Prevention of Type 2 Diabetes: Risk Status, Clinic, and Community
Journal of General Internal Medicine, 11/09/2009
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Venkat Narayan KM et al. – Although the idea of preventing type 2 diabetes has been articulated since the discovery of insulin, only in the past decade have clinical trials demonstrated that diabetes can be prevented or ... lifestyle intervention reduces diabetes incidence by over 50% and is more efficacious than metformin. Evidence from prevention trials comes from persons with “pre–diabetes” in which blood glucose levels are elevated but not yet in the diabetes range. In normoglycemic persons, lifestyle or drug ... diabetes incidence. Prevention programs are often conducted outside the clinical sector where participants’ glycemic status is usually unknown; these programs may include many normoglycemic participants, which greatly reduces cost–effectiveness. An economically sustainable system for diabetes ... sector, community–based lifestyle programs, and third–party payers to ensure that limited resources for diabetes prevention are focused on persons at high risk of diabetes.
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Differential association of HLA with three subtypes of type 1 diabetes: fulminant, slowly progressive and acute-onset
Diabetologia - Clinical and Experimental Diabetes and Metabolism, 10/19/2009
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Kawabata Y et al. – These data suggest that HLA associations with fulminant type 1 diabetes are qualitatively different from those with other subtypes of type 1 diabetes, whereas the HLA contribution to ... diabetes is qualitatively similar to, but quantitatively different from, that in acute–onset type 1 diabetes.
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Periodontal Disease – The Overlooked Diabetes Complication
Nephrology Nursing Journal, 10/07/2009
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Dunning T – Periodontal diseases are infectious processes that occur in the presence of bacteria, which trigger an inflammatory response. Periodontal disease is associated with many medical conditions, including diabetes mellitus and its ... described as the “sixth diabetes complication” but is often overlooked in routine diabetes management and complication screening processes. Proactive, preventative dental and diabetes self care, as well as regular dental and diabetes assessment, are important management strategies because ... the progression of impaired glucose tolerance to diabetes mellitus and to hyperglycemia in individuals with established diabetes.
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Testing for monogenic diabetes among children and adolescents with antibody-negative clinically defined Type 1 diabetes
Diabetic Medicine, 10/05/2009
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Rubio–Cabezas O et al. – The identification of patients with monogenic diabetes from children with clinically defined Type 1 diabetes may be helped by clinical ... absence of pancreatic autoantibodies.
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Cigarette smoking is an independent risk factor for type 2 diabetes: a four-year community-based prospective study
Clinical Endocrinology, 10/16/2009
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Cho NH et al. – Smoking is an independent risk factor for type 2 diabetes mellitus and showed synergistic interaction with the status of low insulin secretion and high insulin resistance for developing diabetes. Given the ... smoking and growing burden of diabetes in the world, cessation of smoking should be considered as one of the key factors for diabetes prevention and treatment programmes.
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Sexual Functioning among Women with and without Diabetes in the Boston Area Community Health Study
The Journal of Sexual Medicine, 10/08/2009
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Wallner LP et al. – Women with type 2 diabetes may have similar sexual functioning to women without diabetes, although women with type 1 diabetes may more often have dyspareunia. Factors such ... diabetes, are more strongly related to sexual dysfunction than diabetes status.
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Serious diabetes-specific emotional problems in patients with type 2 diabetes who have different levels of comorbid depression: A Polish study from the European Depression in Diabetes (EDID) Research Consortium
European Psychiatry, 11/06/2009
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Kokoszka A et al. – Diabetes–related emotional problems are particularly ... to non–depressed DM2 patients. Male diabetes patients with a depressive disorder are particularly vulnerable to develop high levels of diabetes–specific emotional distress. Major differences between the three groups mainly concern the diabetes–specific problems connected with the
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A Simulation of the Comparative Long-term Effectiveness of Liraglutide and Glimepiride Monotherapies in Patients with Type 2 Diabetes Mellitus
Pharmacotherapy, 10/28/2009
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Sullivan SD et al. – With use of the CORE Diabetes Model and data from the LEAD–3 trial, long–term projected survival, diabetes complications, and costs favored liraglutide 1.2– and 1.8 ... type 2 diabetes.
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Primary Care Fellowship in Diabetes: An Innovative Program in Postgraduate Diabetes Education
Teaching and Learning in Medicine, 10/13/2009
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Tanenberg RJ et al. – The objective of the fellowship is to educate primary care physicians to serve as regional specialists in diabetes. The program is administered by physicians, educators, and ... of high–quality diabetes care for underserved patients in the region. Mean glycemic control in fellows' patients improved and other clinical endpoints were also met. Conclusions: A 1–year diabetes fellowship is a replicable solution to address the need for diabetes care specialists ... diabetes mellitus education, medical, graduate
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Alternative Forms of Exercise Training as Complementary Therapy in the Prevention and Management of Type 2 Diabetes
Diabetes Spectrum, 11/24/2009
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Bronas UG et al. – Based on the available evidence, it appears that a combined cardiovascular and resistance exercise training program should be part of a comprehensive treatment program for the prevention and management of type 2 diabetes, as recommended by American Diabetes ... Association guidelines.
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