924 results match your criteria Canadian journal of diabetes[Journal]


Moving Beyond the Rhetoric of Shared Decision-Making: Designing Personal Health Record Technology With Young Adults With Type 1 Diabetes.

Can J Diabetes 2020 Jul 1;44(5):434-441. Epub 2020 Apr 1.

Kootenay Lake Hospital Diabetes Clinic and Kootenay Boundary Division of Family Practice, Nelson, British Columbia, Canada.

Objectives: Engaging young adults with type 1 diabetes (T1D) in the self-management of daily tasks and decision-making provides opportunities for positive health outcomes. However, emerging adulthood and care transitions are associated with decreased clinic attendance and diabetes complications. Shared decision-making (SDM) is an optimal approach for health decisions; however, it has been difficult to implement in practice. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jcjd.2020.03.009DOI Listing

Liver Stiffness Is Associated With Progression of Albuminuria in Adults With Type 2 Diabetes: Nonalcoholic Fatty Disease Cohort Study.

Can J Diabetes 2020 Jul 23;44(5):428-433. Epub 2020 Mar 23.

Department of Endocrinology and Metabolism, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan. Electronic address:

Objectives: Previous studies have shown the association between liver fibrosis and albuminuria. However, the effect of liver fibrosis on change in albuminuria is unclear. Thus, we investigated the effect of liver fibrosis on change in albuminuria in patients with type 2 diabetes. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jcjd.2020.03.004DOI Listing

Subclinical Inflammation Is Associated With Reductions in Muscle Oxygenation, Exercise Capacity and Quality of Life in Adults With Type 2 Diabetes.

Can J Diabetes 2020 Jul 9;44(5):422-427. Epub 2020 Mar 9.

Department of Endocrinology and Metabolism, School of Medicine, Hacettepe University, Ankara, Turkey.

Objectives: Exercise capacity is related to both morbidity and mortality in patients with type 2 diabetes (T2DM). The aim of this study was to investigate the relationship between subclinical inflammation level, exercise capacity, muscle oxygenation and quality of life in T2DM.

Methods: This study includes 28 patients with T2DM (mean age, 51. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jcjd.2020.02.007DOI Listing

Language Matters - A Diabetes Canada Consensus Statement.

Can J Diabetes 2020 Jul 26;44(5):370-373. Epub 2020 May 26.

Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada.

Language reflects and shapes our thoughts, feelings, behaviours and experiences and can have a profound impact on the lives of people with and at risk for diabetes. Inappropriate language has a negative impact on self-efficacy, well-being and confidence of people living with diabetes, can seriously undermine experiences with health-care providers and, more broadly, can contribute to diabetes stigma. To date, Diabetes Canada has had no formal position to facilitate positive and affirming attitudes towards diabetes, which is reflected by the use of more appropriate language around diabetes. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jcjd.2020.05.008DOI Listing

Efficacy of Carbohydrate Supplementation Compared With Bolus Insulin Dose Reduction Around Exercise in Adults With Type 1 Diabetes: A Retrospective, Controlled Analysis.

Can J Diabetes 2020 Mar 22. Epub 2020 Mar 22.

Cardiovascular Diabetology Research Group, Division of Endocrinology and Diabetology, Medical University of Graz, Graz, Austria. Electronic address:

Objectives: Individuals with type 1 diabetes try to manage the risk of exercise-induced hypoglycemia by either pre-exercise/pre-meal bolus insulin dose reductions and/or consuming additional carbohydrates during exercise. Both strategies have proven to be effective in offsetting hypoglycemia, but it remains unclear which one is more beneficial. The aim of this study was to assess the efficacy of carbohydrate supplementation vs bolus insulin dose reduction in prevention of hypoglycemia during moderate-intensity exercise in those with type 1 diabetes. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jcjd.2020.03.003DOI Listing

Beyond the Sick Role: The Many Roles of Adults With Type 1 and Type 2 Diabetes in the Management of Hypoglycemia-The InHypo-DM Study, Canada.

Can J Diabetes 2020 Apr 9. Epub 2020 Apr 9.

Centre for Studies in Family Medicine, Department of Family Medicine, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada; Department of Epidemiology and Biostatistics, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada.

Objectives: Hypoglycemia is a common adverse event for people with type 1 and type 2 diabetes mellitus. In this article, we explore the specific roles that individuals assume to prevent or treat hypoglycemia.

