South African Journal of Diabetes - latest Issue
Volume 9, Issue 4, 2016
Author Stan LandauSource: South African Journal of Diabetes 9 (2016)More Less
The long-established and commonest complication, cardiovascular disease (CVD), continues to run rampant amongst those with diabetes. Adequate and timeous assessment, coupled with prophylactic interventions prior to a first event, remains the Holy Grail amongst clinicians caring for these patients.
Author Jayalakshmi NarainsamySource: South African Journal of Diabetes 9, pp 7 –11 (2016)More Less
The World Health Organisation (WHO) estimates that there are more than 17.5 million deaths from cardiovascular disease (CVD) annually. The global atlas for CVD prevention and control released by WHO in 2011, revealed that despite the increasing prevalence of communicable diseases and cancer, CVD accounted for the highest percentage (31 %) of the overall global causes of death. Another concerning trend is that more than three-quarters of these CVD outcomes occur in low and middle income countries.
Source: South African Journal of Diabetes 9, pp 12 –19 (2016)More Less
Historically, we believed that type 2 diabetes (T2DM) was a progressive condition, with an inevitable, gradual decrease in beta-cell function. Data from the United Kingdom Prospective Study indicated that approximately only 50 % beta-cell function remains at the time of diagnosis which decreases to 30 % within 6 years (UKPDS, 1998). This reduction in beta cell function is associated with treatment intensification including additional oral antihyperglycaemic agents and ultimately insulin. Due to the decrease in beta-cell function, the first phase insulin response (insulin secretion within the first 10 minutes after eating) is believed to be permanently lost in people with type 2 diabetes (Gerich, 2002; Taylor, 2013). Lim et al. (2011) challenged this view when the first phase insulin secretion normalised following a very low calorie diet (VLCD) (<600 kcal) for 8 weeks. Lim's VLCD, like so many, consisted of 3 meal replacement shakes and non-starchy vegetables. Subsequently, glycaemic control normalised and T2DM was in remission. It is not surprising that this study led researchers to question if T2DM could be reversed, sparking mass interest in these diets from people living with the condition (Steven, Lim and Taylor, 2013).
Author Anette ThompsonSource: South African Journal of Diabetes 9, pp 20 –21 (2016)More Less
Frequently, patients will ask whether it is safe to use nail cosmetics while undergoing podiatry abrasion and treatment for a fungal nail infection, or in the healing period after the podiatrist has carried out ingrown toenail surgery. While we are sympathetic to the patient's desire to 'cover up' the temporary disfiguration, both patient and practitioner need to be mindful of the potential risks.
18th CDE Postgraduate Forum in Diabetes Management : 29 - 31 July 2016, Emperors Palace Conference Centre : Summary of Proceedings : originalAuthor Rosemary FlynnSource: South African Journal of Diabetes 9, pp 25 –32 (2016)More Less
The Annual CDE Postgraduate Forum in Diabetes Management has become a highlight on the local continuing education calendar for diabetes care and cardiovascular risk management. As always, a hallmark of the CDE Forum is the intentional inclusion of the wider team of health professionals involved in the care of people with diabetes, meeting under one roof on an equal footing, and with the same goal in mind. In its 18th iteration, the Forum continues to grow in reputation and in the quality of the learning and networking experience. Although Forum attendance is part of the contractual requirements for the continued accreditation of CDE Providers, the Forum also celebrates the achievements of CDE health professionals and CDE Centres as they strive for clinical and management excellence. With their contributions, the CDE is better able to fulfil its mission to attain and maintain improved glycaemic and cardiovascular risk factor management and to provide people with diabetes the knowledge, care and support they need.
Source: South African Journal of Diabetes 9, pp 34 –35 (2016)More Less
This is an Advanced Course, and is aimed at Health Care Professionals who have a basic knowledge and understanding of diabetes mellitus. It is designed to give an extensive overview of the core principles of modern team diabetes management, so enabling the participants to understand the condition in sufficient depth, to make a real difference in the lives of people with diabetes. Pre and Post Course multiple-choice knowledge evaluation tests are administered, to allow for evaluation of the learning experience.