Current Diabetes Reports最新文献

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Is Diabetes Mellitus a Predisposing Factor for Helicobacter pylori Infections? 糖尿病是幽门螺旋杆菌感染的易感因素吗?
IF 4.2 2区 医学
Current Diabetes Reports Pub Date : 2023-08-01 Epub Date: 2023-05-22 DOI: 10.1007/s11892-023-01511-5
Om Saswat Sahoo, Rhiti Mitra, Arghyadeep Bhattacharjee, Samarjit Kar, Oindrilla Mukherjee
{"title":"Is Diabetes Mellitus a Predisposing Factor for Helicobacter pylori Infections?","authors":"Om Saswat Sahoo, Rhiti Mitra, Arghyadeep Bhattacharjee, Samarjit Kar, Oindrilla Mukherjee","doi":"10.1007/s11892-023-01511-5","DOIUrl":"10.1007/s11892-023-01511-5","url":null,"abstract":"<p><strong>Purpose of review: </strong>This review aims to analyse the consistency of reports suggesting the role of Diabetes Mellitus in the pathogenesis of Helicobacter pylori (H. pylori).</p><p><strong>Recent findings: </strong>There have been numerous controversies citing the prevalence of H. pylori infections in patients suffering from type 2 diabetes mellitus (T2DM). This review investigates the possible crosstalk between H. pylori infections and T2DM and also designs a meta-analysis to quantify the association. Subgroup analyses have also been conducted to deduce factors like geography and testing techniques, in playing a role in stratification analysis. Based on a scientific literature survey and meta-analysis of databases from 1996 to 2022, a trend towards more frequent H. pylori infections in patients with diabetes mellitus was observed. The highly diversified nature of H. pylori infections across age, gender, and geographical regions requires large interventional studies to evaluate its long-term association with diabetes mellitus. Further possible linkage of the prevalence of diabetes mellitus concomitant with that of H. pylori infected patients has also been delineated in the review.</p>","PeriodicalId":10898,"journal":{"name":"Current Diabetes Reports","volume":"23 8","pages":"195-205"},"PeriodicalIF":4.2,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10152299","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Impact of New and Renewed Restrictive State Abortion Laws on Pregnancy-Capable People with Diabetes. 新的和更新的限制性州堕胎法对有怀孕能力的糖尿病患者的影响。
IF 4.2 2区 医学
Current Diabetes Reports Pub Date : 2023-08-01 Epub Date: 2023-05-22 DOI: 10.1007/s11892-023-01512-4
Ajleeta Sangtani, Lauren Owens, David T Broome, Preethi Gogineni, William H Herman, Lisa H Harris, Lauren Oshman
{"title":"The Impact of New and Renewed Restrictive State Abortion Laws on Pregnancy-Capable People with Diabetes.","authors":"Ajleeta Sangtani, Lauren Owens, David T Broome, Preethi Gogineni, William H Herman, Lisa H Harris, Lauren Oshman","doi":"10.1007/s11892-023-01512-4","DOIUrl":"10.1007/s11892-023-01512-4","url":null,"abstract":"<p><strong>Purpose of review: </strong>When the Supreme Court handed down its decision in Dobbs v Jackson Women's Health Organization in June 2022, the constitutional right to abortion was no longer protected by Roe v Wade. Fifteen states now have total or near-total bans on abortion care or no clinics providing abortion services. We review how these restrictions affect the medical care of people with pregestational diabetes.</p><p><strong>Recent findings: </strong>Of the ten states with the highest percent of adult women living with diabetes, eight currently have complete or 6-week abortion bans. People with diabetes are at high risk of diabetes-related pregnancy complications and pregnancy-related diabetes complications and are disproportionately burdened by abortion bans. Abortion is an essential part of comprehensive, evidence-based diabetes care, yet no medical society has published guidelines on pregestational diabetes that explicitly discuss the importance and role of safe abortion care. Medical societies enacting standards for diabetes care and clinicians providing diabetes care must advocate for access to abortion to reduce pregnancy-related morbidity and mortality for pregnant people with diabetes.</p>","PeriodicalId":10898,"journal":{"name":"Current Diabetes Reports","volume":"23 8","pages":"175-184"},"PeriodicalIF":4.2,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9793758","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Challenges and Opportunities in Diagnosis and Management of Cardiometabolic Risk in Adolescents. 青少年心脏代谢风险诊断和管理的挑战与机遇。
