Diabetes related articles in the "Big 4"

Access
BMJ - current paper copy in library, electronic access 3 months delay - NHS Athens
Lancet - electronic access 2 months delay - NHS Athens
JAMA - current electronic access - NHS Athens
NEJM - current paper copy in library, partial electronic access to recent articles - no password, full text electronic access - 3 months delay - NHS Athens


[Seminar] Gestational diabetes: the need for a common ground
...Gestational diabetes mellitus is a substantial and growing health concern in many parts of the world. Certain populations are especially vulnerable to developing this condition because of genetic, social, and environmental factors. Gestational diabetes has serious, long-term consequences for both baby and mother, including a predisposition to ob...
from The Lancet - 11:08 AM (52 minutes ago)

[Articles] Type 2 diabetes mellitus after gestational diabetes: a systematic review and meta-analysis
...with gestational diabetes are at increased risk of developing type 2 diabetes, but the risk and time of onset have not been fully quantified. We therefore did a comprehensive systematic review and meta-analysis to assess the strength of association between these conditions and the effect of factors that might modify the risk.
from The Lancet - 11:08 AM (52 minutes ago)

[Comment] Fenofibrate and risk of minor amputations in diabetes
...type 2 diabetes, which shows a large effect of treatment on the rate of minor amputations during the 5-year study. This new report adds important information that gives clues to mechanisms and grounds for possible changes to guidelines for clinical management. As a brief reminder, the FIELD trial was designed to measure the effects of fenofibrat...
from The Lancet - 11:08 AM (52 minutes ago)

[Comment] Type 2 diabetes in children and adolescents
...type 2 diabetes in children and adolescents. Although probably not truly epidemic in proportion, the incidence of cases in high-risk ethnic populations now approaches 50% of all new cases of diabetes diagnosed in US adolescents. This increased prevalence of paediatric type 2 diabetes suggests impending future morbidity from diabetic complication...
from The Lancet - 11:08 AM (52 minutes ago)

[Comment] Continuous glucose monitoring in type 1 diabetes mellitus
...type 1 diabetes. With this new tool, basal insulin replacement could be optimised and meal-related insulin requirements accurately defined. Alarms could alert patients to impending hypoglycaemia and bolus doses adjusted depending on the direction of change in glucose levels before the meal.
from The Lancet - 11:08 AM (52 minutes ago)

[Perspectives] Living with diabetes: care beyond choice and control
...diagnosed with diabetes. He is getting used to injecting himself with insulin and thinking about how much he eats. As she looks at this morning's laboratory results his doctor seems happy. Mr Zomer is doing okay. Time for the next step in his treatment. So she explains to Mr Zomer that if his blood sugar were more tightly regulated, if he lowere...
from The Lancet - 11:08 AM (52 minutes ago)

[Articles] Effect of fenofibrate on amputation events in people with type 2 diabetes mellitus (FIELD study): a prespecified analysis of a randomised controlled trial
...type 2 diabetes mellitus substantially impair their quality of life and impose high costs on health-care systems. Our aim was to assess the effect of fenofibrate on amputation events in a large cohort of patients with type 2 diabetes.
from The Lancet - 11:08 AM (52 minutes ago)

[Comment] Diabetes: finding “a clean well-lighted place”
Human beings are social by their nature. Chronic diseases are isolating and can make the patient feel separated from others. For patients with chronic conditions, some of the main sources of human connection are the clinic, hospital, doctor, and other health professionals. The more demanding and threatening the disease, the greater the potential ne...
from The Lancet - 11:08 AM (52 minutes ago)

[Editorial] Diabetes—a global threat
...dedicated to diabetes—one of the greatest contributors to the global burden of disease. This themed issue, published in advance of the American Diabetes Association's scientific sessions in New Orleans on June 5–9, focuses on some of the major causes and most devastating complications of diabetes.
from The Lancet - 11:08 AM (52 minutes ago)

[Comment] Diabetes technology—now and in the future
...for diabetes management, we would not remotely be where we are today in reducing the terrible burden of this disease. Although for decades effective technology has been available to manage diabetes, the pace with which new technology has been introduced has accelerated greatly in recent years, and we now have a wide panoply of drugs and devices....
from The Lancet - 11:08 AM (52 minutes ago)

[Articles] Effect of intensive control of glucose on cardiovascular outcomes and death in patients with diabetes mellitus: a meta-analysis of randomised controlled trials
...type 2 diabetes mellitus is unclear. We undertook a meta-analysis of randomised controlled trials to determine whether intensive treatment is beneficial.
from The Lancet - 11:08 AM (52 minutes ago)

[Comment] Gestational diabetes mellitus: an opportunity of a lifetime
...Gestational diabetes mellitus is defined as carbohydrate intolerance of any degree that begins or is first recognised during pregnancy. It complicates about 4% of all pregnancies in the USA and 3–5% in the UK, although reported US prevalence rates vary between 1–14%—attributable to factors such as differences in diagnostic criteria used to defin...
from The Lancet - 11:08 AM (52 minutes ago)

[Department of Error] Department of Error
...diabetes mellitus, and cancer in the occupied Palestinian territory. Lancet 2009; 373: 1041—In this Series paper (March 21), the third column heading in table 1 (p 1043) should be “Syria20”. In the section on Cancer, the fourth sentence of paragraph 3 (p 1044), should read “In theory some features of Palestinian society, including a high total f...
from The Lancet - 11:08 AM (52 minutes ago)

[Seminar] Stress hyperglycaemia
...existing diabetes. So-called stress hyperglycaemia is usually defined as hyperglycaemia resolving spontaneously after dissipation of acute illness. The term generally refers to patients without known diabetes, although patients with diabetes might also develop stress hyperglycaemia—a fact overlooked in many studies comparing hospital inpatients ...
from The Lancet - 11:08 AM (52 minutes ago)

[Comment] Hyperglycaemia and coronary heart disease: the meta picture
...type 2 diabetes. They report significant 17% and 15% reductions in events of non-fatal myocardial infarction and coronary heart disease, respectively, with better control of blood sugar. Because none of these trials individually reported a significant reduction in primary endpoints for coronary heart disease, a reasonable question is whether the...
from The Lancet - 11:08 AM (52 minutes ago)

[Perspectives] Profile: Karen Lam Siu-ling: tackling diabetes in Hong Kong
...would say diabetes education in Hong Kong.” For a woman who has scaled the ramparts of Hong Kong's most conservative medical establishment to become head of the University of Hong Kong's Department of Medicine, researched the significance of adiponectin in Chinese people, identified therapeutic compounds in Chinese medications, and charted the r...
from The Lancet - 11:08 AM (52 minutes ago)

BOOK REVIEW: Insulin Resistance: Childhood Precursors and Adult Disease
...syndrome and diabetes. The editors weave together three topic areas: epidemiology, pathophysiology, and treatment. ...
from New England Journal of Medicine - May 13, 2009 10:43 PM

CORRECTION: Incorrect Data in Text and Table in: Low-Dose Aspirin for Primary Prevention of Atherosclerotic Events in Patients With Type 2 Diabetes: A Randomized Controlled Trial
from JAMA current issue - May 12, 2009 9:30 PM