Diabetes Guidelines: Call of Duty or Disdain?

diabetes guidlines

Clinical guidelines can provide a safer evidence-based framework for decision making. Adherence to guidelines can indeed contribute to a more systematic and harmonious approach to comprehensive diabetes management. While diabetes guidelines are valuable, it’s essential to recognise that they will always evolve over time based on new information, societal expectations and advancements in knowledge and […]

Cloudy With a Chance of Showers

cloudy with a chance of showers

Paykel (2008) describes the modern concept of depression as essentially “a clinical syndrome, defined by the presence of a number of clinical features, but not requiring a specific etiology, and acknowledging the possibility of both psychological and biological causative factors”. This definition is deceptive in its simplicity, but it fails to capture the many nuances […]

Low(er) Carbohydrate Eating Patterns in Diabetes Management

Nutrition Master Class A low carbohydrate eating approach can thus be one of many tools we can use to manage postprandial blood glucose rises. However, no single ratio of carbohydrate, protein, and fat intake is optimal for every person with diabetes. The ideal amount and proportion of any macronutrient including carbohydrate for an individual will […]

Carbohydrate Counting Skills in Diabetes Management

Nutrition Master Class Carbohydrate counting (carb counting) is a component of medical nutrition therapy (MNT) for diabetes management that facilitates the achievement of balance between life (e.g., physical activity, nutrition, stress, infections and medications that may cause glycaemic derangements), the medications needed to manage diabetes and blood glucose levels. It ranges from basic carbohydrate awareness […]

Vegetarian Eating Patterns in Diabetes

vegetarian eating patterns in diabetes

Master Class Vegetarian dietary patterns have become increasingly popular in recent years for several reasons, including ideological, environmental, ethical and religious. High nutritional quality, plant-based eating is one of several approaches to healthy nutrition that can be used in individuals with diabetes. In this session, we will unpack the practicality, and the potential benefits and […]

Dying not to eat’ – eating disorders amongst people with diabetes

dying not to eat

Eating disorders do not discriminate. They are complex mental health disorders that can affect anyone. All too often in the busy clinic, health matters that aren’t in direct sight can be overlooked – the spectrum of eating disorders amongst people with diabetes are often under-recognised and under-treated. Given the magnified morbidity and mortality risks associated […]

Menopause – end of the road, or part of the journey?

menopause

Comprehensive management of diabetes must always consider person-specific attributes. Our August Journal Club will focus on the menopause and explore the bi-directional relationship between this transitional state and diabetes. Aspects around the initiation, monitoring and possible withdrawal of menopause hormone treatment (MHT) will be clarified. The adverse impact of poor sleep beyond obstructive sleep apnoea […]

Dietary Strategies for Remission of Type 2 Diabetes – Moving Forward in Reverse!

dietary strategis

At present, the global narrative around the management of type 2 diabetes seems focussed on the role of injectable GLP-1RA’s, especially when viewed through a lens of their populist role as “spectacular weight loss drugs”. Whilst there are valid and well-defined indications for their use, less attention seems to be paid to many of the […]

Xanthoma, xanthelasma, it’s all Greek to me – lipid management in diabetes is more than skin deep…

May journal club

Integral to the management of type 2 diabetes is ensuring that the attendant blood lipid abnormalities are optimally treated. Guidelines abound setting out specific targets for these lipid sub-fractions, yet clinical trials and real-world data consistently document the failure to achieve these numeric endpoints. Because cardiovascular conditions such as atherosclerotic heart disease and stroke remain […]

Never mind your stomach, it might be the butterfly in your neck…

Lifelong thyroid hormone replacement therapy is required to treat the common chronic endocrinopathy, hypothyroidism. Nearly 130 years ago, such treatment started with crude desiccated extracts of animal thyroid glands, and this continued until synthetic levothyroxine became available in the 1980s. Receptors for the thyroid hormones T3 (3,5,3-triiodothyronine); and T4 (thyroxine) are widely expressed in tissues […]

Collateral Damage – Glucose in the line of fire

Through a variety of mechanisms, certain classes of pharmacological agents commonly used in clinical practice may interfere with glucose homeostasis in a transient, reversible or in a permanent manner. The outcomes of such interactions may range from intermediate hyperglycaemia to new-onset diabetes mellitus in people with underlying genetic, lifestyle and physiological risks for diabetes, to […]

Insulin Pump Therapy – Not the only thing pumping this month!

Insulin Pump Therapy

The long-term benefits of intensive diabetes management are well established in the literature. However, the self-management of type 1 diabetes is often accompanied by various recurring daily challenges including unpredictable eating and physical activity patterns, fear of hypoglycaemia and variations in insulin requirements or insulin sensitivity. So, for some people living with type 1 diabetes, […]

Using Technology to Better Engage with our Clients

Diabetes technology is a multi-billion dollar industry and growing. The rapidly advancing systems and applications are changing the landscape of diabetes care and enhancing our ability to improve the quality of life of our clients. Whether you intrigued by technology or a technophob, as health practitioners, we need to start embracing and discovering what technology is available, […]

Diabetes feat. HFrEF – Achey Breakey Heart

heart failure in diabetes

With a prevalence of up to 22%, heart failure is a common, yetunderappreciated potential chronic complication of diabetes. Heart failure may be thefirst presentation of cardiovascular disease in many people with diabetes, but notably, it may even develop in people with diabetes in theabsence of hypertension, coronary heart disease, or valvular heart disease. Dietary modifications, which are individually tailored, are vital […]

Metformin in Pregnancy – What are you expecting?

Metformin is the most used pharmacotherapy for type 2 diabetes, where it is used as a first-line treatment along with lifestyle changes. However, what should be done in terms of metformin prescription when our clients consider pregnancy or fall pregnant? Do you initiate a conversation around drug safety with your clients well ahead of planned pregnancy? […]

Adults with Type 1 Diabetes: 18 and Over, No Type 2’s Allowed

adults with type 1 diabetes

Recent epidemiological data shows that more than half of all new cases of type 1 diabetes occur in adults. Key genetic, immune, and metabolic differences exist between type 1 diabetes in adults and children, many of which are not well understood. This results in a substantial risk of misclassification of diabetes type. Notably, some adults with type 1 diabetes may not require insulin at diagnosis – […]

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