Methods: A descriptive qualitative study from the UnderstandINg the impact of HYPOglycemia on Diabetes Management Study (InHypo-DM) research program. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jcjd.2020.03.011DOI Listing

"Mental Health Professionals Have Never Mentioned My Diabetes, They Don't Get Into That": A Qualitative Study of Support Needs in Adults With Type 1 and Type 2 Diabetes and Severe Mental Illness.

Can J Diabetes 2020 Feb 22. Epub 2020 Feb 22.

Diabetes Management Research, Steno Diabetes Center Copenhagen, Gentofte, Denmark.

Objectives: People with severe mental illness (SMI) have a 2- to 3-fold higher risk of developing type 2 diabetes (DM), an increased risk of subsequent DM complications, higher mortality and poorer health-related quality of life. Although mental health professionals have an important role in supporting people with SMI in diabetes management, their primary focus is often on mental health, not physical conditions. Few studies have investigated patients' experiences of living with coexisting SMI and DM to identify their needs for diabetes support from mental health professionals. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jcjd.2020.02.006DOI Listing
February 2020

Diabetes Distress in Adolescents and Young Adults Living With Type 1 Diabetes.

Can J Diabetes 2020 Mar 14. Epub 2020 Mar 14.

Health Behaviour Change Research Group, School of Psychology, National University of Ireland, Galway, Galway, Ireland.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jcjd.2020.03.001DOI Listing

A Tool to Assess Risk of Type 2 Diabetes in Canadian Adults.

Can J Diabetes 2020 Jul 21;44(5):445-447. Epub 2020 Mar 21.

Applied Research Division, Health Promotion and Chronic Disease Prevention Branch, Public Health Agency of Canada, Ottawa, Ontario, Canada. Electronic address:

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jcjd.2020.03.002DOI Listing

Diabetes Canada Position Statement on Low-Carbohydrate Diets for Adults With Diabetes: A Rapid Review.

Authors:

Can J Diabetes 2020 Jun 24;44(4):295-299. Epub 2020 Apr 24.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jcjd.2020.04.001DOI Listing

The Year of the Nurse, Florence Nightingale and COVID-19: Reflections From Social Isolation.

Authors:
Diana Sherifali

Can J Diabetes 2020 06 29;44(4):293-294. Epub 2020 Apr 29.

School of Nursing, McMaster University, Health Sciences Centre, Hamilton, Ontario, Canada.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jcjd.2020.04.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7189848PMC

The Impact of COVID-19 on Diabetes Research in Canada.

Authors:
Jason R B Dyck

Can J Diabetes 2020 Jul 13;44(5):369. Epub 2020 May 13.

Department of Pediatrics, Cardiovascular Research Centre, Alberta Diabetes Institute, University of Alberta, Edmonton, Alberta, Canada. Electronic address:

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jcjd.2020.05.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7217766PMC

Adults With Diabetes Distress Often Want to Talk With Their Health Professionals About It: Findings From an Audit of 4 Australian Specialist Diabetes Clinics.

Can J Diabetes 2020 Feb 16. Epub 2020 Feb 16.

School of Psychology, Deakin University, Geelong, Victoria, Australia; The Australian Centre for Behavioural Research in Diabetes, Diabetes Victoria, Melbourne, Victoria, Australia.

Objectives: In an unselected clinical sample, we aimed to: 1) investigate the willingness of adults with diabetes to talk with their health professional(s) about their feelings and experiences living with diabetes, 2) assess the prevalence of impaired general emotional well-being and severe diabetes distress and 3) examine whether willingness to talk related to general and/or diabetes-specific emotional well-being.

Methods: Unselected adults with type 1 diabetes (T1D) or type 2 diabetes (T2D) attending 4 Australian specialist diabetes clinics completed surveys about their experiences of, and preferences for, talking with their diabetes health professional(s) about their feelings and personal experiences of diabetes. They indicated preferred topics to discuss from a list and completed validated measures of emotional well-being (World Health Organisation-5 Well-being Index) and diabetes distress (Problem Areas In Diabetes scale). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jcjd.2020.02.004DOI Listing
February 2020

Severity Grade Assessment Classifications for Both Insulin Resistance Syndrome and Status of Pancreatic Beta Cell Function in Clinical Practice Using Homeostasis Model Assessment Method Indices.

Can J Diabetes 2020 Feb 16. Epub 2020 Feb 16.

Department of Internal Medicine and Endocrinology Unit, Faculty of Clinical Sciences, University of Medical Sciences, Ondo City, Ondo State, Nigeria.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jcjd.2020.02.003DOI Listing
February 2020

Innovations in Providing Diabetes Care for Individuals Experiencing Homelessness: An Environmental Scan.

