February 11, 2012

Optimism improves type I diabetes outcomes

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Optimistic family communication about major complications of type I diabetes improves disease outcomes — even in families with limited knowledge about the risks, a study finds.

Toe touching accurately predicts foot-ulcer risk

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Lightly touching the toes of a patient with diabetes is an effective way to assess the risk of foot ulcers, research shows. A UK study noted that in the absence of neurologic devices such as monofilament, many doctors “touch the feet with cotton wool or even their fingers”. The team from Ipswich Hospital in Norfolk [...]

Body weight is proven to influence insulin resistance

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Type II diabetes patients with normal body mass index (BMI) who commence insulin tend to have greater weight gains than their heavier counterparts, a study has found.

Women cutting down on insulin to lose weight

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More effort is needed to help women with type I diabetes who deliberately reduce their insulin doses because of concerns about weight gain, new research suggests.

ROADMAP – fact and fallacy in one paper

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Prof Eoin O’Brien takes a close look at findings of the ROADMAP study, which has recently been published.

Liver disease neglected in diabetes

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The liver is the neglected organ in diabetes, researchers warn, after finding adults with the condition are at a significantly higher risk of long-term serious liver disease than the general population.

More collaboration needed in diabetes care

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A pan-European effort is needed to improve care for patients with diabetes and harness the energies of diabetes researchers around the continent, Prof John Nolan tells Mary Anne Kenny.

Better BP control with nurse-led interventions

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Nurse-led interventions achieve better blood pressure control in patients with diabetes than usual care, a meta-analysis has concluded. The analysis identified 11 relevant studies. Interventions included rigorous use of a treatment algorithm, nurse prescribing, community monitoring and nurse-led clinics. Overall, the use of any nurse-led intervention resulted in a 5.8mmHg improvement in systolic blood pressure [...]

Pancreatic malignancy may present as diabetes

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Type II diabetes can be a sign of underlying pancreatic malignancy, according to Australian experts. In a letter to the editor of the Australian and New Zealand Journal of Surgery, the authors from John Hunter Hospital in Newcastle detailed the case history of an atypical presentation of malignant melanoma in the form of new-onset type [...]

Study finds paricalcitol a promising prospect in diabetic albuminuria

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Paricalcitol, a calcitriol-analogue vitamin D receptor activator, can safely lower residual albuminuria in patients with type 2 diabetes, a randomised trial has shown. The international VITAL study randomised 281 patients with albuminuria to 24 weeks’ treatment with paricalcitol 1mcg/day or 2mcg/day or placebo in addition to pre-existing ACE inhibitor or angiotensin receptor-blocker therapy. The 2mcg [...]

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