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Results of scanning for diabetes, obesity and blood pressure: a sample from manisa in western turkey 扫描糖尿病、肥胖和血压的结果:来自土耳其西部马尼萨的样本
Pub Date : 2018-02-19 DOI: 10.15406/JDMDC.2018.05.00133
N. G. Tavsanli, Seçil Köken, S. Akıncıoğlu, Havva Artuvan, Zeynep Nerse
In WHO rankings, diabetes has been recognized as being in the group of rapidly increasing epidemiological diseases [1]. It was found that there were 400 million adult diabetics in the world in 2015, and this number is predicted to rise to over 640 million by 2040. Seventy-five percent of diabetics in the world live in medium and low income countries, and five million people in the world die of diabetes each year. The cost of medical care for diabetic individuals is more than 670 billion dollars annually according to the IDF [2]. According to the results of a 2010 study by Diabetes Epidemiology in Turkey (TURDEP II), the prevalence of diabetes is 13.7%, the prevalence of obesity is 32%, and the prevalence of hypertension is 30% [3].
在世卫组织排名中,糖尿病已被公认为是快速增长的流行病学疾病之一。研究发现,2015年全球有4亿成人糖尿病患者,预计到2040年这一数字将超过6.4亿。世界上75%的糖尿病患者生活在中低收入国家,每年有500万人死于糖尿病。根据IDF的数据,糖尿病患者每年的医疗费用超过6700亿美元。根据2010年土耳其糖尿病流行病学(TURDEP II)的研究结果,糖尿病患病率为13.7%,肥胖患病率为32%,高血压患病率为30%。
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引用次数: 1
An experience in recreational diabetic day in a non-governmental organisation, t1 diams, in Mauritius 在毛里求斯的一个非政府组织,t1 diams的休闲糖尿病日的经历
Pub Date : 2018-02-19 DOI: 10.15406/JDMDC.2018.05.00132
P. Guness
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引用次数: 1
Pharmacokinetics of zinc in pre-diabetes: a pilot study 锌在糖尿病前期的药代动力学:一项初步研究
Pub Date : 2018-01-24 DOI: 10.15406/jdmdc.2018.05.00131
P. Ranasinghe, P. Galappatthy, P. Katulanda, R. Jayawardena, C. D. Pathiranage, A. Lionel, G. Constantine
Zinc is an essential trace element that plays a vital role as a co-factor in enzyme action, cell membrane stabilization, gene expression and cell signaling [1]. It is also important in insulin action and carbohydrate metabolism [2]. Zinc is involved in the physiology of insulin at several stages; it is found in the insulin secretory granules and is known to participate in the insulin synthesis, stabilization of pro-insulin, insulin secretion, insulin sensitivity, and insulin degradation [3,4]. Zinc could also play a role in the pathogenesis of diabetes. Studies have shown that diabetes is accompanied by hypozincemia and hyperzincuria [5,6]. Zinc absorption is also know to be altered in patients with diabetes [7]. The altered Zinc absorption and hyperzincuria identified in patients with diabetes is an indication of either the fact that Zinc metabolism is altered as a result of diabetes or the altered Zinc metabolism plays a role in the pathogenesis of diabetes. Homeostasis of Zinc is thought to depend on absorption as well as excretion. Studies have shown that the Zinc ingested by healthy persons are eliminated in the feces (90%) and in urine (2–10%) [8]. Zinc is primarily absorbed from small intestine, duodenum and ileum [9]. The oral Zinc tolerance test was proved to be an acceptable method to study zinc absorption and excretion in humans [10]. Absorption and/ or excretion of Zinc may be altered in various pathological states, such as diabetes mellitus. Pre-diabetes is an intermediate state of hyperglycemia with glycaemic parameters above normal but below the threshold for the initiation of treatment for diabetes [11]. The pre-diabetic state is characterized by either impaired Volume 5 Issue 1 2018