Can J Diabetes 2020 Feb 14. Epub 2020 Feb 14.

Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada; Department of Family Medicine, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.

Objectives: For a variety of reasons, homelessness creates major challenges for the management of diabetes, resulting in excess morbidity and mortality in this population. The objective of this study was to document innovations in providing diabetes care for individuals experiencing homelessness.

Methods: Using directed snowball sampling, we recruited a sample of service providers (family physicians, nurses, social workers, endocrinologists, diabetes educators, shelter workers) in 5 Canadian cities (Vancouver, Calgary, Edmonton, Toronto, Ottawa). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jcjd.2020.01.011DOI Listing
February 2020

Renal Outcome in Patients With Type 2 Diabetes Mellitus and Diabetic Kidney Disease.

Authors:
Tomoyuki Kawada

Can J Diabetes 2020 Feb 16. Epub 2020 Feb 16.

Department of Hygiene and Public Health, Nippon Medical School, Tokyo, Japan.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jcjd.2020.02.005DOI Listing
February 2020

Type 2 Diabetes in Older Adults in Long-Term Care Homes: An Educational Intervention to Improve Diabetes Care.

Can J Diabetes 2020 Jul 28;44(5):407-413.e3. Epub 2020 Jan 28.

Division of Endocrinology, Women's College Hospital, Toronto, Ontario, Canada; Department of Medicine, University of Toronto, Toronto, Ontario, Canada.

Objectives: Over 25% of nursing home residents have diabetes. Nurses (registered nurses and registered practical nurses), registered dietitians and personal support workers (PSWs) provide the bulk of diabetes care in long-term care (LTC) homes, but their self-rated diabetes knowledge is poor. In this study, we evaluated the impact of an educational intervention on comfort with, and knowledge of, diabetes management among frontline LTC staff. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jcjd.2020.01.009DOI Listing

Duodenal-Jejunal Exclusion Surgery Improves Type 2 Diabetes in a Rat Model Through Regulation of Early Glucose Metabolism.

Can J Diabetes 2020 Jul 9;44(5):401-406.e1. Epub 2020 Apr 9.

Department of Nutriology, the First Affiliated Hospital of Nanjing Medical University, Nanjing, China. Electronic address:

Objectives: Metabolic surgery has been proven to be widely effective for the control of glucose and weight in patients with type 2 diabetes and obesity. However, the effects of bariatric surgery on nonobesity type 2 diabetes and its metabolism are still unclear. This study aimed to measure the effects of duodenal-jejunal exclusion on glycometabolism in nonobese rats with type 2 diabetes and to investigate its mechanisms. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jcjd.2020.02.002DOI Listing

Diabetic Peripheral Neuropathy Is Associated With Elevated Systolic Blood Pressure in Nonhypertensive Adults in the Chinese Han Population With Type 2 Diabetes.

Can J Diabetes 2019 Dec 9. Epub 2019 Dec 9.

Endocrinology Department, First Affiliated Hospital of Fujian Medical University, Fuzhou, Fujian, China; Diabetes Research Institute of Fujian Province, Fuzhou, Fujian, China. Electronic address:

Objectives: Our aim in this study was to investigate the association between diabetic peripheral neuropathy (DPN) and above-normal blood pressure in nonhypertensive adult patients with type 2 diabetes mellitus (T2DM). We also compared achievement of clinical targets for DPN and non-DPN with T2DM.

Methods: A retrospective survey was administered to 3,810 patients with T2DM. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jcjd.2019.11.005DOI Listing
December 2019

A Population-Based Study of Diabetes Incidence by Ethnicity and Age: Support for the Development of Ethnic-Specific Prevention Strategies.

Can J Diabetes 2020 Jul 7;44(5):394-400. Epub 2020 Jan 7.

Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada; Department of Family and Community Medicine, University of Toronto, Toronto, Ontario, Canada; MAP Centre for Urban Health Solutions, St. Michael's Hospital, Toronto, Ontario, Canada; Department of Family and Community Medicine, St. Michael's Hospital, Toronto, Ontario, Canada.

Objective: Although national guidelines advocate for earlier diabetes screening in high-risk ethnic groups, little evidence exists to guide clinicians on the age at which screening should commence. The purpose of this study was to determine age equivalency thresholds for diabetes risk across a broad range of ethnic populations.

Methods: This population-based, retrospective cohort study used linked administrative health and immigration records for 592,376 individuals in Ontario, Canada. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jcjd.2019.12.001DOI Listing

At-Home Self-Applied Photobiomodulation Device for the Treatment of Diabetic Foot Ulcers in Adults With Type 2 Diabetes: Report of 4 Cases.