IF 4.2 2区 医学
Current Diabetes Reports Pub Date : 2023-08-01 Epub Date: 2023-06-05 DOI: 10.1007/s11892-023-01513-3
Dedeepya Konuthula, Marcia M Tan, Deborah L Burnet
{"title":"Challenges and Opportunities in Diagnosis and Management of Cardiometabolic Risk in Adolescents.","authors":"Dedeepya Konuthula, Marcia M Tan, Deborah L Burnet","doi":"10.1007/s11892-023-01513-3","DOIUrl":"10.1007/s11892-023-01513-3","url":null,"abstract":"<p><strong>Purpose of review: </strong>This review aims to elucidate the limitations of diagnosing metabolic syndrome in adolescents as well as challenges and opportunities in the identification and reduction of cardiometabolic risk in this population.</p><p><strong>Recent findings: </strong>There are multiple criticisms of how we define and approach obesity in clinical practice and scientific research, and weight stigma further complicates the process of making and communicating weight-related diagnoses. While the goal of diagnosing and managing metabolic syndrome in adolescents would be to identify individuals at elevated future cardiometabolic risk and intervene to reduce the modifiable component of this risk, there is evidence that identifying cardiometabolic risk factor clustering may be more useful in adolescents than establishing a cutoff-based diagnosis of metabolic syndrome. It has also become clear that many heritable factors and social and structural determinants of health contribute more to weight and body mass index than do individual behavioral choices about nutrition and physical activity. Promoting cardiometabolic health equity requires that we intervene on the obesogenic environment and mitigate the compounding effects of weight stigma and systemic racism. The existing options to diagnose and manage future cardiometabolic risk in children and adolescents are flawed and limited. While striving to improve population health through policy and societal interventions, there are opportunities to intervene at all levels of the socioecological model in order to decrease future morbidity and mortality from the chronic cardiometabolic diseases associated with central adiposity in both children and adults. More research is needed to identify the most effective interventions.</p>","PeriodicalId":10898,"journal":{"name":"Current Diabetes Reports","volume":"23 8","pages":"185-193"},"PeriodicalIF":4.2,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10240116/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9796832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Correction: Applying Behavioral Economics Theories to Interventions for Persons with Diabetes. 更正:将行为经济学理论应用于糖尿病患者的干预。
IF 4.2 2区 医学
Current Diabetes Reports Pub Date : 2023-07-01 DOI: 10.1007/s11892-023-01502-6
Susana R Patton, Christopher C Cushing, Amy Hughes Lansing
{"title":"Correction: Applying Behavioral Economics Theories to Interventions for Persons with Diabetes.","authors":"Susana R Patton,&nbsp;Christopher C Cushing,&nbsp;Amy Hughes Lansing","doi":"10.1007/s11892-023-01502-6","DOIUrl":"https://doi.org/10.1007/s11892-023-01502-6","url":null,"abstract":"","PeriodicalId":10898,"journal":{"name":"Current Diabetes Reports","volume":"23 7","pages":"173"},"PeriodicalIF":4.2,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9557620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Glucometrics: Where Are We Now? 血糖测量学:我们现在在哪里?
