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European Medical Journal Diabetes, Pp 77-84 (2023)
ISSN 2054-6181 · European Medical Journal · 69 articles in the index
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Journal Article
Hidden Complication of Obesity and Diabetes: Is It Time to Put More Focus on Fatty Liver?
Since the release of the EMPA-REG trial in 2015, the focus in diabetes management has been shifted from a glucocentric approach to a more organ-protective approach. Much of the focus has been on cardiorenal protections, thanks to the numerous landmark trials being published in recent years…
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Journal Article
Type 1 Diabetes and Health Information Systems: Lessons from Denmark
One of the components of a health system as defined by the World Health Organization (WHO) is data that the health system collects, generates, and uses to improve the health of its population. The aim of this paper is to describe key lessons from Denmark in planning, implementing, and using health…
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Journal Article
Newer Oral Levothyroxine Formulations: Is It Time to Switch Over?
Primary hypothyroidism is a frequent presentation in primary care, and is treated with levothyroxine sodium tablets once daily in the morning in the fasting state. With an adequate dose, the goal is to achieve a thyroid stimulating hormone in the normal range in 6–8 weeks. Medications, foods, and…
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Journal Article
Preconception Care for Individuals with Diabetes
The incidence of diabetes has been increasing and, in parallel, so has the incidence of females in their childbearing years with diabetes. Preconception care is important in females with diabetes due many factors related to fertility, blood glucose control, and complications. For example, many…
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Journal Article
An Unexpected Post-ocrelizumab Improvement in Glycaemic Control in a Patient with Multiple Sclerosis
Ocrelizumab, a novel member of disease-modifying therapies for multiple sclerosis (MS), is a humanised monoclonal antibody against the CD20 molecule on the surface of B cells. Reports on possible effects of this molecule in MS therapy have attracted a lot attention since its approval in 2017. The…
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Journal Article
Diabetic Ketoacidosis in Pregnancy: An Overview of Pathophysiology, Management, and Pregnancy Outcomes
Diabetic ketoacidosis (DKA) is an obstetrical emergency that is associated with an elevated risk of adverse pregnancy outcomes. This includes pregnancy loss in up to 1 in 3 cases. Due to the normal metabolic changes that occur during pregnancy, females who are pregnant are more vulnerable to DKA…
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Journal Article
Tropical Diabetic Hand Syndrome: A Case Report and Literature Review
Tropical diabetic hand syndrome (THDS) is an acute complication that mainly affects patients with diabetes living in the tropics. The cause is usually unknown, but it is often preceded by minor trauma to the hand. Other risk factors for TDHS are poor glycaemic control, poorly treated wounds…
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Journal Article
Diabetic Ketoacidosis Precipitated by COVID-19: A Case Report
Introduction: Diabetic emergencies such as diabetic ketoacidosis (DKA) are life-threatening complications, often precipitated by infections or illnesses such as COVID-19. Case presentation: A 55-year-old African American female presented to their primary care physician, complaining of fatigue…
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Journal Article
Next Step in Incretin-Based Therapy: From Single to Dual Agonism
The twin epidemics of Type 2 diabetes (T2D) and obesity will continue to bring significant health challenges in the coming decades. Randomised controlled trials of glucagon-like peptide 1 (GLP-1)-based therapies showed high glycaemic efficacy with clinically meaningful weight loss, and have been…
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Journal Article
Acute Worsening of Glycaemic Control in a Patient with Latent Autoimmune Diabetes of Adulthood After Receiving the COVID-19 Vaccine
Patients with diabetes who are infected with severe acute respiratory syndrome coronavirus 2 experience a worsening of glycaemic control and are at increased risk for severe outcomes. Little is known regarding the impact of COVID-19 vaccinations on glycaemic control. This case report explores a…
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Journal Article
Chronic Complications of Diabetes
Diabetes is a chronic condition that afflicts over 450 million people worldwide. Diabetes can lead to the development of multiple chronic comorbidities, such as microvascular, macrovascular, and neuropathic complications. Furthermore, diabetes is the leading cause for many of these complications…
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Journal Article
Comorbidity of Anxiety and Depression with Hypertension, Diabetes, and Cardiovascular Disease: A Selective Systematic Review from India
Context: Non-communicable diseases (cardiovascular diseases, hypertension, and diabetes) and comorbid common mental disorders are of public health concern because of their high morbidity and mortality rates. The authors undertook a systematic review of studies that reported the prevalence of common…
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Journal Article
Screening for Heart Failure in Diabetes: A Way to Reduce Its Prevalence? A Proof of Concept of a Risk Assessment Tool
Background: Heart failure (HF) is underdiagnosed among patients with diabetes. Awareness is required to improve its management and to reduce its impact. Objectives: To suggest a risk assessment tool that could facilitate the early diagnosis of HF and even reduce its incidence by facilitating…
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Journal Article
Socio-demographic Determinants of Attendance in Diabetes Education Centres: A Survey of Patients’ Views
Introduction: Diabetes is a global medical condition associated with a huge human and financial cost. However, early detection and appropriate pharmacological and non-pharmacological interventions, such as structured patient education, are useful measures to reduce its impact. Although the benefits…
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Journal Article
How to Manage Type 2 Diabetes Mellitus During the COVID-19 Pandemic: Let’s Hear the Patient’s Voice
Diabetes is one of the most significant comorbidities associated with COVID-19 susceptibility and severity, and recent statistics have identified that up to half of all individuals with COVID-19 have had diabetes. Over 90% of people with Type 2 diabetes mellitus are overweight or obese, and obesity…
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Journal Article
Disorders of Gastrointestinal Motility in Diabetes Mellitus: An Unattended Borderline Between Diabetologists and Gastroenterologists
Gastrointestinal (GI) symptoms represent an important and often poorly appreciated reason of morbidity in diabetes mellitus. Diabetes can affect nearly all parts of the GI tract; however, data on the prevalence of ‘diabetic gastroenteropathy’ are inconsistent. The significance of disturbed GI…
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Journal Article
Stroke in Patients with Diabetes: Is It Time to Expand Public Health Priority to Encompass High-Risk Patients with Increased Insulin Resistance?
Diabetes and stroke, with an interlinking aetiology, contribute to a growing cardiovascular disease burden and mortality around the world. Given the disproportionate prevalence and the burden of these conditions in the developing world, as well as the high risk of both Type 2 diabetes and…
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Journal Article
Disparities in Diabetes Care
Disparities in the distribution of diabetes health have been reported by social class, age, gender, and ethnicity and may arise from an interplay of biological, clinical, and non-clinical factors. As well as being morally wrong, these differences in outcome will have a significant adverse effect on…
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Journal Article
Fast Progression of Diabetic Retinopathy with SARS-CoV-2 Infection
COVID-19 is caused by severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) and has been shown to affect a multitude of organ systems. It is often associated with vasculitis or thromboembolic disease with resultant tissue hypoxia. This report presents a case of fast progression diabetic…