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Follow the development of a hyperglycemic insulin protocol for a cardiovascular surgical program.
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Optimising renal risk parameters in type 2 diabetes mellitus: Perspectives from a retinal viewpoint.
Clin Med (Lond)
March 2024
Royal Stoke University Hospital, University Hospitals of North Midlands NHS Trust, Stoke on Trent ST4 6QG, UK. Electronic address:
Diabetic retinopathy and nephropathy share pathophysiological mechanisms and there is a defined correlation between the severity of both these microvascular complications from suboptimal glycaemic control. The reno-protective properties offered by sodium-glucose co-transporter-2 inhibitors and glucagon-like peptide-1 receptor agonists should be applicable to diabetic retinopathy as well. However, in patients with pre-existing diabetic retinopathy, sudden improvement in glycaemic control is well documented to cause early worsening of the changes in the retina that is usually transient.
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Diabetes Res Clin Pract
May 2023
Faculty of Medicine, Department of Metabolism Digestion and Reproduction, Imperial College London, London, United Kingdom.
Diabetes is a highly prevalent disease associated with considerable cardiovascular end organ damage and mortality. Despite significant changes to the management of acute myocardial infarction over the last two decades, people with diabetes remain at risk of complications and mortality following a myocardial infarct for a multitude of reasons, including increased coronary atherosclerosis, associated coronary microvascular dysfunction, and diabetic cardiomyopathy. Dysglycaemia causes significant endothelial dysfunction and upregulation of inflammation within the vasculature and epigenetic changes mean that these deleterious effects may persist despite subsequent efforts to tighten glycaemic control.
View Article and Find Full Text PDFA Cross-Sectional study on risk factors for severe hypoglycemia among Insulin-Treated elderly type 2 diabetes Mellitus (T2DM) patients in Singapore.
Diabetes Res Clin Pract
March 2022
Department of Endocrinology, Singapore General Hospital, Singapore.
Objective: This study investigates the risk factors for severe hypoglycemia among Southeast Asian T2DM patients.
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Rheological characteristics of wheat-chickpea composite flour doughs and effect of Amla powder ( L.) addition on the functional properties of bread.
Food Sci Technol Int
April 2021
Department of Computer Science, Kuwait Institute for Scientific Research, Safat, Kuwait.
Bread is a staple food for majority of the people worldwide, but it has a high glycemic effect. Substituting wheat flour partly with chickpea flour and the presence of bran is suggested to improve the glycemic effect of bread; however, the non-gluten substances in wheat flour adversely affect dough rheology. The addition of powder was tested on the rheological properties of wheat-chickpea flour composite doughs; also, the physical and sensory qualities of bread made thereof.
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Endocrinol Diabetes Metab Case Rep
February 2020
Departments of Diabetes and EndocrinologyConnolly Hospital Blanchardstown, Royal College of Surgeons in Ireland, Dublin, Ireland.
Summary: We present three cases of acute diabetic neuropathy and highlight a potentially underappreciated link between tightening of glycaemic control and acute neuropathies in patients with diabetes. Case 1: A 56-year-old male with poorly controlled type 2 diabetes (T2DM) was commenced on basal-bolus insulin. He presented 6 weeks later with a diffuse painful sensory neuropathy and postural hypotension.
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