Posts Tagged ‘Type 1 diabetes’

Closed-Loop Insulin Delivery during Pregnancy in Women with Type 1 Diabetes

Posted by • August 17th, 2016

A 32-year-old woman with type 1 diabetes mellitus presents to your office. She is 8 weeks pregnant. Her blood sugar has been well controlled on a standard insulin pump, but she understands that blood sugar can be more difficult to control during pregnancy.  You have previously discussed the importance of tight glucose control in pregnancy… Read More…

Glycemic Control in Type 1 Diabetes

Posted by • November 21st, 2014

In a new study, patients with type 1 diabetes and a glycated hemoglobin level of 6.9% or lower (≤52 mmol per mole) were found to have a risk of death from any cause or from cardiovascular causes that was twice as high as that for matched controls. The excess risks of death from any cause and… Read More…

Mortality in Type 1 Diabetes

Posted by • November 19th, 2014

There are moments during every physician’s day when she or he gives medical advice based on well-established evidence– “The data show that starting medication A for this disease will reduce the risk of death by 20%.”   There are also moments when she or he may give advice just because it seems like the right thing… Read More…

Dietary Strategy to Prevent Type I Diabetes — No Clear Formula

Posted by • November 10th, 2010

Type 1 diabetes (T1D) is a life-changing diagnosis for affected children and their families.  Since prevention is always better than treatment, and prevention requires an understanding of pathobiology, what do we know about the etiology of T1D? We know that T1D likely reflects the actions of both genetic and environmental factors.  Concordance for T1D among identical… Read More…

Sensor-Augmented Insulin-Pump Therapy

Posted by • July 23rd, 2010

In a randomized trial by Bergenstal et al., sensor-augmented pump therapy was compared with a regimen of multiple daily insulin injections in adults and children with inadequately controlled type 1 diabetes. Pump therapy was associated with a significant improvement in glycated hemoglobin levels, as compared with injection therapy. Among adults, the use of an insulin pump… Read More…

Sweet Insight into Managing Type 1 Diabetes

Posted by • July 2nd, 2010

Anyone who has treated patients with Type 1 diabetes knows the challenges of optimizing glycemic control while trying to minimize the risk of severe hypoglycemia.  Some studies have suggested that in adults, insulin pumps may be more effective than multiple daily insulin injections at achieving this goal.  Other studies have pointed to continuous glucose monitoring… Read More…