锌是一种必需的微量元素,在酶作用、细胞膜稳定、基因表达和细胞信号传导等方面起着重要的辅因子作用[1]。它在胰岛素作用和碳水化合物代谢中也很重要[2]。锌参与胰岛素生理的几个阶段;它存在于胰岛素分泌颗粒中,参与胰岛素合成、胰岛素前体稳定、胰岛素分泌、胰岛素敏感性和胰岛素降解[3,4]。锌也可能在糖尿病的发病机制中发挥作用。研究表明糖尿病伴有低锌血症和高锌血症[5,6]。糖尿病患者对锌的吸收也会发生改变[7]。在糖尿病患者中发现的锌吸收改变和高锌血症表明,要么锌代谢因糖尿病而改变,要么锌代谢的改变在糖尿病的发病机制中起作用。锌的体内平衡被认为既取决于吸收也取决于排泄。研究表明,健康人摄入的锌主要通过粪便(90%)和尿液(2-10%)排出[8]。锌主要从小肠、十二指肠和回肠吸收[9]。口服锌耐量试验被证明是研究人体锌吸收和排泄的一种可接受的方法[10]。锌的吸收和/或排泄可能在各种病理状态下发生改变,如糖尿病。糖尿病前期是高血糖的中间状态,血糖参数高于正常,但低于糖尿病开始治疗的阈值[11]。糖尿病前期状态的特征是受损
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引用次数: 0
Association of ABO blood groups with type-2 diabetes mellitus and its complications ABO血型与2型糖尿病及其并发症的关系
Pub Date : 2018-01-22 DOI: 10.15406/JDMDC.2018.5.00130
M. Biplab, Ravindra Shukla, A. Basu, A. Sinha, A. Maiti, Kingshuk Bhattacharjee
Karl Landsteiner first described the ABO blood group in 1900.1 Blood grouping is based on antigenic property of red blood cells (RBC). The major h10uman blood group system is ABO. The blood group of a person depends upon the presence or absence of two genes A and B. The majority of ABO determinants are expressed on the ends of long polylactosamine chains.2 The gene for ABO group is present on chromosome 9 and on chromosome 1 for Rh system. The ABO system consists of complex carbohydrate molecules. Ever since the discovery of blood groups in 1900, there have been efforts to discover a possible association between ABO and Rh blood groups and different diseases.3 Certain diseases show strong association with the ABO blood groups, notably, peptic ulcer is much higher in blood group O4 whereas stomach cancer,5 tumors of salivary glands6 are more frequent in blood group A individuals. Many reports have appeared in recent years suggesting an association between blood groups and diabetes mellitus.7 The etiology of diabetes mellitus is complex and appears to involve interactions of genetic, immunological and environmental factors.8 In fact, human chromosome 1q21-q23 showed well replicated linkage to type-2 diabetes mellitus.9
卡尔·兰德斯泰纳于1900年首次描述了ABO血型。血型是根据红细胞(RBC)的抗原性进行分类的。ABO血型是人类主要的血型系统。一个人的血型取决于a和b两个基因的存在与否。大多数ABO决定因子在长聚乳糖胺链的末端表达Rh系统ABO基因存在于9号染色体和1号染色体上。ABO系统由复杂的碳水化合物分子组成。自从1900年发现血型以来,人们一直在努力发现ABO血型和Rh血型与不同疾病之间可能存在的联系某些疾病与ABO血型密切相关,如O4血型的人患消化性溃疡的几率更高,而A血型的人患胃癌、唾液腺肿瘤的几率更高。近年来出现了许多报告,表明血型和糖尿病之间存在联系糖尿病的病因是复杂的,似乎涉及遗传、免疫和环境因素的相互作用事实上,人类染色体1q21-q23与2型糖尿病有很好的复制联系
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引用次数: 12
Beginning with very low dose (0.2mg) liraglutide in indian type 2 diabetic patients appears better tolerated: experience from real life practice 从印度2型糖尿病患者开始使用极低剂量(0.2mg)利拉鲁肽似乎耐受性更好:来自现实生活实践的经验
Pub Date : 2017-12-06 DOI: 10.15406/JDMDC.2017.04.00127
Majumder Anirban, Bhattacharjee Kingshuk
Submit Manuscript | http://medcraveonline.com Keymessages: Clinicians may start with very low dose (0.2mg per day) liraglutide with subsequent weekly up-titration to minimize the gastrointestinal intolerance of liraglutide therapy, in obese and/or overweight Indian type 2 diabetes patients. Abbreviations: ADA: American Diabetes Association; BMI: Body Mass Index; DBP: Diastolic Blood Pressure; EASD: European Association for the Study of Diabetes; FPG: Fasting Plasma Glucose; GLP-1: Glucagon-Like Peptide-1; GI: Gastrointestinal; Volume 4 Issue 6 2017
关键信息:在肥胖和/或超重的印度2型糖尿病患者中,临床医生可以从非常低剂量(每天0.2mg)利拉鲁肽开始,随后每周增加剂量,以尽量减少利拉鲁肽治疗的胃肠道不耐受。缩写:ADA:美国糖尿病协会;BMI:身体质量指数;DBP:舒张压;欧洲糖尿病研究协会;FPG:空腹血糖;GLP-1:胰高血糖素样肽-1;GI:肠胃;2017年第4卷第6期