Can J Diabetes 2020 Jul 4;44(5):375-378. Epub 2020 Feb 4.

The Institute for Research in Military Medicine (IRMM) and The Institute for Medical Research - Israel-Canada (IMRIC), Faculty of Medicine of The Hebrew University of Jerusalem, Jerusalem, Israel.

Diabetic foot ulcers (DFUs) incidence is increasing with the rising global prevalence of diabetes. In spite of following best practice standard of care, most DFUs are slow to heal. Photobiomodulation (PBM), previously known as low-level laser therapy, has been shown to accelerate healing of acute or chronic wounds, and specifically DFUs. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jcjd.2020.01.010DOI Listing

In This Issue….

Can J Diabetes 2020 04;44(3):211

Editor-in-Chief, Canadian Journal of Diabetes. Electronic address:

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jcjd.2020.02.001DOI Listing

Lipoprotein(a) and Apolipoproteins as Predictors for Diabetic Retinopathy and Its Severity in Adults With Type 2 Diabetes: A Case-Cohort Study.

Can J Diabetes 2020 Jul 23;44(5):414-421. Epub 2020 Jan 23.

Endocrinology and Metabolism Research Center, Vali-Asr Hospital, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran. Electronic address:

Objectives: Our aim in this study was to assess the relationship between serum lipoprotein(a) [Lp(a)] and apolipoproteins and the risk of developing diabetic retinopathy (DR).

Methods: One thousand fifty-seven patients with type 2 diabetes were divided into 2 main groups and followed for 5 years: 637 patients without DR and 420 patients with DR. A group of patients with DR were then divided into 2 subgroups: 162 patients with nonproliferative DR (NPDR) and 163 patients with proliferative DR (PDR). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jcjd.2020.01.007DOI Listing

Relationship Between Psychosocial Factors and Glucose Control in Adults With Type 2 Diabetes.

Can J Diabetes 2020 Jan 12. Epub 2020 Jan 12.

Division of Community Health and Humanities, Faculty of Medicine, Memorial University of Newfoundland, St John's, Newfoundland and Labrador, Canada.

Objectives: Despite significant advances in medical therapy and unrestricted access to health care, >50% patients with type 2 diabetes (T2D) cannot maintain their blood glucose target levels. This cross-sectional study investigated the association between psychosocial behaviour and diabetes management in Newfoundland and Labrador, where the prevalence of T2D is the highest in Canada.

Methods: Data were collected from 165 adult T2D patients. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jcjd.2020.01.005DOI Listing
January 2020

Outcomes of Pregnancies Affected by Gestational Diabetes and Type 2 Diabetes in a Rural First Nations Obstetrical Program in Northwest Ontario.

Can J Diabetes 2020 Jan 12. Epub 2020 Jan 12.

Northern Ontario School of Medicine, Sioux Lookout, Ontario, Canada.

Objectives: In this work, we describe diabetes prevalence and birth outcomes in a primarily First Nations obstetrical population in northwest Ontario.

Methods: This retrospective, observational study of maternal and neonatal characteristics and birth outcomes was performed at the Sioux Lookout Meno Ya Win Health Centre between April 1, 2012 and March 31, 2017.

Results: The prevalence of pre-existing type 2 diabetes mellitus was 3. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jcjd.2020.01.001DOI Listing
January 2020

Withdrawal of High-Carbohydrate, High-Fat Diet Alters Status of Trace Elements to Ameliorate Metabolic Syndrome in Rats With Type 2 Diabetes Mellitus.

Can J Diabetes 2020 Jun 25;44(4):317-326.e1. Epub 2019 Oct 25.

Life Sciences Division, Institute of Advanced Study in Science and Technology, Guwahati Assam, India. Electronic address:

Objectives: Inadequate nutrient supply and insulin resistance contribute to the pathogenesis of metabolic syndrome (MetS) and increase the risk of developing cardiovascular disease. MetS can be induced by prolonged feeding of a high-carbohydrate, high-fat (HCHF) diet. The present study was designed using Wistar albino rats as an experimental model to investigate the effect of subchronic withdrawal of an HCHF diet during MetS on distribution of copper (Cu), iron (Fe), magnesium (Mg), manganese (Mn), zinc (Zn) and chromium (Cr) in different biological media. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jcjd.2019.10.001DOI Listing

A Systematic Review and Delphi Study to Ascertain Common Risk Factors for Type 2 Diabetes Mellitus and Dementia and Brain-Related Complications of Diabetes in Adults.

