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Suicide and type 1 diabetes: a complex issue 自杀和1型糖尿病:一个复杂的问题
IF 0.6 Q4 ENDOCRINOLOGY & METABOLISM Pub Date : 2022-09-01 DOI: 10.1002/pdi.2413
Katharine Barnard-Kelly, R. Holt, S. O’Neill
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引用次数: 0
Key updates to the management of type 2 diabetes in adults: how to embrace and embed the new NICE guidance 成人2型糖尿病管理的关键更新:如何接受和纳入新的NICE指南
IF 0.6 Q4 ENDOCRINOLOGY & METABOLISM Pub Date : 2022-09-01 DOI: 10.1002/pdi.2412
N. Basudev
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引用次数: 0
Diabetes, ethnic minority groups and COVID‐19: an inevitable storm 糖尿病、少数民族和COVID - 19:一场不可避免的风暴
IF 0.6 Q4 ENDOCRINOLOGY & METABOLISM Pub Date : 2022-09-01 DOI: 10.1002/pdi.2414
K. Khunti
The risk of type 2 diabetes (T2DM) is two‐ to four‐fold higher in ethnic minority populations compared to White populations in the UK and is also associated with an increased risk of certain macrovascular and microvascular complications. Additionally, T2DM has an earlier onset in ethnic minority groups of around 10–12 years than in White populations. The exact reasons for the higher prevalence are unclear but include the complex interplay of biological, lifestyle, environmental and socioeconomic factors. This is further compounded by disparities in care received by ethnic minority populations. The UK was the first country to report on the disproportionate impact of COVID‐19 on ethnic minority groups. Diabetes is also a major risk factor for severe COVID‐19 and, combined with pre‐existing ethnic disparities in diabetes care, has been a significant contributor to inequalities in COVID‐19 outcomes for ethnic minority populations with diabetes including disproportionate hospitalisation and mortality. Major ethnic disparities in diabetes care in the US and UK, especially intermediate outcomes and diabetes complications, were evident prior to the COVID‐19 pandemic. However, the COVID‐19 pandemic has exposed these pre‐pandemic health disparities for ethnic minority populations with diabetes. Similar to the higher risk of T2DM in ethnic minority populations, the exact reasons for higher risk of COVID‐19 in minority ethnic groups are complex and include comorbidities, risk factor control, deprivation and access to care including wider structural issues. As we now plan for recovery, it is imperative that those delivering diabetes care urgently address the disproportionate impact the pandemic has had on ethnic minority populations. Reducing these inequalities will require a greater understanding of the causes. Copyright © 2022 John Wiley & Sons.
在英国,少数民族人群患2型糖尿病(T2DM)的风险是白人人群的2 - 4倍,并且还与某些大血管和微血管并发症的风险增加有关。此外,2型糖尿病在少数民族人群中发病较早,约为10-12岁。患病率较高的确切原因尚不清楚,但包括生物、生活方式、环境和社会经济因素的复杂相互作用。少数民族人口在接受护理方面的差异进一步加剧了这种情况。英国是第一个报告COVID - 19对少数民族群体不成比例影响的国家。糖尿病也是严重的COVID - 19的主要危险因素,加上糖尿病护理中先前存在的种族差异,是导致少数民族糖尿病患者COVID - 19结局不平等的重要因素,包括不成比例的住院率和死亡率。在COVID - 19大流行之前,美国和英国糖尿病护理的主要种族差异,特别是中期结果和糖尿病并发症,是显而易见的。然而,COVID - 19大流行暴露了少数民族糖尿病患者在大流行前的这些健康差异。与少数民族人群患2型糖尿病的风险较高类似,少数民族人群患COVID - 19风险较高的确切原因很复杂,包括合并症、风险因素控制、剥夺和获得医疗服务的机会,包括更广泛的结构性问题。在我们现在为恢复制定计划之际,提供糖尿病护理的人员必须紧急处理这一流行病对少数民族人口造成的不成比例的影响。减少这些不平等需要对其原因有更深入的了解。版权所有©2022 John Wiley & Sons。
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引用次数: 1
Getting it right first time – precision medicine in diabetes 第一次做对糖尿病的精准治疗
IF 0.6 Q4 ENDOCRINOLOGY & METABOLISM Pub Date : 2022-09-01 DOI: 10.1002/pdi.2419
A. Kilvert, C. Fox
Precision medicine – ‘The right therapy for the right patient at the right time – every time’ – has been a hot topic over the past few years. The definition refers not just to treatment but also to diagnosis, prevention and prognosis. The evidence base for precision medicine is drawn from three categories: (i) assessment of the genetic and metabolic state; (ii) interrogation of big data to inform disease categories; (iii) science‐guided preventative and treatment decisions.
精准医疗——“在正确的时间为正确的病人提供正确的治疗”——在过去几年一直是一个热门话题。该定义不仅涉及治疗,还涉及诊断、预防和预后。精准医疗的证据基础来自三个方面:(i)基因和代谢状态的评估;(ii)利用大数据为疾病分类提供信息;(iii)科学指导的预防和治疗决策。
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引用次数: 1
Are guidelines a help or a hindrance? 指导方针是帮助还是阻碍?
IF 0.6 Q4 ENDOCRINOLOGY & METABOLISM Pub Date : 2022-09-01 DOI: 10.1002/pdi.2417
J. Ogden
The question of whether or not updated guidelines are a help or hindrance in clinical practice formed the focus of the June 2022 Trend Diabetes Nursing Conference held in London and Birmingham. Joy Ogden here reports on conference highlights examining this and other crucial considerations in the care of people with diabetes.