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引用次数: 3
Resistance and aerobic training in the treatment of type 2 diabetes mellitus 抗阻和有氧训练在治疗2型糖尿病中的作用
Pub Date : 2017-10-16 DOI: 10.15406/JDMDC.2017.04.00126
Bruna Marmett, R. Nunes
Submit Manuscript | http://medcraveonline.com Abbreviations: 1RM: 1-Repetition Maximum; AE: Aerobic Training; ATP: Adenosine Triphosphate; CAT: Catalase; CB: Combined Training; DM: Diabetes Mellitus; DM2: Type 2 Diabetes Mellitus; FLI: Fatty Liver Index; FMD: Flow-Mediated Dilatation; GLUT4: Glucose Transporter Type 4; HbA1C: Glycated Hemoglobin; HDL-c: High Density Lipoprotein Cholesterol; HI: High intensity; HOMA-IR: Homeostatic Model Assessment of Insulin Resistance; HRMAX: Maximum Heart Rate; HRR: Heart Rate Reserve; IL6: Interleukin 6; INT: Interval training; LDL-c: Low Density Lipoprotein Cholesterol; LW: Low Intensity; NNOS: Neuronal Nitric Oxide Synthase; OGTT: Oral Glucose Tolerance Test; RT: Resistance Training; REHIT: Reduced-Exertion High-Intensity Interval training; SOD: Superoxide Dismutase; TNF-α: Tumor Necrosis Factor Alpha; TSH: Thyroid-Stimulating Hormone; VAI: Visceral Adiposity Index; VO2MAX: Maximum Oxygen Consumption; VO2PEAK: Peak Oxygen Consumption Introduction
投稿| http://medcraveonline.com缩写:1RM: 1-最多重复;AE:有氧训练;ATP:三磷酸腺苷;猫:过氧化氢酶;CB:综合训练;DM:糖尿病;DM2: 2型糖尿病;FLI:脂肪肝指数;FMD:血流介导的扩张;GLUT4:葡萄糖转运蛋白4型;HbA1C:糖化血红蛋白;HDL-c:高密度脂蛋白胆固醇;HI:高强度;HOMA-IR:胰岛素抵抗的稳态模型评估HRMAX:最大心率;HRR:心率储备;IL6:白细胞介素6;INT:间歇训练;LDL-c:低密度脂蛋白胆固醇;LW:低强度;神经元一氧化氮合酶;OGTT:口服葡萄糖耐量试验;RT:阻力训练;REHIT:低消耗高强度间歇训练;超氧化物歧化酶;TNF-α:肿瘤坏死因子;促甲状腺激素;VAI:内脏脂肪指数;VO2MAX:最大耗氧量;VO2PEAK:峰值耗氧量介绍
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引用次数: 10
Understanding the right to health and food for the type 2 diabetic patient 了解2型糖尿病患者的健康和食物权
Pub Date : 2017-09-15 DOI: 10.15406/JDMDC.2017.04.00125
M. Cuenca
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引用次数: 1
A multi-marker approach for improved glycemic management in diabetes mellitus 改善糖尿病患者血糖管理的多标志物方法
Pub Date : 2017-08-18 DOI: 10.15406/jdmdc.2017.04.00124
Chi-En Lin, Mackenzie M. Honikel, J. LaBelle
Tight glycemic control has been the goal of care for people with diabetes [1], as achieving near-normal glucose levels has been shown to reduce the risk of microvascular disease [2-4]. Traditionally, people with diabetes are instructed to check their glucose consistently using self-monitoring of blood glucose (SMBG) technologies and make appropriate modifications to their medical intervention according to experience, empirically derived algorithms, and lifestyle. However, there are many challenges throughout the process including an increased risk of hypoglycemia when attempting to reach tighter glucose control. In addition, there is also a lack of ability to effectively account for multiple simultaneous life-style choices (e.g., exercise, alcohol ingestion, accurate carbohydrate counting) when deciding insulin boluses. These challenges all contribute to variability and unpredictability of daily glucose control. Unfortunately, sporadic measurement of glucose alone is insufficient to reach the goal of tight glycemic control, as it is merely a biomarker that reflects a series of complicated metabolism process. Given the discussed limitations there is a continued effort to improve glycemic management. Continuous monitoring and multi-marker detection are instrumental in achieving better management of the condition.