Can J Diabetes 2020 Jan 12. Epub 2020 Jan 12.

Department of Psychiatry, University of Dublin Trinity College, Dublin, Ireland.

Objectives: Both type 2 diabetes (T2DM) and dementia have multifactorial etiologies. Both are associated with aging and have well-recognized lifestyle, cardiovascular and psychosocial risk factors. However, uncertainty exists in the literature with regard to: 1) the potentially modifiable risk factors common to both dementia and T2DM, and 2) the risk of brain-related complications in those with established diabetes. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jcjd.2020.01.004DOI Listing
January 2020

Clinical Considerations in Adult Patients With Comorbid Type 2 Diabetes and Depressive Symptoms Associated With Severe Hypoglycemia.

Can J Diabetes 2020 Jun 29;44(4):300. Epub 2019 Nov 29.

Olive View, University of California, Los Angeles Medical Center, Los Angeles, California, United States.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jcjd.2019.10.012DOI Listing

Role of Estrogen in Type 1 and Type 2 Diabetes Mellitus: A Review of Clinical and Preclinical Data.

Can J Diabetes 2020 Jul 12;44(5):448-452. Epub 2020 Jan 12.

Thrombosis and Atherosclerosis Research Institute, McMaster University, Hamilton, Ontario, Canada; Department of Medicine, McMaster University, Hamilton, Ontario, Canada. Electronic address:

The incidence and prevalence of diabetes mellitus, and the cardiovascular complications associated with this disease, are rapidly increasing worldwide. Individuals with diabetes have a higher mortality rate due to cardiovascular diseases and a reduced life expectancy compared to those without diabetes. This poses a significant economic burden on health-care systems worldwide, making the diabetes epidemic a global health crisis. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jcjd.2020.01.003DOI Listing

Participation in the Diabetes Empowerment Group Program Research Project: Patient Partners' Perspectives.

Can J Diabetes 2020 Jul 12;44(5):442-444. Epub 2020 Jan 12.

Department of Family Medicine, McGill University, Montreal, Québec, Canada.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jcjd.2020.01.002DOI Listing

Assessing Allied Health-Care Professional Time in Pediatric Type 1 Diabetes: Associations With Clinical Factors, Technology and Social Determinants.

Can J Diabetes 2020 Jul 10;44(5):387-393. Epub 2019 Dec 10.

Division of Endocrinology, Department of Pediatrics, The Hospital for Sick Children, Toronto, Ontario, Canada; Faculty of Medicine, Department of Paediatrics, University of Toronto, Toronto, Ontario, Canada.

Objectives: The factors associated with allied health-care professional (HCP) time spent face-to-face with patients in clinic have not been well described in type 1 diabetes (T1D) given the introduction of resource-intensive technologies and gaps in socioeconomic circumstances. The objective of this study was to evaluate clinical and social factors associated with nonphysician HCP time in a pediatric T1D practice.

Methods: Nonphysician HCP workload data, including time spent in direct clinical care over a 1-year period and nonclinic contacts, were linked to data from 723 pediatric subjects with T1D and evaluated in relation to key demographic, social and diabetes treatment factors. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jcjd.2019.11.004DOI Listing

Exercise and the Artificial Pancreas: Trying to Predict the Unpredictable in Patients With Type 1 Diabetes?

Authors:
Jane E Yardley

Can J Diabetes 2020 Mar;44(2):119-120

University of Alberta, Augustana Faculty, Camrose, Alberta, Canada. Electronic address:

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jcjd.2020.01.006DOI Listing

Quality Gaps of Electronic Health Records in Diabetes Care.

Can J Diabetes 2020 Jun 9;44(4):350-355. Epub 2019 Nov 9.

Women's College Hospital Institute for Health Systems Solutions and Virtual Care, Toronto, Ontario, Canada; Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada; Department of Medicine, University of Toronto, Toronto, Ontario, Canada. Electronic address:

Objectives: Electronic health records (EHRs) allow standardized data capture for robust quality and performance assessments, but data quality issues may exist. This study compared extracted structured EHR data with chart review from endocrinologists' health-care records at a large, academic ambulatory hospital in Toronto, Ontario.

Methods: Consecutive chart review for the first 10 patients with either type 1 or type 2 diabetes seen between January 1, 2015 and March 1, 2016 was sampled for each of the 10 endocrinologists within the diabetes program, and electronic data extraction was also completed for a core set of structured diabetes care elements. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jcjd.2019.10.011DOI Listing

Interplay Between Gut Microbiota and Gastrointestinal Peptides: Potential Outcomes on the Regulation of Glucose Control.

