2 months 2 weeks ago
The benefits of exercise and physical activity (PA) for people living with diabetes are clear. However, current exercise recommendations do not take into consideration the potential impact of female-specific hormonal changes across the lifespan on the glycemic response to exercise. Moreover, the impact of life phases on barriers to participation in exercise and PA for women compared to men with diabetes is not well described. In this narrative review we have synthesized the literature to date regarding the interaction of female sex hormone variations (menarche and the menstrual cycle, pregnancy, and the menopausal transition) with glycemic management in the context of exercise for females with type 1 and type 2 diabetes.
Tricia M. Peters, Anne-Sophie Brazeau, Lia Bally, Alexa Govette, Elsa Heyman, Mary E. Jung, Céline I. Laesser, Élodie Lespagnol, Jessica E. Logan, Zeinab Momeni, Tawnya Perry, Meryem K. Talbo, Anne Bonhoure, Jenna A.P. Sim, Jasmin von Zezschwitz, Dessi P…
2 months 2 weeks ago
Regular physical activity is a key, patient-centred therapy for people with diabetes to manage their glycemia. The International Working Group on the Diabetic Foot recommends optimization of glycemic control for people with/at risk of diabetes-related foot ulcer (DFU); however, people with DFU are commonly instructed by clinicians to avoid physical activity so as not to worsen the ulcer. The effects of exercise on glycemia, fitness, and wound healing in people with active DFU are not clear. In this study we examined the effects of regular exercise (training) on glycemia, cardiorespiratory fitness, muscular strength, metabolic health, and ulcer healing in adults with diabetes and an active foot ulcer.
Callum J. Baker, Vivienne Chuter, Magali Brousseau-Foley, Danqing Min, Angela Searle, Stephen M. Twigg, Nathan A. Johnson
3 months ago
This updated clinical practice guideline replaces the previous chapter of Glycemic Management in Adults With Type 1 Diabetes (2018, chapter 12) and updates the glycemic management portions of the Management of Type 1 Diabetes in Children and Adolescents chapter (2018, chapter 34) where new evidence impacting clinical practice has become available. The term children is inclusive of all individuals <18 years of age, whereas evidence specific to adolescents indicates 13–18 years and toddlers <4 years.
Ilana J. Halperin, Brandy Wicklow, Shazhan Amed, Alanna Chambers, Charlotte Courage, Elizabeth Cummings, Patricia Kirkland, Dylan MacKay, Meranda Nakhla, Zubin Punthakee, Paul M. Ryan, Lindsay Sawatsky, Peter A. Senior, Bikrampal S. Sidhu, Alanna Weisman…
3 months ago
We appreciate the perspectives shared by Trinacty and Goldenberg about the 2024 update to the Pharmacologic Glycemic Management of Type 2 Diabetes in Adults chapter of the Diabetes Canada Clinical Practice Guidelines [1]. Our recommendation to continue to prioritize metformin as first-line therapy for most people with type 2 diabetes is based on a rigorous review of the evidence, and we welcome this opportunity to further detail the rationale underpinning this recommendation.
Baiju R. Shah, Harpreet S. Bajaj, Sonia Butalia, Kaberi Dasgupta, Dean T. Eurich, Rahul Jain, Kerry Mansell, Scot Simpson
3 months ago
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3 months ago
Population studies have identified common genetic variants contributing substantially to the burden of diabetes in Greenland. However, the handling of suspected monogenic diabetes in diabetes clinics in Greenland has not been described. In this study we aimed to describe the referral rate, prevalence, and genetic causes of clinically identified monogenic diabetes in Greenland.
Anne Cathrine Baun Thuesen, Marie Balslev Backe, Genís Garcia-Erill, Mikkel Schubert, Kristian Ebbesen Hanghøj, Ida Moltke, Anders Albrechtsen, Niels Grarup, Anette Prior Gjesing, Marit Eika Jørgensen, Torben Hansen, Michael Lynge Pedersen
3 months 2 weeks ago
Attainment of the glycated hemoglobin (A1C) target of ≤7.0% is consistently low among those living with type 1 diabetes (T1D). We evaluated endocrinologists’ acceptability and implementation of A1C targets.
Sanchit Kaushal, Patience Fakembe, Ilana J. Halperin, Gillian A. Hawker, Alanna Weisman
3 months 2 weeks ago
I am writing in response to the study by Vallis et al in a recent issue of the Journal [1]. The authors present a convincing case for the importance of self-management in type 2 diabetes (T2D). Their study introduces the Impact of Glucose Monitoring on Self-Management Scale to measure engagement in self-management behaviours facilitated by continuous glucose monitoring (CGM) technologies.
Saad Khan, Fatima Naveed, Ayesha Khan, Rizwan Ahmad, Faraz Arshad
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