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Diabetes Developments - A blog on latest developments in diabetes by David Mendosa

Entries Tagged as 'Diabetes Complications'

Don’t Skip Your Flu Shot This Year

November 14th, 2016 · Comments Off

You probably haven’t got your flu shot yet, and you may not be planning to get one this year. But skipping the shot could be a deadly mistake for someone who has diabetes.

A large population-based study of 124,503 adults in the UK who have Type 2 diabetes found that those who got a flu vaccine had a 24 percent lower death rate than those who didn’t get vaccinated. Flu vaccinations also resulted in a 30 percent reduction in hospital admissions for stroke and a 22 percent reduction in heart failure admissions.

Researchers from Imperial College London used one of the world’s largest computerized medical databases of primary care records, the Clinical Practice Research Datalink in England. They studied the results for seven flu seasons between 2003 and 2010 and reported their findings in CMAJ in July 2016.

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Posted in: Diabetes Complications

Don’t Let Diabetes Destroy Your Sex Life

September 30th, 2016 · Comments Off

Your intimate relationships can suffer when you have diabetes. But it’s not inevitable.

Challenges to sexual performance remain a taboo subject for many people, even as sex itself has come out of the bedroom and our culture has become increasingly sex obsessed. Consequently, you may be reluctant to discuss your concerns with a date, a partner, or even with a healthcare provider.

Those of us who have diabetes tend to accept, albeit reluctantly, that we have or may get the physical complications that can come with it. Yet we too often try to hide the emotional complications that can be equally devastating to satisfactory intimate relationships.

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Posted in: Diabetes Complications

This Device Can Warn You If You Will Get a Foot Ulcer

September 22nd, 2016 · Comments Off

Foot ulcers can have an their early warning system, and this is probably the only good thing about them. When one of these ulcers are developing developing, it may not be obvious even to a doctor. But it will likely be a warmer spot on your foot.

To take advantage of this warning, a new medical system uses temperature data to predict that an ulcer will develop more than a month before it surfaces. With this system, doctors would have more time to treat it.

Foot ulcers can follow neuropathy, which 60 to 70 percent of people with diabetes have. But neuropathy is not an inevitable consequence of diabetes.

“The best way to prevent neuropathy is to keep blood glucose levels as close to the normal range as possible,” the U.S. National Institute of Diabetes and Digestive and Kidney Diseases states. “Maintaining safe blood glucose levels protects nerves throughout the body.”

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Posted in: Diabetes Complications

Reduce Your Risk of Weight Loss Surgery

August 26th, 2016 · Comments Off

Do you have diabetes and a BMI above 35? If you do and decide to get bariatric surgery to help you manage your diabetes, it could be an excellent idea.

But will you to go to your nearest hospital for the procedure? That might not be the safest thing to do.

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Posted in: Diabetes Complications, Diabetes Medication

Why You May Want To Take Early Control of Your Diabetes

August 23rd, 2016 · Comments Off

If having heart failure or getting a stroke or dying soon are the only diabetes risks that concern you, then you don’t need to start managing your diabetes right away. But if you would rather not get diabetic retinopathy, diabetic nephropathy, or diabetic neuropathy, you may want to get down to a normal blood glucose level right after your doctor diagnoses it.

This is the good news/bad news summary of a study by researchers at the University of Chicago’s Department of Medicine and colleagues at the Kaiser Permanente Division of Research, and Northwestern University’s Feinberg School of Medicine. They presented their findings in late breaking abstract 184-LB, “Early Glycemic Control after Type 2 Diabetes Diagnosis Is Most Critical for Future Health and Survival,” at the American Diabetes Association recent convention, the world’s largest annual meeting of diabetes professionals.

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Posted in: Diabetes Complications

You Can Stop NASH Before Your Liver Fails

July 30th, 2016 · Comments Off

You may be able to stop a serious liver disease called nonalcoholic steatohepatitis, but better known as NASH, when you take the diabetes drug pioglitazone. NASH is a common complication of type 2 diabetes. But a three year long randomized, double-blind, placebo-controlled trial concludes that pioglitazone, sold here as Actos as well as in a generic version, is a safe and effective treatment.

Kenneth Cusi, MD, is the lead author of the study, which the journal Annals of Internal Medicine published online ahead of print. Only the abstract of the study is free online. But a spokesperson for the University of Florida, where Dr. Cusi is a professor of medicine, sent me the full-text.

My Wife Catherine Died of Liver Failure

NASH usually has few or no symptoms, according to the National Institute of Diabetes and Digestive and Kidney Diseases. It is “usually a silent disease.”

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Posted in: Diabetes Complications

Cut Your Risk of Retinopathy

July 27th, 2016 · Comments Off

Cut your risk of diabetic retinopathy in half! You can when you keep your blood glucose level below 6.

This is the powerful message of a study announced at the recent annual convention of the American Diabetes Association in New Orleans. It’s published in the July 2016 issue of Diabetes Care.

Dr. Chew Examines a Woman’s Eyes

The study also showed that one drug, a cholesterol medicine called fenofibrate, might be worth taking to control the progression of diabetic retinopathy. But the drug loses its effectiveness after people stop taking it, unlike the continued benefits from near-normal blood glucose levels below 6 after this intensive control stopped.

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Posted in: Diabetes Complications

Vitamin D May Help Prevent Diabetic Retinopathy

June 27th, 2016 · Comments Off

If you have a low level of vitamin D, taking this inexpensive supplement may help you prevent diabetic retinopathy, one of the most serious complications of diabetes. This is the most common reason why some people with diabetes lose their vision.

A meta-analysis just presented at the Annual Scientific and Clinical Congress of the American Association of Clinical Endocrinologists, in Orlando, Florida, from May 25 to 29, found “a statistically significant association between diabetic retinopathy and vitamin D deficiency.” Three researchers presented their findings in an abstract, “The Relationship Between Vitamin D Deficiency and Diabetic Retinopathy: A Systematic Review and Meta-Analysis.” The Canadian Journal of Ophthalmology is expected to publish the full report soon, one of the study’s authors told me.

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Posted in: Diabetes Complications, Diabetes Medication

Waist Size Is a Better Predictor of Heart Disease

May 15th, 2016 · 1 Comment

When it comes to either your waist or your body mass index, bigger isn’t better. But the size of your waist predicts whether you will get diabetic heart disease even better than the body mass index (BMI) does.

A collaborative team of nine researchers from the Intermountain Heart Institute in Salt Lake City and Johns Hopkins Hospital in Baltimore reported their findings this month at this year’s scientific sessions of the American College of Cardiology. I obtained a copy of the study and the poster presented at the scientific sessions from a representative of the institute.

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Posted in: Diabetes Complications

Incompatible Kidney Transplants Offer Survival Benefits

April 16th, 2016 · 1 Comment

Credit: Tareq Salahuddin

Kidney failure is one of the most devastating complications of uncontrolled diabetes. A kidney transplant is the best hope for long-term survival, but finding a compatible donor is almost impossible for some people whose kidneys have failed.

Now, a study that experts have described as “revolutionary” shows that a transplant from an incompatible donor saves many lives. Just last week The New England Journal of Medicine published a long-term study of more than 1,000 transplants of incompatible kidneys that were performed in the past few years at 22 centers. While only the abstract of the study is online, the lead author Dorry Segev, MD, PhD, associate professor of surgery at the Hopkins School of Medicine, sent me the full text upon my request.

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Posted in: Diabetes Complications

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