Articles: Vol 36.5 September/October 2019

Herbs and diabetes

Mankind has used herbal remedies for millennia. Humans are not the only species to use herbs. Many animals appear to do so, for example monkeys, pigs, and elephants. Ethiopian baboons exposed to schistosomiasis eat Balanites fruits, which are rich in diosgenin, a potent antischistosome, while …

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Postpartum screening for diabetes in women diagnosed with gestational diabetes mellitus: a re-audit

Abstract
The majority of women with gestational diabetes mellitus (GDM) have transient hyperglycaemia during pregnancy, but up to 50% develop diabetes within five years postpartum. Early diagnosis and timely intervention reduce long-term morbidity and mortality. Women who have had GDM should have screening for diabetes mellitus …

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Diabetes and female sexual health: an ongoing challenge

Abstract
Female sexual health remains a much-neglected area in diabetes clinical medicine; however, it is important for psychological and social well-being as well as reproductive function. We aimed to explore the views of women regarding the impact of diabetes on sexual health beyond pregnancy and reproduction.
We …

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Pregnancy in women with diabetes or with gestational diabetes: a primary care perspective

Abstract
Diabetes and pregnancy is regarded as a secondary care responsibility but, with 5% of pregnancies complicated by pre-existing or gestational diabetes, an individual practice is likely to see some of these women every year. This article considers the issues surrounding the preconception, antenatal and postnatal …

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Effect of diabetes mellitus on voice: a systematic review

A systematic review of literature was conducted to identify the influence of diabetes mellitus on voice. The search was carried out on PubMed, Scopus, CINAHL and Cochrane databases. Articles that discussed the effect of diabetes mellitus on voice were included in the review. Five studies …

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National Diabetes Audits inform best practice for diabetes foot care and hospital inpatients

Questions about clinical and organisational components make up the two latest National Diabetes Audit reports: the Fourth National Diabetes Foot Care Audit and the 2018 Hospital Characteristics Inpatient Audit. Steve Chaplin here examines the audits’ findings in detail.
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Metolazone

Heart failure is a leading cause of morbidity and mortality in people with diabetes and is now one of the most common presentations of cardiovascular disease in people with diabetes. In the past 10 years there have been major advances in the management of heart …

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Letter. Screening football fans for type 2 diabetes

Sir, Diabetes UK estimates that there may be up to 1 million adults in the UK living with undiagnosed type 2 diabetes (T2DM). It is recognised that there are groups of people, who may be at high risk of diabetes but seldom come into contact …

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Letter. Development of significant hyperglycaemia with tolvaptan: a case for regular glucose monitoring

Sir, Historically, treatment for adult autosomal dominant polycystic kidney disease (ADPKD) comprised standard blood pressure optimisation therapy despite this disorder being the most common genetic form of polycystic kidney disease leading to end-stage renal disease in approximately 50% of ADPKD patients by the sixth decade …

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