2022年6月在伦敦和伯明翰举行的趋势糖尿病护理会议的焦点是,更新的指南在临床实践中是帮助还是阻碍。乔伊·奥格登在会议上报道了这一点,以及糖尿病患者护理中的其他关键因素。
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引用次数: 0
Tropical medicine and diabetes: an integrative paradigm 热带医学与糖尿病:一个综合范例
IF 0.6 Q4 ENDOCRINOLOGY & METABOLISM Pub Date : 2022-09-01 DOI: 10.1002/pdi.2420
J. Seewoodhary, Rodrigo Ville Benavides, Ângela Silveira
Recent advances in public health and preventative medicine have significantly changed the epidemiology of disease in the tropics this century. Tropical medicine has transitioned away from being a specialty honed exclusively on infectious disease to now encompassing the management and relationship of infectious diseases with increasingly prevalent non‐communicable diseases, such as diabetes mellitus, in lower‐ and middle‐income countries. This review will critically consider unique aspects of diabetes care in the tropics. Copyright © 2022 John Wiley & Sons.
公共卫生和预防医学的最新进展显著地改变了本世纪热带地区疾病的流行病学。热带医学已经从专门研究传染病的专业转变为现在包括传染病与日益流行的非传染性疾病(如糖尿病)在中低收入国家的管理和关系。这篇综述将批判性地考虑热带地区糖尿病护理的独特方面。版权所有©2022 John Wiley & Sons。
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引用次数: 0
Risk factors and outcomes of severe hypoglycaemia requiring hospital admission: a retrospective study 需要住院治疗的严重低血糖的危险因素和结局:一项回顾性研究
IF 0.6 Q4 ENDOCRINOLOGY & METABOLISM Pub Date : 2022-09-01 DOI: 10.1002/pdi.2415
Alison Galea, Stephanie Farrugia, N. Calleja, D. Coppini
This is a retrospective study intended to determine the prevalence of severe hypoglycaemia requiring admission to Mater Dei Hospital from January to December 2018. We identified risk factors associated with hospital admission and conducted a survival analysis of the cohort.
这是一项回顾性研究,旨在确定2018年1月至12月期间需要入院Mater Dei医院的严重低血糖患病率。我们确定了与住院相关的危险因素,并对该队列进行了生存分析。
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引用次数: 0
The challenges of managing type 1 diabetes with other autoimmune diseases 管理1型糖尿病合并其他自身免疫性疾病的挑战
IF 0.6 Q4 ENDOCRINOLOGY & METABOLISM Pub Date : 2022-09-01 DOI: 10.1002/pdi.2418
Mohammed Salloum, R. Poole
People with type 1 diabetes have an increased risk of developing other autoimmune diseases compared to the background population and this risk has been increasing over the last 20 years. Coeliac disease affects absorption of food which can lead to hypoglycaemia in people with diabetes. Both conditions have dietary restrictions and managing the two can make food choices more difficult. Addison's disease can lead to significant challenges in managing blood glucose particularly in times of intercurrent illness and significantly increases morbidity and mortality in patients with diabetes. Thyroid disease, both hyperthyroidism (Graves’ disease) and hypothyroidism (Hashimoto's thyroiditis) can affect blood glucose levels directly by changes in glucose uptake and metabolism or indirectly through changes in weight. Management of type 1 diabetes includes being alert to the possibility of these potential additional diagnoses. Copyright © 2022 John Wiley & Sons.
与正常人群相比,1型糖尿病患者患其他自身免疫性疾病的风险增加,而且这种风险在过去20年里一直在增加。乳糜泻会影响食物的吸收,从而导致糖尿病患者低血糖。这两种疾病都有饮食限制,控制这两种疾病会使食物选择更加困难。阿狄森氏病会给血糖管理带来重大挑战,特别是在合并疾病的时候,并会显著增加糖尿病患者的发病率和死亡率。甲状腺疾病,无论是甲状腺功能亢进(Graves病)还是甲状腺功能减退(桥本甲状腺炎),都可以通过葡萄糖摄取和代谢的改变直接影响血糖水平,或者通过体重的改变间接影响血糖水平。1型糖尿病的管理包括警惕这些潜在的附加诊断的可能性。版权所有©2022 John Wiley & Sons。
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引用次数: 1
Are those with diabetes more willing to adhere to COVID‐19 guidance? 糖尿病患者是否更愿意遵守COVID - 19指南?
IF 0.6 Q4 ENDOCRINOLOGY & METABOLISM Pub Date : 2022-09-01 DOI: 10.1002/pdi.2416
M. Walker, Hakan Lane
Background: Those with diabetes were at a higher risk of experiencing severe illness in the event of contracting COVID‐19. Did they therefore act more cautiously?
背景:糖尿病患者在感染COVID - 19时发生严重疾病的风险更高。他们是否因此行事更加谨慎?
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引用次数: 0
Obesity and diabetes in pregnancy: a perfect storm for transgenerational health 妊娠期肥胖和糖尿病:跨代健康的完美风暴
IF 0.6 Q4 ENDOCRINOLOGY & METABOLISM Pub Date : 2022-07-01 DOI: 10.1002/pdi.2403
I. Ochoa‐Moreno, M. W. Hanson
The period of conception, pregnancy and the first 1000 days of life are crucial for a person's lifelong health. The recent rises in obesity before conception, through pregnancy and during childhood are increasing the risk of a non‐communicable disease epidemic in the near future. Preventive measures targeted at the community level and implemented by local authorities may be the most effective way of creating healthy environments that improve lifelong health.
受孕、怀孕和生命最初的1000天对一个人的终身健康至关重要。最近,孕前、孕期和儿童期肥胖人数的增加,增加了在不久的将来发生非传染性疾病流行的风险。针对社区一级并由地方当局实施的预防措施,可能是创造改善终身健康的健康环境的最有效途径。
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引用次数: 0
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Practical Diabetes
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