Practical diabetes international : the journal for diabetes care teams worldwide最新文献

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Assessing patients' knowledge about their diabetes 评估患者对糖尿病的认知

Practical diabetes international : the journal for diabetes care teams worldwide

Pub Date : 2011-05-01 DOI: 10.1002/PDI.1582

A. Brooks

引用次数: 0

Diabetic retinal disease: anti‐VEGF agents are a promising line of therapy 糖尿病视网膜疾病:抗VEGF药物是一种很有前途的治疗方法

Practical diabetes international : the journal for diabetes care teams worldwide

Pub Date : 2011-05-01 DOI: 10.1002/PDI.1581

K. Shotliff, N. Davies

引用次数: 0

Rapid weight loss and pain in the foot 体重迅速减轻，脚部疼痛

Practical diabetes international : the journal for diabetes care teams worldwide

Pub Date : 2011-05-01 DOI: 10.1002/PDI.1585

M. Kong, K. Nisal, R. Gregory

引用次数: 0

Working with people who are difficult to help 与难以帮助的人一起工作

Practical diabetes international : the journal for diabetes care teams worldwide

Pub Date : 2011-04-01 DOI: 10.1002/PDI.1576

M. Davies

134 Pract Diab Int April 2011 Vol. 28 No. 3 Copyright © 2011 John Wiley & Sons This paper hopes to provide an insight into a series of workshops undertaken with a multidisciplinary, hospital-based diabetes team. The workshops’ principal aims were firstly to develop knowledge and understanding of the dynamics presented by complex cases and, secondly, and perhaps more importantly, to provide a space to reflect on the stress experienced by staff dealing with such cases and to think about what can be done to make things easier.

引用次数: 0

‘Missed’ coeliac disease in type 1 diabetes mellitus with fatal consequences 1型糖尿病“漏诊”乳糜泻伴致命后果

Practical diabetes international : the journal for diabetes care teams worldwide

Pub Date : 2011-04-01 DOI: 10.1002/PDI.1570

F. Talbot, S. Neupane, A. Gibbons, S. Krishnan, A. Mathews

Our patient is a 40-year-old man with a 22-year history of type 1 diabetes. His control had been consistently poor but he had minimal end organ damage. There was no significant past medical history or family history. He was a C1 driving licence holder, and the DVLA was aware of his diagnosis of type 1 diabetes. In January 2007 he unexpectedly lost 8kg in weight and found he required less insulin. He had frequent hypoglycaemic episodes, but did not seek medical attention. Five months later he was involved in a road traffic accident that was fatal to the other driver. The paramedics found him to be hypoglycaemic. This resulted in a custodial sentence, and lifetime driving ban. He was subsequently admitted to hospital to investigate his hypoglycaemia. Thyroid function and synacthen tests were normal. Coeliac serology was negative and he was mildly anaemic. His HbA1c was elevated at 10.4% (90mmol/mol). He was discharged without cause found. A month later he was readmitted with breathlessness. He was severely anaemic with an Hb of 7.8g/dl, and was referred for gastroscopy. This demonstrated hyperplastic gastritis of the stomach, with altered blood present. Duodenal biopsies were taken and showed subtotal villous atrophy with a patchy increase in intraepithelial lymphocytes and crypt hyperplasia. The findings were consistent with coeliac disease. The patient was referred to a dietitian for advice on a gluten-free diet. His haemoglobin normalised and a DEXA scan excluded osteoporosis. Copyright © 2011 John Wiley & Sons.

我们的病人是一名40岁的男性，有22年的1型糖尿病病史。他的控制一直很差，但他的终末器官损伤很小。没有明显的既往病史或家族史。他是C1驾驶执照持有人，并且DVLA知道他被诊断为1型糖尿病。2007年1月，他意外地减掉了8公斤体重，发现自己需要的胰岛素也减少了。他经常低血糖发作，但没有就医。五个月后，他卷入了一场道路交通事故，导致另一名司机死亡。医护人员发现他血糖过低。这导致了监禁和终身禁止驾驶。他随后被送进医院检查他的低血糖。甲状腺功能和synacth检查正常。乳糜泻血清学阴性，轻度贫血。HbA1c升高10.4% (90mmol/mol)。他无故被解雇了。一个月后，他因呼吸困难再次入院。他严重贫血，血红蛋白为7.8g/dl，并被转介做胃镜检查。胃增生性胃炎，伴有血液改变。十二指肠活检显示绒毛大部萎缩，上皮内淋巴细胞斑片状增加，隐窝增生。研究结果与乳糜泻一致。病人被转介到营养师那里寻求无麸质饮食的建议。他的血红蛋白正常，DEXA扫描排除了骨质疏松症。版权所有©2011 John Wiley & Sons。