IF 4.2 2区 医学
Current Diabetes Reports Pub Date : 2023-07-01 DOI: 10.1007/s11892-023-01507-1
Kelly Engle, Grace Bacani, Curtiss B Cook, Gregory A Maynard, Jordan Messler, Kristen Kulasa
{"title":"Glucometrics: Where Are We Now?","authors":"Kelly Engle,&nbsp;Grace Bacani,&nbsp;Curtiss B Cook,&nbsp;Gregory A Maynard,&nbsp;Jordan Messler,&nbsp;Kristen Kulasa","doi":"10.1007/s11892-023-01507-1","DOIUrl":"https://doi.org/10.1007/s11892-023-01507-1","url":null,"abstract":"<p><strong>Purpose of review: </strong>Inpatient glucose data analysis, or glucometrics, has developed alongside the growing emphasis on glycemic control in the hospital. Shortcomings in the initial capabilities for glucometrics have pushed advancements in defining meaningful units of measurement and methods for capturing glucose data. This review addresses the growth in glucometrics and ends with its promising new state.</p><p><strong>Recent findings: </strong>Standardization, allowing for benchmarking and purposeful comparison, has been a goal of the field. The National Quality Foundation glycemic measures and recently enacted Center for Medicare and Medicaid Services (CMS) electronic quality measures for hypo- and hyperglycemia have allowed for improved integration and consistency. Prior systems have culminated in an upcoming measure from the Center for Disease Control and Prevention's National Healthcare Safety Network. It is poised to create a new gold standard for glucometrics by expanding and refining the CMS metrics, which should empower both local improvement and benchmarking as the program matures.</p>","PeriodicalId":10898,"journal":{"name":"Current Diabetes Reports","volume":"23 7","pages":"127-134"},"PeriodicalIF":4.2,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10044961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Sleep Apnea, Obesity, and Diabetes - an Intertwined Trio. 睡眠呼吸暂停、肥胖和糖尿病——一个交织在一起的三重奏。
IF 4.2 2区 医学
Current Diabetes Reports Pub Date : 2023-07-01 DOI: 10.1007/s11892-023-01510-6
Soumya Kurnool, Karen C McCowen, Nicole A Bernstein, Atul Malhotra
{"title":"Sleep Apnea, Obesity, and Diabetes - an Intertwined Trio.","authors":"Soumya Kurnool,&nbsp;Karen C McCowen,&nbsp;Nicole A Bernstein,&nbsp;Atul Malhotra","doi":"10.1007/s11892-023-01510-6","DOIUrl":"https://doi.org/10.1007/s11892-023-01510-6","url":null,"abstract":"<p><strong>Purpose of review: </strong>To synthesize the existing literature regarding the complex interplay between sleep disturbance, obesity, and diabetes. The review emphasizes the three pillars of health being diet, exercise, and sleep, with the notion that if one is ignored, then the other two could suffer.</p><p><strong>Recent findings: </strong>Sleep deprivation is associated with incident obesity, perhaps mediated by dysregulation in leptin and ghrelin - hormones important in regulation of appetite. Sleep apnea is very common particularly among obese people with type 2 diabetes mellitus. Treatment of sleep apnea has clear symptomatic benefits although its impact on long-term cardiometabolic health is less clear. Sleep disturbance may be an important modifiable risk for patients at risk of cardiometabolic disease. An assessment of sleep health may be an important component of the comprehensive care of patients with obesity and diabetes mellitus.</p>","PeriodicalId":10898,"journal":{"name":"Current Diabetes Reports","volume":"23 7","pages":"165-171"},"PeriodicalIF":4.2,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10239381/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9725136","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Using Mixed Methods Research in Children with Type 1 Diabetes: a Methodological Review. 使用混合方法研究1型糖尿病儿童:方法学综述。
IF 4.2 2区 医学
Current Diabetes Reports Pub Date : 2023-07-01 Epub Date: 2023-04-25 DOI: 10.1007/s11892-023-01509-z
Sara L Davis, Sarah S Jaser, Nataliya V Ivankova, Trey Lemley, Marti Rice
