For Beta or Worse? Quantifying beta cell function in the preclinical stages of type 1 diabetes – reflection questions and pre-reading material

Thank you for registering for our CDE Academy Online Journal Club Webinar and journey through new clinical encounters! All our topics are carefully selected to be of interest to all members of the wider interdisciplinary diabetes team. The 2024 American Diabetes Association (ADA) Standards of Care in Diabetes tell us that once hyperglycaemia occurs, people with […]

Ironing Out the Complexities

ironing out the complexities

Anaemia and diabetes in a clinical context Iron deficiency is common in South Africa. Whilst classic aspects of this entity like koilonychia or spoon-shaped fingernails are well known to clinicians, less appreciated are early, non-specific clues which may be present for years before a diagnosis is confirmed. In all cases, the cause of iron deficiency should be addressed, […]

CGM, AGP and now GRI…A new abbreviation and new insights into clinical diabetes?

CGM, AGP and now GRI...A new abbreviation and new insights into clinical diabetes?

The direct or indirect monitoring of blood glucose remains a key aspect of diabetes management. Any treatment plan for the person with diabetes will be constructed in part using this data, as will any future modifications, such as escalation or de-escalation of therapies. Thus, this glucose data must be complete, reliable and must provide accurate […]

Undercover – Sex and Sexuality in Women with Diabetes

The World Health Organization defines sexual health as “a state of physical, emotional, mental and social well-being in relation to sexuality: it is not merely the absence of disease, dysfunction or infirmity” (WHO, 2002). We have chosen this important topic because it receives too little attention relative to other aspects that comprise comprehensive diabetes care. […]

Lesser spotted forms of diabetes and their droppings

In their 2024 Standards of Care in Diabetes, the American Diabetes Association (ADA state that “Diabetes is classified conventionally into several clinical categories, although these are being reconsidered based on genetic, metabolomic, and other characteristics and pathophysiology”. They expand on this when describing diabetes other than type 1, type 2 and gestational diabetes: It can be […]

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, […]

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Welcome to the CDE Academy

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Get Started

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