Type 1 diabetes and hyperglycemia

A proof-of-concept study indicates that taking some basal insulin as a single injection of degludec improves glucose control during and after exercise in people with type 1 diabetes who prefer to remove their insulin pump while exercising.

Glycated hemoglobin levels correlate strongly with continuous glucose monitoring-measured average blood glucose and hyperglycemia, but poorly with hypoglycemia, say researchers.

Diabetologist Amar Puttanna addresses growing concerns about the rise of dementia in diabetes care and highlights where guidelines, research efforts, and management options are needed to tackle this comorbidity [read more].

Get more on: Mental health and diabetes | Diabetes complications and comorbidities | Diabetes in older adults

Oriot and colleagues report a case of sudden onset autoimmune type 1 diabetes with ketoacidosis in a 93-year-old woman, and summarize the available literature [read more].
Oriot P et al. Acta Diabetol 2018. doi: 10.1007/s00592-018-1170-7

Get more on: Flash glucose monitoring | Older adults | Ketoacidosis | Type 1 diabetes medication

Sanjay Kalra and Silver Bahendeka, East Africa Diabetes Study Group Chair, provide an overview of the latest insulin guidance developed to aid management in a challenging region, facing familiar struggles [read more].

Get more on: Medications | Type 1 diabetes | Type 2 diabetes

As the utility and availability of devices surges, so too do patient expectations. Advisory Board member Katharine Barnard provides key consultation questions to help determine your patients’ greatest needs and obstacles [read more].

Get more on: Devices and technology | Psychosocial care | Type 1 diabetes | Type 2 diabetes

The authors describe a clinical case in a family with maturity onset diabetes of the young associated with a novel mutation in the HNF1A gene [read more].
Ovsyannikova AK et al. Diabetes Ther 2018; 9: 413. doi: 10.1007/s13300-017-0350-8

Get more on:  Diabetic complications | Medication | Other types of diabetes

Advisory Board member and Pharmacist, Josh Neumiller, presents a practical guide to support clinical decision-making in the initiation and titration of U-300 insulin glargine and insulin degludec [read more].

Get more on: Insulins | Medications | Expert opinions

The authors report the case of an 18-year-old girl with Graves' disease, chronic inflammatory demyelinating polyneuropathy, and multiple islet autoantibodies, presenting with relapsing/remitting hyperglycemia [read more].
van Megen KM et al. Diabetologia 2017; 60: 2252. doi: 10.1007/s00125-017-4403-3

This review synthesizes recent literature related to physical activity and health outcomes for children and adolescents with type 1 diabetes [read more].
Tully C et al. Curr Diab Rep 2016; 16: 85. doi: 10.1007/s11892-016-0779-6

Get more on: Pediatric lifestyle interventions | Pediatric obesity | Type 1 diabetes