Treating people with type 2 diabetes.

As the symposium of articles in this issue shows, there are now many options for managing type 2 diabetes. Potent new oral or injectable hypoglycaemic medications can be added to older drugs or used alone. In addition to metformin, the British National Formulary (Joint Formulary Committee, 2013) lists five sulfonylureas, two meglitinides, four dipeptidyl peptidase-4 inhibitors, two glucagon-like peptide-1 agonists, an inhibitor of intestinal alpha glucosidases, a sodium-glucose co-transporter 2 inhibitor, and a thiazolidinedione.

One-third of doctors completing specialist training in diabetes fail to secure a substantive consultant post: young Diabetologists' Forum Survey 2010.

Reports have highlighted a shortage of consultant diabetologist posts in the UK. The number of doctors completing specialist training in diabetes has increased in recent years, but little is known about their employment after they receive their certificate of completion of training. An online survey was sent to all doctors who completed specialist diabetes training from January 2008 to September 2010.

High output heart failure caused by extensive arteriovenous malformation: problems and pregnancy.

ARTERIOVENOUS MALFORMATION (AVM) OCCURRING IN ASSOCIATION WITH SOFT TISSUE AND SKELETAL HYPERTROPHY FORMS THE BASIS OF THE PARKES WEBER SYNDROME: a rare congenital angio-osteohypertrophy condition with no obvious racial, gender or geographic preference. Usually in the lower limbs, the AVM can result in a dilated cardiomyopathy due to a high output cardiac state. We describe the case of a 21-year-old woman with an extensive AVM affecting one leg, which included the pelvic vasculature.