Discover and read the best of Twitter Threads about #diabetes

Most recents (24)

“Doctor, what should be my targets for Hba1c, Fasting and Post meal (PP) glucose?”

Many of our friends with Diabetes have this question. I will try to explain in the thread below.

#Diabetes #GlycemicTargets #HbA1c (1/n)
HbA1c should be done at least 2 times a year if goals are met and glucose control is stable,

Done more often if goals not met or there is change in the medicines.

A1c goal for many non pregnant adults is < 7% without any significant hypoglycaemia.

#Diabetes #HbA1c (2/n)
Tighter HbA1c goals ( less than 7%) may be considered in some.

Less stringent goals (less than 8%) may be appropriate in pts with limited life expectancy or side effect of drugs.

Individualisation of glycemic targets is a must. It’s not a one size fits all criteria.

Read 11 tweets
>>Leugnung ist ein großes Thema während der Pandemie. Leugnung der Übertragung über die Luft, Leugnung der Wissenschaft, Leugnung der Ernsthaftigkeit von Omicron und Leugnung dessen, was es wirklich bedeutet, „mit #Covid19 zu leben“<<…
>> Wir hatten wirksame Kampagnen zum Händewaschen, aber keine Kampagnen mit ähnlicher Wirkung wurden durchgeführt, um die Menschen zu befähigen, ihr eigenes Risiko mit einfachen Maßnahmen wie dem Öffnen eines Fensters zu kontrollieren.
Das Versäumnis, sich auf die Übertragung über die Luft zu konzentrieren, hat die Fähigkeit, die Ausbreitung zu kontrollieren, behindert... Die Korrektur ist entscheidend für die langfristige Nachhaltigkeit von Gesundheit, Unternehmen und Wirtschaft.
Read 27 tweets
In 2021 the world celebrated the 100th anniversary of the discovery of #insulin surely one of the greatest medical breakthroughs of the 20th century #diabetes #T1D @NobelPrize @uoftmedicine…
#EndcrineReviews was pleased to publish a collection of articles devoted to advances #T1D #insulin #diabetes #islets A brief recap, here a comprehensive look at the human islet @powersac_TN @MouseCentral…
A comprehensive deep dive into the human β-cell from autoimmunity to secretory function, proliferation, growth, ER stress and biomarkers. @BruceVerchere @StevenKahn11…
Read 8 tweets
Well, I got 2 messages before 9am from friends telling me they have #COVID19 in their households. And in the 12 mins since, I’ve just heard about 4 more. So Merry Exponential Growth #Omicron #Christmas. 🌲 😫

A quick 🧵 on what to do if that’s you since I’m typing it anyway.
1/ The first thing to say is that if someone has #COVID19 symptoms (#Omicron most common: nasal congestion/runny nose, scratchy sore throat, fever, & aches), you have to assume they have it. You may not have a test (urgent cares are still open & do) or they may still be neg.
2/ You, as the person exposed to the one with symptoms, have to assume that you both do & don’t have #Omicron too. Wait, what? 🤔

I mean: assume you could infect others now & take care to avoid exposing them, BUT don’t assume it’s too late for you to avoid getting it.
Read 24 tweets
This systematic review and meta-analysis compares the efficacy and safety of low-carbohydrate diets and low-fat diets on glucose control, body weight loss, cardiovascular risk, and renal safety for type 2 diabetes management.
- "We found that treatment with LCDs achieved more effective improvements in glycemic and body weight control, as well as the concentrations of TG and HDL-C...
"...Our study proved that a more favourable effect of LCDs on HbA1c and TG levels could persist up to 1.5 years. The result of HDL-C concentration suggested a longer-term effectiveness of LCDs, which lasted for 2 years...
Read 6 tweets
What all steps can our friends with Diabetes take to keep their feet healthy?

Always remember, Prevention is better, cheaper and safer than cure.

Few pointers about footcare for patients with Diabetes. A thread 🧵

Do read and share.

#Diabetes #Footcare (1/n)
Diabetes can be dangerous to your feet🦶

Even a small cut can have serious consequences.

It can affect blood flow to the lower limbs, affecting healing and making prone to infection.