Can J Diabetes 2020 Jun 2;44(4):359-367. Epub 2019 Nov 2.

Department of Exercise Sciences, Université du Québec à Montréal, Montréal, Québec, Canada; Department of Food Science, Université Laval, Montréal, Québec, Canada; Institut de Nutrition et des Aliments Fonctionnels, Université Laval, Montréal, Québec, Canada; CHU Sainte-Justine Research Center, Université de Montréal, Montréal, Québec, Canada. Electronic address:

A host of gastrointestinal (GI) peptides influence the regulation of vital functions, such as growth, appetite, stress, gut motility, energy expenditure, digestion and inflammation, as well as glucose and lipid homeostasis. Hence, impairments in the synthesis/secretion of glucagon-like peptide-1 (GLP-1), leptin, nesfatin-1, glucose-dependent insulinotropic peptide (GIP), ghrelin (acylated and unacylated forms), oxyntomodulin, vasoactive intestinal peptide, somatostatin, cholecystokinin, peptide tyrosine‒tyrosine, GLP-2 and pancreatic polypeptide were previously associated with the development of obesity-related disorders. It is currently emphasized that the beneficial metabolic outcomes associated with the normalization of the gut microbiota (GM) is influenced by increases in GLP-1 and peptide YY secretion as well as by decreases in acylated ghrelin production. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jcjd.2019.10.006DOI Listing

Epidemiology of Diabetes in Pregnancy Among First Nations and Non-First Nations Women in Saskatchewan, 1980‒2013. Part 2: Predictors and Early Complications; Results From the Diabetes in Pregnancy: Outcomes and Ramification from a Retrospective Longitudinal Intra- Intergenerational Study in Saskatchewan Project.

Can J Diabetes 2019 Nov 20. Epub 2019 Nov 20.

Department of Community Health and Epidemiology, University of Saskatchewan, University of Saskatchewan, Saskatoon, Saskatchewan, Canada; Department of Computer Science, University of Saskatchewan, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.

Objectives: Because of disparities in incidence of diabetes in pregnancy (DIP) among First Nations (FN) and non-First Nations (non-FN) women in Saskatchewan, we compared predictors and early maternal/child complication rates of gestational diabetes (GDM) and pre-GDM between the 2 populations from 1980 to 2013.

Methods: Using Ministry of Health administrative databases, we examined overall GDM and pre-GDM predictors among a cohort of FN and non-FN women using logistic regression models. We compared early birth complications by ethnicity and DIP status using chi-square analysis. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jcjd.2019.11.001DOI Listing
November 2019

Assessing Dysglycemia Risk Among Younger Adults: A Validation of the Canadian Diabetes Risk Questionnaire.

Can J Diabetes 2020 Jul 5;44(5):379-386.e3. Epub 2019 Dec 5.

Centre for Surveillance and Applied Research, Public Health Agency of Canada, Ottawa, Ontario, Canada. Electronic address:

Objectives: The Canadian prevalence and incidence of diabetes has increased by the greatest extent in young adulthood. The original Canadian Diabetes Risk Questionnaire (CANRISK) was created to assess dysglycemia risk among adults ≥40 years of age, but it has not been validated among younger adults. Furthermore, it is unclear whether a young adult-specific risk score would better identify dysglycemia in this age group. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jcjd.2019.11.002DOI Listing

Improving Cultural Safety of Diabetes Care in Indigenous Populations of Canada, Australia, New Zealand and the United States: A Systematic Rapid Review.

Can J Diabetes 2019 Dec 9. Epub 2019 Dec 9.

Department of Family and Emergency Medicine, Faculty of Medicine, Université Laval, Québec City, Québec, Canada; Centre de recherche sur les soins et les services de première ligne de l'Université Laval, Institut universitaire de première ligne en santé et services sociaux du CIUSSS de la Capitale-Nationale, Québec City, Québec, Canada; Centre de recherche du Centre hospitalier universitaire de l'Université Laval, Québec City, Québec, Canada.

Objectives: Our aim in this study was to identify interventions that improve cultural safety for Indigenous people living with diabetes in the health-care setting, and their potential impact on patients and health-care professionals.

Methods: Using a systematic approach, we conducted a rapid review of quantitative, qualitative and mixed studies between January 2000 and February 2018 in MEDLINE, Embase, Web of Science, ERIC, CINAHL and PsycINFO. Two reviewers independently identified, selected and reviewed studies relating to cultural safety in diabetes care for Indigenous populations in Canada, New Zealand, Australia and the United States. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jcjd.2019.11.006DOI Listing
December 2019

Time to Rethink Reducing Cardiovascular Risk: Are We Ready?

