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In this expert interview Professor Sir Alberti discusses why the epidemic rise in T2DM persists despite the availability of medicines.
Prof John Betteridge, London, discusses the evolution of diabetes therapy, the epidemic rise in diabetes, current and emerging diabetes therapies. The Cardio Diabetes Master Classes are dedicated to improve the clinical management of patients with diabetes and  cardiovascular disease.
In GPRD data, current use of sulphonylureas only (with active or inactive metabolites) was associated with an increased risk of hypoglycaemic events, as compared with current use of metformin. Recent outcome trials of novel antidiabetic drugs shed new light on why diabetes patients develop heart disease. Out of 18 biomarkers, Lp-PLA2 and adiponectin were independently associated with a decreased risk for T2DM. In females with gestational diabetes, the future risk of developing type 2 diabetes depends on certain pregnancy-related and maternal factors that could be used for postnatal counselling. EMPA-REG OUTCOME trial shows that empagliflozin reduces microvascular outcomes and progression of kidney disease in T2DM patients at high CV risk.


ADA 2016 In T2DM patients at high CV risk, liraglutide on top of standard therapy was associated with lower rates of CV events and mortality, compared with placebo in the LEADER outcome trial.
ADA 2016 New empagliflozin data show that reduced risk for cardiovascular death was consistent across age groups in adults with type 2 diabetes.
ADA 2016 Two phase 3 studies of oral SGLT-2 inhibitor ertugliflozin met primary endpoints, showing significantly greater A1c reductions than placebo, alone or in combination with sitagliptin.
Nutrition is of utmost importance for individuals with diabetes because it is food that we eat that effects the changes in insulin that the pancreas may or may not produce in response. In type II diabetes the goal is usually weight loss and weight management because of the insulin resistance (how the body can use the insulin effectively) and that requires a balanced nutrition plan to make sure not only the foods the person is eating is appropriate for their blood sugar, but also reducing the amount of fat and overall calorie intake because of the reduced load the body will then have to deal with.
Using the Canada’s Food Guide is the first step because most individuals over consume and consume foods inefficiently, the Canada’s Food Guide has portion sizes, food ideas that one may have no considered before, and the amount from each food  group one should get. Additionally, if you know you have type II diabetes, it’s really important to contact a dietitian, specifically one that specializes in diabetes care. Nutrition at this stage is probably the most important aspect of intervention because these individuals will have to take insulin for the rest of their lives and will require knowledge about how their blood sugars are affected by the foods they eat and how to prevent complications associated with extremely high or low blood sugars. Proven, powerful and sustained HbA1c reductions with weight loss.*1–4 An ideal choice for your patients' first injectable.


BYDUREON comes in a single-dose kit that contains everything patients need to prepare and administer their weekly dose. Research has shown that a small decrease in body weight can have large improvements in body blood sugar regulation which is why treating diabetes type II with weight loss and addressing it fast are important for later complications. This is due to pancreas cells being genetically defective or, as it is becoming more pronounced later in life, can be attributed to insulin resistance that is emphasized by unhealthy lifestyle options as well environmental agents. If you cannot go to a dietitian or specialist for any reason, below are two sites you can visit by clicking on them.
They have resources that you could use as well as a way to contact other health care professionals related to diabetes management.



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Comments

  1. Lenuska

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    07.04.2014

  2. Busja

    Eating plan that focuses on low fat and considering the impact.

    07.04.2014

  3. SEXPOTOLOQ

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    07.04.2014