk of these complications can be significantly reduced with modern, comprehensive diabetes care. This care is inherently complex because of its use of multiple medications in conjunction with lifestyle changes in diet, exercise, and blood glucose self-monitoring.

Managing sick days in people with diabetes

When people become unwell with a minor illness like influenza, a urinary tract infection or gastric upset, they are likely to lose their appetite, and low energy levels are common. Most people just want to stay in bed, take the relevant medication, sleep, and hope the discomfort recedes – which it normally does.

Do stem cells hold the key to a future cure for diabetes?

The high expectations that stem cells will cure diabetes have been met with a considerable degree of scepticism, particularly from people who have been hearing for decades that a cure is ‘just around the corner’. The conclusion of this article is that stem cell biology is promising and might deliver the advances the diabetes community has been waiting for. But no one knows how long this will take; no timetables for expected success will be presented – which might be a disappointment to some.

Oral health in people with diabetes: why should we care?

Diabetes can lead to important changes in the mouth. Oral infections in turn may adversely affect metabolic control and impact on the quality of life of people with diabetes. Over the years, however, caring for the mouth has been overlooked by physicians who have been focusing on other diabetes complications. Of particular concern to dentists and dental hygienists is the impact of diabetes on diseases affecting gum tissues and teeth – the most common cause of tooth loss in people with diabetes.

Metabolic syndrome, diabetes and cardiovascular diseases: a serious link

The metabolic syndrome is becoming a global public health issue. Those affected have higher risk of suffering a heart attack or stroke – as well as of dying from such an event – compared with people without the syndrome. This cluster of factors is closely linked with the worldwide increases in type 2 diabetes, cardiovascular disease and other chronic diseases. The resulting premature deaths and disabilities are set to cripple health budgets in both developed and developing countries. Criteria for diagnosis of the metabolic syndrome entail a combination of cardio-metabolic risk factors.

Caring for people with chronic diseases: what should healthcare professionals know?

Much of the care given by healthcare providers around the world on a day-to-day basis can be described as ‘reactive’: people who think that they are ill present to a healthcare provider for a diagnosis and treatment. However, growing numbers of people with an established chronic disease need a different form of care, care that is structured and proactive. On a regular basis and following an agreed plan, they need to participate in regular review of their underlying chronic condition and its complications.

The effects of diabetes on depression and depression on diabetes

Diabetes can have both a daily and long-term impact on people with the condition – both physically and in terms of its psychosocial effects. It is now known that people with diabetes are at a substantially increased risk of experiencing mental distress, particularly depression. Furthermore, a growing bank of evidence points to a two-way relationship between the conditions. Yet depression is often under-diagnosed in people with diabetes.

Treating people with type 1 diabetes and eating disorders - the need for a multidisciplinary approach

Since early case reports in the 1980’s, there has been considerable interest in examining the connection between type 1 diabetes and eating disorders. Some researchers argue that the attention to food portions (especially carbohydrates), blood glucose, body weight, and exercise that are characteristic of standard medical treatment for type 1 diabetes resembles the rigid thinking about food and body image that is characteristic of people with eating disorders without diabetes.

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