‘Don’t break a leg!’ – Osteoporosis and bone health matters in diabetes
The interplay between diabetes and osteoporosis is clinically meaningful. Increasingly this is now being appreciated in clinical research in part owing to their shared pathophysiological mechanisms and cumulative health impact. In essence, both are prevalent chronic conditions, often coexisting in ageing populations. That said, there is a fast-emerging increasing incidence of osteoporosis in younger and pre-menopausal […]
Nutrition Skills: Lunchtime Masterclass – Cognitive Behavioural Therapy (CBT)
Weight Neutral Approaches to Diabetes Management – Masterclass
The Role of a Very Low Calorie Diet in Type 1 & 2 Diabetes – Masterclass
Don’t Lose Your Head…Finding the Balance wit Diabetes
Falls, especially in the older person with diabetes, result in significant adverse physical, psychological and social consequences. The latter include increased anxiety, depression and isolation. A loss of independence, and the potential need for long-term care or institutionalization are themselves added and under-recognized outcomes following a fall. A complex interplay exists between diabetic neuropathy, vision […]
Contraception Insights for Women with Diabetes… Her Voice, Her choice.
Women with diabetes can face several reproductive health challenges that need careful consideration of contraceptive options. When reflecting on a choice of contraception, sufficient thought must be given around the particular efficacy and safety of the chosen method, whilst balancing the need for effective pregnancy prevention with the potential impact on glucose metabolism and vascular, […]
Chewing the Fat on Lipids
Type 2 diabetes is frequently associated with dyslipidaemia characterized by elevated triglycerides, reduced high-density lipoprotein cholesterol (HDL-C), and a preponderance of small, dense low-density lipoprotein cholesterol (LDL-C) particles. These lipid abnormalities contribute to an increased risk of atherosclerotic cardiovascular disease (ASCVD). The pathophysiological mechanisms underlying this enhanced risk include enhanced oxidative stress, inflammation and endothelial […]
Silent Saboteurs – Unveiling Microvascular Disease in Diabetes
‘Behind the Veil… Journeys in Chronic Healthcare with Dr Stan Landau and Team’ The CDE Academy is proud to invite you to register for our next Journal Club Webinar. Each session is real-time, online and CPD-accredited. All our topics are carefully selected to be of interest to all members of the wider interdisciplinary diabetes team. Microvascular complications […]
Navigating Diabetes on the Road to Parenthood…Preparing for and sustaining the journey
‘Behind the Veil… Journeys in Chronic Healthcare with Dr Stan Landau and Team’ The CDE Academy is proud to invite you to register for our next Journal Club Webinar. Each session is real-time, online and CPD-accredited. All our topics are carefully selected to be of interest to all members of the wider interdisciplinary diabetes team. Iron deficiency […]
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
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?
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?
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
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
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
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 […]