严格控制血糖一直是糖尿病患者护理的目标[1],因为达到接近正常的血糖水平已被证明可以降低微血管疾病的风险[2-4]。传统上,糖尿病患者被指示使用自我血糖监测(SMBG)技术持续检查血糖,并根据经验、经验推导的算法和生活方式对其医疗干预进行适当修改。然而,在整个过程中存在许多挑战,包括试图达到更严格的血糖控制时低血糖的风险增加。此外,在决定胰岛素剂量时,也缺乏有效考虑多种同时发生的生活方式选择的能力(例如,运动、饮酒、准确的碳水化合物计数)。这些挑战都导致了每日血糖控制的可变性和不可预测性。不幸的是,单独的零星测量葡萄糖不足以达到严格控制血糖的目的,因为它只是一个反映一系列复杂代谢过程的生物标志物。鉴于所讨论的局限性,需要继续努力改善血糖管理。持续监测和多标记物检测有助于更好地管理病情。
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引用次数: 2
Position on non-medical switching for diabetes patients 糖尿病患者非医疗转换的立场
Pub Date : 2017-08-18 DOI: 10.15406/JDMDC.2017.04.00123
Larry Ellingson
because they are manufactured from known chemicals and are characterized by their chemical equivalence making them virtually identical to the original branded medication. However, Non-Medical Switching has now been extended to biologic medications, such as insulin. The manufacturing processes for insulin use different cell lines, protein sources, as well as extraction and purification techniques. These are proprietary and often patented processes. The insulins may have similar abilities to lower blood glucose but they are not identical replacements.
因为它们是由已知的化学物质制造的,并且它们的化学等效性使它们实际上与原始品牌药物完全相同。然而,非医疗转换现在已经扩展到生物药物,如胰岛素。胰岛素的制造过程使用不同的细胞系、蛋白质来源以及提取和纯化技术。这些都是专有的,通常是获得专利的工艺。胰岛素可能具有相似的降糖能力,但它们并不是完全相同的替代品。
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引用次数: 1
The right to food and health for patients: challenges of a world in crisis 病人的食物权和健康权:危机中世界的挑战
Pub Date : 2017-08-16 DOI: 10.15406/JDMDC.2017.04.00122
M. Herrera-Cuenca
The articles number eleven and twelve of the international covenant of economic, social and cultural rights state that it should be recognized the right of every human being to an adequate life standard for him/herself and their families, including food, dress and housing and to continuing improving their life conditions; as well as the right of every individual to the fulfillment of the best and highest possible standard of physical and mental health.3
《经济、社会、文化权利国际盟约》第11条和第12条指出,应承认人人有权享有他/她本人及其家庭的适足生活标准,包括食物、衣着和住房,并有权继续改善其生活条件;2 .以及每个人享有尽可能达到最佳和最高标准的身心健康的权利
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引用次数: 0
期刊
Journal of diabetes, metabolic disorders & control
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