Diabetes management (London, England)最新文献

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Update on diagnosis, pathogenesis and management of ketosis-prone Type 2 diabetes mellitus. 易发生酮症的2型糖尿病的诊断、发病机制和治疗进展。
Diabetes management (London, England) Pub Date : 2011-11-01 DOI: 10.2217/DMT.11.57
Dawn Smiley, Prakash Chandra, Guillermo E Umpierrez
{"title":"Update on diagnosis, pathogenesis and management of ketosis-prone Type 2 diabetes mellitus.","authors":"Dawn Smiley,&nbsp;Prakash Chandra,&nbsp;Guillermo E Umpierrez","doi":"10.2217/DMT.11.57","DOIUrl":"https://doi.org/10.2217/DMT.11.57","url":null,"abstract":"<p><p>Diabetic ketoacidosis (DKA) has been considered a key clinical feature of Type 1 diabetes mellitus; however, increasing evidence indicates that DKA is also a common feature of Type 2 diabetes (T2DM). Many cases of DKA develop under stressful conditions such as trauma or infection but an increasing number of cases without precipitating cause have been reported in children and adults with T2DM. Such patients present with severe hyperglycemia and ketosis as in Type 1 diabetes mellitus but can discontinue insulin after a few months and maintain acceptable glycemic control on diet or oral agents. This subtype of diabetes has been referred to as ketosis-prone T2DM. In this article, we reviewed the literature on ketosis-prone T2DM and summarized the epidemiology, putative pathophysiology and approaches to management.</p>","PeriodicalId":89355,"journal":{"name":"Diabetes management (London, England)","volume":"1 6","pages":"589-600"},"PeriodicalIF":0.0,"publicationDate":"2011-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2217/DMT.11.57","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30631238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 64
Mechanisms in the adaptation of maternal β-cells during pregnancy. 妊娠期母体β细胞的适应机制。
Diabetes management (London, England) Pub Date : 2011-03-01 DOI: 10.2217/dmt.10.24
Sara Ernst, Cem Demirci, Shelley Valle, Silvia Velazquez-Garcia, Adolfo Garcia-Ocaña
{"title":"Mechanisms in the adaptation of maternal β-cells during pregnancy.","authors":"Sara Ernst,&nbsp;Cem Demirci,&nbsp;Shelley Valle,&nbsp;Silvia Velazquez-Garcia,&nbsp;Adolfo Garcia-Ocaña","doi":"10.2217/dmt.10.24","DOIUrl":"https://doi.org/10.2217/dmt.10.24","url":null,"abstract":"<p><p>Pancreatic β-cell mass adapts to changing insulin demands in the body. One of the most amazing reversible β-cell adaptations occurs during pregnancy and postpartum conditions. During pregnancy, the increase in maternal insulin resistance is compensated by maternal β-cell hyperplasia and hyperfunctionality to maintain normal blood glucose. Although the cellular mechanisms involved in maternal β-cell expansion have been studied in detail in rodents, human studies are very sparse. A summary of these studies in rodents and humans is described below. Since β-cell mass expands during pregnancy, unraveling the endocrine/paracrine/autocrine molecular mechanisms responsible for these effects can be of great importance for predicting and treating gestational diabetes and for finding new cues that induce β-cell regeneration in diabetes. In addition to the well known implication of lactogens during maternal β-cell expansion, additional participants are being discovered such as serotonin and HGF. Transcription factors, such as hepatocyte nuclear factor-4α and the forkhead box protein-M1, and cell cycle regulators, such as menin, p27 and p18, are important intracellular signals responsible for these effects. In this article, we summarize and discuss novel studies uncovering molecular mechanisms involved in the maternal β-cell adaptive expansion during pregnancy.</p>","PeriodicalId":89355,"journal":{"name":"Diabetes management (London, England)","volume":"1 2","pages":"239-248"},"PeriodicalIF":0.0,"publicationDate":"2011-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2217/dmt.10.24","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30079789","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 86
Recurrence of autoimmunity in pancreas transplant patients: research update. 胰腺移植患者自身免疫复发的研究进展
Diabetes management (London, England) Pub Date : 2011-03-01 DOI: 10.2217/dmt.10.21
Alberto Pugliese, Helena K Reijonen, Jerry Nepom, George W Burke
{"title":"Recurrence of autoimmunity in pancreas transplant patients: research update.","authors":"Alberto Pugliese,&nbsp;Helena K Reijonen,&nbsp;Jerry Nepom,&nbsp;George W Burke","doi":"10.2217/dmt.10.21","DOIUrl":"https://doi.org/10.2217/dmt.10.21","url":null,"abstract":"<p><p>Type 1 diabetes is an autoimmune disorder leading to loss of pancreatic β-cells and insulin secretion, followed by insulin dependence. Islet and whole pancreas transplantation restore insulin secretion. Pancreas transplantation is often performed together with a kidney transplant in patients with end-stage renal disease. With improved immunosuppression, immunological failures of whole pancreas grafts have become less frequent and are usually categorized as chronic rejection. However, growing evidence indicates that chronic islet autoimmunity may eventually lead to recurrent diabetes, despite immunosuppression to prevent rejection. Thus, islet autoimmunity should be included in the diagnostic work-up of graft failure and ideally should be routinely assessed pretransplant and on follow-up in Type 1 diabetes recipients of pancreas and islet cell transplants. There is a need to develop new treatment regimens that can control autoimmunity, as this may not be effectively suppressed by conventional immunosuppression.