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引用次数: 2

Technological advances in pregnancy complicated by type 1 diabetes 妊娠合并1型糖尿病的技术进步

Practical diabetes international : the journal for diabetes care teams worldwide

Pub Date : 2011-04-01 DOI: 10.1002/PDI.1568

H. Murphy, D. Elleri, K. Kumareswaran, R. Hovorka

引用次数: 1

High prevalence of abnormal glucose regulation in patients presenting for routine coronary angiography 常规冠状动脉造影患者血糖调节异常的高发率

Practical diabetes international : the journal for diabetes care teams worldwide

Pub Date : 2011-04-01 DOI: 10.1002/PDI.1572

C. English, J. Hastings, S. Hennessy, S. Dinneen, J. Crowley

glucose metabolism is a known risk factor for coronary artery disease (CAD) and is frequently unrecognised even in patients with acute coronary syndrome. Patients with stable coronary symptoms frequently have multiple risk factors and may have no assessment of glucose regulation. The purpose of this study was to assess the prevalence of impaired glucose tolerance (IGT) and diabetes mellitus (DM) in a group of patients with stable symptoms presenting for coronary angiography. A modified oral glucose tolerance test (OGTT) was performed on 182 unselected patients undergoing elective angiography. Patients with known DM were excluded. Demographic data including cardiovascular risk factors, body mass index (BMI), and history of CAD were recorded. In all, 182 patients with a mean age of 62.1 years (±10.7 years) were studied. Indications for angiography were suspected angina. By WHO criteria an abnormal two-hour glucose was present in 49% of individuals, with 10.4% of these patients having overt DM. An abnormal two-hour glucose was seen in 63.2% of patients with significant CAD compared with 40.3% with normal or insignificant disease (p=0.004); 48.9% of patients with IGT or DM had normal fasting plasma glucose (FPG). In 78% of patients, BMI was over 25kg/m2. In this high risk population with multiple risk factors for CAD, previously undetected IGT and overt DM are very common. Almost two-thirds of patients with significant CAD had abnormal glucose regulation. The use of an FPG test alone may miss a significant number of patients with unrecognised glucose intolerance. Copyright © 2011 John Wiley & Sons. Practical Diabetes Int 2011; 28(3): 115-118

葡萄糖代谢是冠状动脉疾病(CAD)的已知危险因素，即使在急性冠状动脉综合征患者中也经常被忽视。冠状动脉症状稳定的患者通常有多种危险因素，可能没有血糖调节评估。本研究的目的是评估一组症状稳定的冠状动脉造影患者中糖耐量受损(IGT)和糖尿病(DM)的患病率。对182例未选择的接受择期血管造影的患者进行改良的口服葡萄糖耐量试验(OGTT)。排除已知糖尿病患者。统计数据包括心血管危险因素、身体质量指数(BMI)和CAD病史。共纳入182例患者，平均年龄62.1岁(±10.7岁)。血管造影指征为疑似心绞痛。根据WHO标准，49%的个体存在两小时血糖异常，其中10.4%的患者有明显的糖尿病。63.2%的冠心病患者存在两小时血糖异常，而正常或不明显疾病的患者为40.3% (p=0.004);48.9%的IGT或DM患者空腹血糖(FPG)正常。78%的患者BMI大于25kg/m2。在具有多种冠心病危险因素的高危人群中，以前未检测到的IGT和显性糖尿病非常常见。几乎三分之二的冠心病患者血糖调节异常。单独使用FPG测试可能会遗漏大量未被识别的葡萄糖耐受不良患者。版权所有©2011 John Wiley & Sons。实用糖尿病杂志2011;28 (3): 115 - 118

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引用次数: 1

Lipoatrophy associated with insulin aspart in continuous subcutaneous insulin infusion 持续皮下胰岛素输注与胰岛素分离相关的脂肪萎缩

Practical diabetes international : the journal for diabetes care teams worldwide

Pub Date : 2011-04-01 DOI: 10.1002/PDI.1569

P. George, M. Robertson, L. Grant, A. Mackie

引用次数: 1

Screening for diabetes: are we acting on the results? 糖尿病筛查:我们是否根据结果采取行动?

Practical diabetes international : the journal for diabetes care teams worldwide

Pub Date : 2011-04-01 DOI: 10.1002/PDI.1571

J. Logue

引用次数: 0

Making sense of outcomes in the ACCORD trial 理解ACCORD试验的结果

Practical diabetes international : the journal for diabetes care teams worldwide

Pub Date : 2011-04-01 DOI: 10.1002/PDI.1567

A. White, M. Fisher

引用次数: 1

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