Can J Diabetes 2020 02;44(1):1-3

Department of Medicine, Division of Cardiology, University of British Columbia, Vancouver, British Columbia, Canada.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jcjd.2019.10.010DOI Listing
February 2020

Assessment of the Risk Factors of Multidrug-Resistant Organism Infection in Adults With Type 1 or Type 2 Diabetes and Diabetic Foot Ulcer.

Can J Diabetes 2020 Jun 9;44(4):342-349. Epub 2019 Nov 9.

Department of Orthopedic Surgery, Shanghai Sixth People's Hospital, JiaoTong University, Shanghai, China. Electronic address:

Objectives: To our knowledge, this is the first review to analyze the literature identifying risk factors for multidrug-resistant organism (MDRO) infection in patients with diabetic foot ulcer. The purpose of this study was to collect the currently published data to determine the most commonly and consistently identified risk factors for MDRO infection.

Methods: PubMed, MEDLINE, BIOSIS, Web of Science and the Cochrane Library electronic databases were searched. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jcjd.2019.10.009DOI Listing

Effects of Genistein Supplementation on Health in Postmenopausal Women With Type 2 Diabetes Mellitus.

Authors:
Tomoyuki Kawada

Can J Diabetes 2020 Jul 6;44(5):374. Epub 2019 Dec 6.

Department of Hygiene and Public Health, Nippon Medical School, Tokyo, Japan.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jcjd.2019.11.003DOI Listing

Epidemiology of Diabetes in Pregnancy Among First Nations and Non-First Nations Women in Saskatchewan, 1980‒2013. Part 1: Populations, Methodology and Frequencies (1980‒2009); Results From the DIP: ORRIIGENSS Project.

Can J Diabetes 2019 Nov 1. Epub 2019 Nov 1.

Department of Community Health and Epidemiology, University of Saskatchewan, Saskatoon, Saskatchewan, Canada; Department of Computer Science, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.

Objectives: Because of the immediate and long-term consequences of diabetes in pregnancy (DIP) for mother and child, we compared frequencies of gestational diabetes (GDM) and pre-GDM between First Nations (FN) and non-FN people in Saskatchewan from 1980 to 2009.

Methods: Using Ministry of Health administrative databases, we conducted a retrospective cohort study of GDM and pre-GDM rates within all FN and non-FN pregnancies in Saskatchewan. Annual crude and 10-year age-adjusted incidence of GDM and pre-GDM were determined as were maternal age-specific rates of DIP. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jcjd.2019.10.005DOI Listing
November 2019

Maternal Diabetes Mellitus and Persistent Pulmonary Hypertension of the Newborn: Accumulated Evidence From Observational Studies.

Can J Diabetes 2020 Jun 31;44(4):327-334.e3. Epub 2019 Oct 31.

Department of Epidemiology, School of Public Health and Tropical Medicine, Tulane University, New Orleans, Louisiana, United States.

Objectives: Maternal diabetes mellitus (including pre-existing and gestational diabetes mellitus) is linked with adverse infant outcomes. However, the question of whether maternal diabetes increases the risk of persistent pulmonary hypertension of the newborn (PPHN) is unclear. Herein, we conducted a systematic review and meta-analysis to summarize clinical evidence to determine the association between maternal diabetes mellitus and PPHN. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jcjd.2019.10.002DOI Listing

Self-Monitoring of Blood Glucose and Hypoglycemia-Related Hospitalization in a Population-Based Cohort of Canadian Patients With Type 1 or Type 2 Diabetes.

Can J Diabetes 2020 Jun 30;44(4):335-341.e3. Epub 2019 Oct 30.

College of Pharmacy and Nutrition, University of Saskatchewan, Saskatoon, Saskatchewan, Canada. Electronic address:

Objectives: The aim of this work was to determine whether: 1) blood glucose test strip use in the population is associated with hypoglycemia hospitalization rates, and 2) blood glucose test strip use among individuals is associated with a reduced risk of hypoglycemia hospitalization.

Methods: Administrative databases from Saskatchewan, Canada, were used to ascertain population-level hypoglycemia hospitalizations and test strip utilization over the period from 1996 to 2014. For objective 1, a generalized linear model with generalized estimating equations was fit to provincial data stratified by age group, sex and year. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jcjd.2019.10.007DOI Listing

Mechanisms by Which Glucagon-Like-Peptide-1 Receptor Agonists and Sodium-Glucose Cotransporter-2 Inhibitors Reduce Cardiovascular Risk in Adults With Type 2 Diabetes Mellitus.

