Endocrinologists generally see middle-aged people who have developed type 2 diabetes mellitus (T2DM) subsequent to overnutrition (or overeating) and weight gain. Most clinicians tend to forget that low caloric intake, or undernutrition, in the prenatal period or during a child’s formative years also seems to increase the risk of the T2DM later in life.
Approximately 2 million Americans live with limb loss, with approximately one-half of all amputations due to vascular disease, especially diabetes. When patients attach prostheses, the device causes stump compression and contact friction, exacerbated by humidity and moisture buildup. In patients who may already have vascular disease, diabetes, or malignancy, the consequences can be dire, leading to severe infection and the need for revision.
Certain genes might prevent regular exercise from improving glucose control in up to a fifth of people with type 2 diabetes, according to findings published online Nov. 20 in the Journal of Clinical Endocrinology & Metabolism.
The effects of trials to improve medication adherence are inconsistent, with few studies of the highest quality demonstrating improvement in both adherence and clinical outcome, according to a review published online Nov. 20 in The Cochrane Library.
A review of evidence supports that ketogenic diets suppress appetite despite weight loss. The research was published online Nov. 17 in Obesity Reviews.
The cost of diabetes care in the United States has increased 48 percent in recent years, climbing to more than $322 billion annually, according to research published in the December issue of Diabetes Care.