{"title":"Using Mixed Methods Research in Children with Type 1 Diabetes: a Methodological Review.","authors":"Sara L Davis, Sarah S Jaser, Nataliya V Ivankova, Trey Lemley, Marti Rice","doi":"10.1007/s11892-023-01509-z","DOIUrl":"10.1007/s11892-023-01509-z","url":null,"abstract":"<p><strong>Purpose of review: </strong>Many factors influence disease management and glycemic levels in children with type 1 diabetes (T1D). However, these concepts are hard to examine in children using only a qualitative or quantitative research paradigm. Mixed methods research (MMR) offers creative and unique ways to study complex research questions in children and their families.</p><p><strong>Recent findings: </strong>A focused, methodological literature review revealed 20 empirical mixed methods research (MMR) studies that included children with T1D and/or their parents/caregivers. These studies were examined and synthesized to elicit themes and trends in MMR. Main themes that emerged included disease management, evaluation of interventions, and support. There were multiple inconsistencies between studies when reporting MMR definitions, rationales, and design. Limited studies use MMR approaches to examine concepts related to children with T1D. Findings from future MMR studies, especially ones that use child-report, may illuminate ways to improve disease management and lead to better glycemic levels and health outcomes.</p>","PeriodicalId":10898,"journal":{"name":"Current Diabetes Reports","volume":"23 7","pages":"147-163"},"PeriodicalIF":4.2,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10651325/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9663012","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Team-Based Diabetes Care in Ontario and Hong Kong: a Comparative Review. 安大略省和香港以团队为基础的糖尿病护理:比较回顾。
IF 4.2 2区 医学
Current Diabetes Reports Pub Date : 2023-07-01 DOI: 10.1007/s11892-023-01508-0
Calvin Ke, Emaad Mohammad, Juliana C N Chan, Alice P S Kong, Fok-Han Leung, Baiju R Shah, Douglas Lee, Andrea O Luk, Ronald C W Ma, Elaine Chow, Xiaolin Wei
{"title":"Team-Based Diabetes Care in Ontario and Hong Kong: a Comparative Review.","authors":"Calvin Ke,&nbsp;Emaad Mohammad,&nbsp;Juliana C N Chan,&nbsp;Alice P S Kong,&nbsp;Fok-Han Leung,&nbsp;Baiju R Shah,&nbsp;Douglas Lee,&nbsp;Andrea O Luk,&nbsp;Ronald C W Ma,&nbsp;Elaine Chow,&nbsp;Xiaolin Wei","doi":"10.1007/s11892-023-01508-0","DOIUrl":"https://doi.org/10.1007/s11892-023-01508-0","url":null,"abstract":"<p><strong>Purpose of review: </strong>There are gaps in implementing and accessing team-based diabetes care. We reviewed and compared how team-based diabetes care was implemented in the primary care contexts of Ontario and Hong Kong.</p><p><strong>Recent findings: </strong>Ontario's Diabetes Education Programs (DEPs) were scaled-up incrementally. Hong Kong's Multidisciplinary Risk Assessment and Management Program for Diabetes Mellitus (RAMP-DM) evolved from a research-driven quality improvement program. Each jurisdiction had a mixture of non-team and team-based primary care with variable accessibility. Referral procedures, follow-up processes, and financing models varied. DEPs used a flexible approach, while the RAMP-DM used structured assessment for quality assurance. Each approach depended on adequate infrastructure, processes, and staff. Diabetes care is most accessible and functional when integrated team-based services are automatically initiated upon diabetes diagnosis within a strong primary care system, ideally linked to a register with supports including specialist care. Structured assessment and risk stratification are the basis of a well-studied, evidence-based approach for achieving the standards of team-based diabetes care, although flexibility in care delivery may be needed to meet the unique needs of some individuals. Policymakers and funders should ensure investment in skilled health professionals, infrastructure, and processes to improve care quality.</p>","PeriodicalId":10898,"journal":{"name":"Current Diabetes Reports","volume":"23 7","pages":"135-146"},"PeriodicalIF":4.2,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10091345/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9674658","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prevalence of Diabetes in Patients with Hyperuricemia and Gout: A Systematic Review and Meta-analysis. 糖尿病在高尿酸血症和痛风患者中的患病率:一项系统回顾和荟萃分析。
IF 4.2 2区 医学
Current Diabetes Reports Pub Date : 2023-06-01 DOI: 10.1007/s11892-023-01506-2
Jinguo Jiang, Tingjing Zhang, Yashu Liu, Qing Chang, Yuhong Zhao, Chuanji Guo, Yang Xia