Can J Diabetes 2020 Feb 24;44(1):93-102. Epub 2019 Sep 24.

Division of Cardiac Surgery, St. Michael's Hospital, University of Toronto, Toronto, Ontario, Canada. Electronic address:

The growing global burden of type 2 diabetes mellitus confers significant morbidity and mortality in addition to significant cost to local health-care systems. In recent years, 2 classes of therapies have shown some promise in reducing the risk of adverse cardiovascular (CV) events: 1) glucagon-like-peptide-1 (GLP-1) receptor agonists and 2) sodium-glucose cotransporter-2 (SGLT-2) inhibitors. The mechanisms whereby these therapies reduce the risk of adverse CV outcomes are emerging. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jcjd.2019.09.003DOI Listing
February 2020

Talking Points for Helping Your Type 1 Diabetes Patient Decide About Hybrid Closed Loop.

Can J Diabetes 2020 Jun 26;44(4):356-358. Epub 2019 Oct 26.

Diabetes Clinical Research Unit, Leadership Sinai Centre for Diabetes, Sinai Health System, University of Toronto, Toronto, Ontario, Canada.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jcjd.2019.10.004DOI Listing

Short-Term Dietary Oatmeal Interventions in Adults With Type 2 Diabetes: A Forgotten Tool.

Can J Diabetes 2020 Jun 25;44(4):301-303. Epub 2019 Sep 25.

Department of Internal Medicine and Gastroenterology, die Filderklinik, Filderstadt, Germany.

Dietary modifications play a central role in the treatment of diabetes. Educating and empowering individuals to make better dietary choices is a challenging task. In this context, 1 potential dietetic approach to achieve better glycemic control in type 2 diabetes is often overlooked: the use of short-term dietary oatmeal interventions. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jcjd.2019.08.020DOI Listing

Prevalence of Type 1 and Type 2 Diabetes-Related Complications and Their Association With Determinants Identified in Canada's Survey on Living With Chronic Diseases-Diabetes Component.

Can J Diabetes 2020 Jun 24;44(4):304-311.e3. Epub 2019 Sep 24.

School of Public Health, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.

Objectives: In this study, we estimated the prevalence of diabetes-related complications and the factors associated with them in Canadian patients with diabetes.

Methods: Data from the 2011 Survey on Living with Chronic Diseases in Canada---Diabetes Component (SLCDC-DM-2011) were used to calculate the weighted prevalence of 16 diabetes-related complications. A multivariable, sex-stratified logistic regression model was used to examine the association between each diabetes-related complication and select determinants. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jcjd.2019.09.001DOI Listing

Diabetic Retinopathy and Vascular Endothelial Growth Factor Gene Insertion/Deletion Polymorphism.

Can J Diabetes 2020 Apr 25;44(3):287-291. Epub 2019 Aug 25.

Department of Biotechnology Faculty of Life Sciences and Informatics, Balochistan University of Information Technology Engineering and Management Sciences, Quetta, Balochistan, Pakistan. Electronic address:

Diabetic retinopathy (DR) is a microvascular complication of the retina of the eye and represents a major cause of blindness worldwide. It is a complex disorder characterized by both genetic and environmental factors. The vascular endothelial growth factor (VEGF) gene is among the main candidate genes for DR, as it is also involved in several other diseases, such as microvascular complications of diabetes mellitus and cancer. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jcjd.2019.08.005DOI Listing

Cardiovascular Effects of Sodium-Glucose Cotransporter-2 Inhibitors in Adults With Type 2 Diabetes.

Authors:
Vincent C Woo

Can J Diabetes 2020 Feb 24;44(1):61-67. Epub 2019 Sep 24.

Section of Endocrinology and Metabolism, Department of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada. Electronic address:

Adults with type 2 diabetes mellitus can benefit from pharmacotherapies that lower their risk for cardiovascular disease. This review describes the salient findings from sodium-glucose cotransporter-2 (SGLT2) inhibitor cardiovascular outcome trials that serendipitously revealed the cardiorenal benefits of SGLT2 inhibitors in adults with type 2 diabetes mellitus who either have established cardiovascular disease or multiple cardiovascular risk factors. It also summarizes the findings from other phase 3 clinical studies that measured the cardiovascular effects of SGLT2 inhibitors and real-world evidence reports that compared the cardiovascular impact of SGLT2 inhibitors with other antihyperglycemic agents. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jcjd.2019.09.004DOI Listing
February 2020