Dr. Lawrence Leiter and Dr. Brian Frier discusses “Hypoglycaemia and the heart”, or how severe hypoglycaemia affects cardiovascular
June 6, 2021
Dr. Lawrence Leiter and Dr. Brian Frier discusses “Hypoglycaemia and the heart”, or how severe hypoglycaemia affects cardiovascular outcomes in people with diabetes. References: Frier BM, Heller SR, McCrimmon RJ, Eds. Hypoglycaemia in Clinical Diabetes3rd ed. 2014 Wright & Frier, Diabetes Metab Res Rev 2008;24:353–63 Duckworth et al & VADT Investigators, N Engl...
January 31, 2019
Reducing the risk of hypoglycaemia is a multifaceted challenge. For starters, health providers need to understand which behaviours raise and decrease the risk, so they can communicate this information to individuals with diabetes and the people who care for them.
November 30, 2018
Children and teens are a lot of wonderful things. “Easy” is not one of them. When dealing with pediatric diabetes, clinicians should prepare for a different clinical picture, different behaviours, and different thresholds for hypoglycaemic symptoms. They should also anticipate a high level of parental stress and worry. With decades of experience treating and researching...
October 30, 2018
Dead in bed syndrome understandably strikes terror in the hearts of people with type 1 diabetes and their families. Clinicians, for their part, may find it difficult to discuss the syndrome with patients and thus avoid the topic. Fortunately, the syndrome is rare enough that the key message to patients is reassurance. In this insight...
August 22, 2018
Dogs serve an important role in enhancing human health and well-being, from guiding people with disabilities and calming people on the autism spectrum to sensing allergens and other potential medical emergencies—such as hypoglycaemia. The use of diabetes alert dogs (DADs) has been steadily gaining in popularity, and research is yielding new insights into their benefits...
July 27, 2018
Impaired awareness of hypoglycaemia (IAH) is a common, frustrating, and potentially dangerous problem for people with diabetes who use insulin. While researchers have yet to unravel the physiological underpinnings of IAH, neuroimaging studies have shed light on how the brain responds to hypoglycaemia—and how these responses may change as IAH sets in. In this article,...
June 28, 2018
Tight glucose control improves clinical outcomes. While this evidence-based principle continues to guide diabetes management, the truth is not so simple. Some people with type 2 diabetes may reach glucose targets through lifestyle modification alone, especially in the early years after diagnosis. Diabetes being a progressive disease, however, most of these patients come to rely...