{"title":"Prevalence of Diabetes in Patients with Hyperuricemia and Gout: A Systematic Review and Meta-analysis.","authors":"Jinguo Jiang,&nbsp;Tingjing Zhang,&nbsp;Yashu Liu,&nbsp;Qing Chang,&nbsp;Yuhong Zhao,&nbsp;Chuanji Guo,&nbsp;Yang Xia","doi":"10.1007/s11892-023-01506-2","DOIUrl":"https://doi.org/10.1007/s11892-023-01506-2","url":null,"abstract":"<p><strong>Purpose of review: </strong>To perform a systematic review and meta-analysis of the prevalence of diabetes in patients with hyperuricemia and gout.</p><p><strong>Recent findings: </strong>Previous studies have confirmed that hyperuricemia and gout are associated with an increased risk of diabetes. A previous meta-analysis indicated that the prevalence of diabetes in patients with gout is 16%. Thirty-eight studies (458,256 patients) were included in the meta-analysis. The combined prevalence of diabetes among patients with hyperuricemia and gout were 19.10% (95% confidence interval [CI]: 17.60-20.60; I<sup>2</sup> = 99.40%) and 16.70% (95% CI: 15.10-18.30; I<sup>2</sup> = 99.30%), respectively. Patients from North America showed a higher prevalence of diabetes (hyperuricemia: 20.70% [95% CI: 16.80-24.60], gout: 20.70% [95% CI: 16.80-24.60]) than those from other continents. Older patients with hyperuricemia and those using diuretics showed a higher prevalence of diabetes than younger patients and those who were not using diuretics. Studies with a small sample size, case-control design, and low quality score had a higher prevalence of diabetes than studies with a large sample size, other designs, and a high quality score. The prevalence of diabetes among patients with hyperuricemia and gout is high. Controlling plasma glucose and uric acid levels of patients with hyperuricemia and gout is critical for the prevention of diabetes.</p>","PeriodicalId":10898,"journal":{"name":"Current Diabetes Reports","volume":"23 6","pages":"103-117"},"PeriodicalIF":4.2,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9428275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Surgical Management of Diabetic Macular Edema. 糖尿病性黄斑水肿的外科治疗。
IF 4.2 2区 医学
Current Diabetes Reports Pub Date : 2023-06-01 DOI: 10.1007/s11892-023-01505-3
Jamie Prince, Dipen Kumar, Arko Ghosh, J Fernando Arevalo, Alice Yang Zhang
{"title":"Surgical Management of Diabetic Macular Edema.","authors":"Jamie Prince,&nbsp;Dipen Kumar,&nbsp;Arko Ghosh,&nbsp;J Fernando Arevalo,&nbsp;Alice Yang Zhang","doi":"10.1007/s11892-023-01505-3","DOIUrl":"https://doi.org/10.1007/s11892-023-01505-3","url":null,"abstract":"<p><strong>Purpose of review: </strong>Diabetic macular edema (DME) is the accumulation of fluid in the extracellular space within the macula and is a major cause of visual impairment among patients with diabetes. First-line treatment for DME includes pharmacotherapy with intravitreal anti-vascular endothelial growth factor medications and intravitreal corticosteroids. Alternative therapeutic strategies include laser photocoagulation for non-center involving DME, and surgical options such as pars plana vitrectomy (PPV) with or without internal limiting membrane (ILM) peel in cases with vitreoretinal interface anomalies or DME refractory to pharmacotherapy, and the Port Delivery System (PDS) for sustained release of anti-vascular endothelial growth factor (VEGF) medication. Our aim is to review the existing literature on surgical management of DME including imaging changes in chronic DME and the clinical relevance of surgical intervention.</p><p><strong>Recent findings: </strong>Imaging changes associated with DME and a worse prognosis include disorganization of the retinal layer, disruption of both the external limiting membrane (ELM) and ellipsoid zone, and vitreomacular interface abnormalities. Studies involving pars plana vitrectomy with and without ILM peel show anatomic improvement but may not always be associated with significant change in visual outcomes. Early studies lacked detailed imaging of the retinal layers and PPV was likely performed as a last resort. In addition, the novel PDS is surgically implanted into the pars plana and works as a drug reservoir with controlled release of drug. However, it has been recalled in patients with wet age-related macular degeneration due to issues with dislodgement. Surgical interventions for DME include pars plana vitrectomy with and without ILM peel and new surgical therapies for DME such as the PDS and subretinal gene therapy have the potential to reduce the risk of DME progression.</p>","PeriodicalId":10898,"journal":{"name":"Current Diabetes Reports","volume":"23 6","pages":"119-125"},"PeriodicalIF":4.2,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9797056","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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