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Diabetes News August 14th 2009

August 14th 2009

Diabetes self-care behaviors: A Diagnostic Dilemma
This carefully written article describes an attempt to get at the causes of behavioral difficulties by questioning patients and then taking a trial-and-error approach to possible options for correcting those causes (Clinical Diabetes)

Screening for Type 2 Diabetes in Obese Youth
HbA1c, 1,5-anhydroglucitol, and fasting BG levels are good predictors of T2DM in obese children, whereas HOMA-IR values are not. HbA1c and 1,5-anhydroglucitol are excellent predictors of T2DM in insulin-resistant obese children (Pediatrics)

Type 2 diabetes in children and adolescents: Screening, diagnosis, and management
This article reviews the criteria for diagnosis and provides an overview of the recommended protocol for management in patients aged 20 years and younger (JAMA)

Incidence and Time Trend of Type 1 and Type 2 Diabetes in Austrian Children 1999–2007
The incidence of type 2 diabetes in Austrian children is 10-fold lower than reported in other regions and did not increase over the last 8 years. During the same time period, a significant rise in the incidence of type 1 diabetes was observed (Journal of Pediatrics)

Risk factors for mortality and ischemic heart disease in patients with long-term type 1 diabetes
Glycemic regulation, dyslipidemia, and renal dysfunction were all related to mortality and IHD in a 13-year follow-up of long-term Danish type 1 diabetic patients. These results underscore the better outcome for tightly regulated type 1 diabetic patients, even in long-term survivors (Journal of Diabetes and its Complication)

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