</p>","PeriodicalId":89355,"journal":{"name":"Diabetes management (London, England)","volume":"1 2","pages":"229-238"},"PeriodicalIF":0.0,"publicationDate":"2011-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2217/dmt.10.21","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30003544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 38
Health literacy in diabetes care: explanation, evidence and equipment. 糖尿病护理中的健康素养:解释、证据和设备。
Diabetes management (London, England) Pub Date : 2011-03-01 DOI: 10.2217/dmt.11.5
Kerri L Cavanaugh
{"title":"Health literacy in diabetes care: explanation, evidence and equipment.","authors":"Kerri L Cavanaugh","doi":"10.2217/dmt.11.5","DOIUrl":"https://doi.org/10.2217/dmt.11.5","url":null,"abstract":"<p><p>The exchange of complex health information among patients, providers, health organizations and the public is often described as health literacy. Low levels of health literacy is common and associated with processes of healthcare and important health outcomes. In diabetes, health literacy is related to diabetes knowledge, self-efficacy and self-care behaviors and glycemic control. Health literacy may also provide a better understanding of racial disparities observed in patients with diabetes. Strategies to address health literacy, based upon this understanding of its role, provide a means to improve diabetes care. This article describes the concept of health literacy and its assessment and the evidence of its impact on patients with diabetes, and offers suggested methods and tools that may be implemented to improve clinical care.</p>","PeriodicalId":89355,"journal":{"name":"Diabetes management (London, England)","volume":"1 2","pages":"191-199"},"PeriodicalIF":0.0,"publicationDate":"2011-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2217/dmt.11.5","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30092808","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 99
Assessing fear of hypoglycemia in children with Type 1 diabetes and their parents. 评估1型糖尿病儿童及其父母对低血糖的恐惧。
Diabetes management (London, England) Pub Date : 2011-01-01 DOI: 10.2217/DMT.11.60
Linda Gonder-Frederick, Maren Nyer, Jaclyn A Shepard, Karen Vajda, William Clarke
{"title":"Assessing fear of hypoglycemia in children with Type 1 diabetes and their parents.","authors":"Linda Gonder-Frederick,&nbsp;Maren Nyer,&nbsp;Jaclyn A Shepard,&nbsp;Karen Vajda,&nbsp;William Clarke","doi":"10.2217/DMT.11.60","DOIUrl":"https://doi.org/10.2217/DMT.11.60","url":null,"abstract":"<p><p>This article summarizes the literature on fear of hypoglycemia in pediatric Type 1 diabetes and the assessment of this fear in both children with Type 1 diabetes and their parents. The most common instrument for assessing fear of hypoglycemia in this population is the children's and parent's versions of the Hypoglycemia Fear Survey (HFS), although studies using other assessment measures are also reviewed. Studies using this survey have identified variables contributing to fear of hypoglycemia in children with Type 1 diabetes and their parents, such as history of frequent or traumatic hypoglycemia, as well as trait anxiety. In addition to this summary of the literature, new data are presented supporting the reliability of hypoglycemic fear assessment in younger children and comparing fear of hypoglycemia in children in different age groups (6-18 years old) and their parents. Also reviewed are studies investigating the relationship between fear of hypoglycemia and diabetes control, which have yielded inconsistent results. Given the potential importance of fear of hypoglycemia in pediatric diabetes, there has been limited research in this area.</p>","PeriodicalId":89355,"journal":{"name":"Diabetes management (London, England)","volume":"1 6","pages":"627-639"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2217/DMT.11.60","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30334689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 133
2020 Conference Announcementon Diabetes and Obesity 2020年糖尿病和肥胖会议公告
Diabetes management (London, England) Pub Date : 1900-01-01 DOI: 10.37532/1758-1907.2021.11(5).226
N. Chalisa
{"title":"2020 Conference Announcementon Diabetes and Obesity","authors":"N. Chalisa","doi":"10.37532/1758-1907.2021.11(5).226","DOIUrl":"https://doi.org/10.37532/1758-1907.2021.11(5).226","url":null,"abstract":"","PeriodicalId":89355,"journal":{"name":"Diabetes management (London, England)","volume":"11 1","pages":"226"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69923322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","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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