South African Journal of Diabetes - latest Issue
Volume 9, Issue 2, 2016
Author Stan LandauSource: South African Journal of Diabetes 9 (2016)More Less
The content of this issue includes diverse topics such as hypogonadism, carbohydrate counting skills and the medical treatment of obesity. On their own, each piece that follows here is clearly a standalone topic within a broad diabetes framework. I see it perhaps as part of the 'Journey of diabetes'.
Author Greg HoughSource: South African Journal of Diabetes 9, pp 7 –12 (2016)More Less
Obesity is a serious medical disorder associated with significant morbidity and mortality. It is rapidly increasing in prevalence in all societies and countries. Complications of obesity include metabolic disorders such as type 2 diabetes, hypertension, hypercholesterolaemia, fatty liver disease, polycystic ovarian disease and obstructive sleep apnoea. Complications may also be cardiovascular in nature, including stroke, coronary artery disease and heart failure. Obesity also increases overall cancer risk and is associated with an increasing risk of death as the degree of obesity increases.
Source: South African Journal of Diabetes 9, pp 15 –20 (2016)More Less
Carbohydrate counting is a component of medical nutrition therapy for diabetes management that ranges from basic carbohydrate awareness to advanced carbohydrate counting (carb counting). Carb counting has been well documented as an effective approach to improve glycaemic control in diabetes, particularly in patients who are using a 'basal-bolus' insulin regimen (BBR). This regimen includes the use of intermediate- or long-acting insulin in a basal role, together with short- or rapid-acting (RA) pre-prandial insulin. Insulin is a necessity for all patients with type 1 diabetes mellitus (T1DM) to survive, while many patients with type 2 diabetes mellitus (T2DM) require insulin supplementation to manage persistent hyperglycaemia. Carb counting complements insulin therapy for the management of both T1DM and T2DM.
Source: South African Journal of Diabetes 9, pp 23 –27 (2016)More Less
The association between hypogonadism (HG) and diabetes mellitus (DM) in males is well established. International and local data estimates that 25-50 % of men with diabetes may have HG. The aetiology of this link remains unclear - does diabetes cause HG or does HG cause diabetes, or are these two independent entities occurring at increasing rates in the ageing male with declining health? However, what is not contentious is that HG is significantly associated with increased morbidity and mortality in men with diabetes.
Author Hamish Van WykSource: South African Journal of Diabetes 9, pp 28 –31 (2016)More Less
Recent data from the South African National Health and Nutrition Examination Survey (SANHANES) has shown that 70 % of women and 30 % of men are either overweight or obese (Shisana et al., 2013). Closer evaluation reveals that 40.1 % of women and 11.6 % of men are obese. With such high rates of obesity, one has to wonder what the prevalence of type 2 diabetes will be in South Africa in years to come. Beyond the health implications of obesity, data from the US suggests that obese patients had medical spending that was 40 % higher than non-obese counterparts (Finkelstein et al. 2009).
Novo Nordisk holds the first new generation insulin summit to educate doctors on novel developments in diabetes management : press releaseSource: South African Journal of Diabetes 9, pp 32 –33 (2016)More Less
Diabetes is a global epidemic
Diabetes is one of the largest global health emergencies of the 21st century. Worldwide, it is a leading cause of cardiovascular disease (heart attacks and stroke), blindness, kidney failure and lower limb amputation. The latest International Diabetes Federation (IDF) Atlas (IDF, 2015) reveals that 60 to 80 percent of patients in Sub-Saharan Africa who have diabetes, die before the age of 60. Furthermore, diabetes accounts for almost one out of every three deaths among the economically active age group of 30 to 40 years. Consequently, the economic burden of diabetes in terms of healthcare costs and loss of productivity is massive.
CDE presents a five-day Advanced Course in Diabetes Care for health professionals 2016 : CPD accredited diabetes trainingSource: South African Journal of Diabetes 9, pp 34 –35 (2016)More Less