It can affect nerves leading to reduced sensation including pain. #Diabetes #Footcare (2/n)
If you have diabetes & develop a blister or cut or a sore, it could lead to a non healing wound that could progress & some cases requiring surgeries & even amputation. We see many cases in late stages, hence requires intervention. Many are PREVENTABLE. #Diabetes #Footcare (3/n)
Read 18 tweets
Daily Bookmarks to GAVNet 12/11/2021…
Rain to replace snow in the Arctic as climate heats, study finds…

#Arctic, #rain, #snow, #ClimateChange, #models
The United States Is Not “a Nation of Immigrants”…

#USA, #immigrants, #multiculturalism, #ColonialHistory, #settlers
Read 18 tweets
Better nutrition is related to:

👧🏻 improved infant, child, and maternal health
💪🏽 stronger immune systems
🤰🏽 safer pregnancy and childbirth
🩺 lower risk of illnesses such as #diabetes and cardiovascular disease
🏃🏾‍♀️ improved longevity

👉 Image
The 🌍 is off track to meet 5 of 6 nutrition targets:

♦️ 1 in 3 people are affected by at least 1 form of malnutrition

♦️ Of children < 5:
🔸149.2m are stunted
🔸45.4m are wasted
🔸38.9m are overweight

♦️ Over 40% of all 👨🏽 & 👩🏼‍🦰 are overweight or obese Image
#COVID19 has fuelled the nutrition crisis, especially among women & children.

Bringing huge burdens to global systems for nutrition, including:
🩺 health
🥦 food
💙 social protection
🚨 humanitarian assistance

Here's what can be done to address this:
👉 Image
Read 7 tweets
Don’t miss a new accredited #tweetorial launching TOMORROW here on @cardiomet_CE. #Interventional #cardiologist, #researcher, & #SoMe education leader @DLBHATTMD will be talking all about #aspirin, its role in #cardiovascular wellness & prevention, and new approaches to . . .
1) Welcome to an #accredited #tweetorial on the foundational role of #aspirin in #cardiovascular care. There are new approaches to #aspirin formulation & dosing. This program is accredited for 0.50h CE/#CME. I am @DLBHATTMD. #FOAMed #cardiotwitter #medtwitter Image
Read 49 tweets
THREAD: SGLT2 inhibitors for #diabetes

1/5 Dr. Jamie Falk @jamisonfalk presented "A Deep Dive into #SGLT2i: What Comes to the Surface for Individuals with Diabetes"

👉🏽Watch the presentation here: 🧑🏾‍💻

#T2DM #medsafety #FOAMed #MedEd
2/5 #AdverseEffects for #SGLT2i to be aware of: genital infections, hypovolemia, DKA, amputations

✅Check out the image ⬇️ for the risk estimates
✅Watch @JamisonFalk's presentation here:🧑🏾‍💻

#T2DM #medsafety #FOAMed #MedEd #diabetes #ptsafety
3/5 Evidence to date for #SGLT2i:

The first of the two new classes of medications for type II diabetes to reduce ↘️ risk of CV #AdverseEvents and mortality

✅Watch @JamisonFalk's presentation here:🧑🏾‍💻

#T2DM #medsafety #FOAMed #MedEd #diabetes
Read 6 tweets
Today is #WorldDiabetesDay!

DYK know that 1️⃣ in 2️⃣ adults with type 2 #diabetes is unaware of their condition.

👀 Watch this video to learn more about the causes, symptoms and how diabetes can be treated ⬇️

It's #WorldDiabetesDay.

DYK: More than 4️⃣2️⃣0️⃣ million people have #diabetes.

The number of people with diabetes has quadrupled since 1980 and is expected to rise beyond half a billion by the end of the decade.
There are two types of #diabetes:
🩸 Type 1 diabetes, whose cause is unknown
🩸 Type 2 diabetes, largely the result of excess body weight and physical inactivity
🩸 Gestational diabetes that occurs in 🤰

Read 14 tweets
The 🆕 WHO report on global access to #insulin shows how a century after its discovery, insulin remains inaccessible or unaffordable for many children and adults living with #diabetes around the 🌍🌎🌏.

More here 👉
5 out of 10 people with type 2 #diabetes in the 🌍 still do not have access to insulin and only 3 companies dominate 90% of the market for insulin setting 📈 prices.

This is unacceptable. Everybody deserves to have access to life-saving treatment.
WHO is hosting dialogues with manufacturers to increase availability of #insulin and other diabetes medicines and health technologies under the framework of the Global Diabetes Compact.
Read 9 tweets
@DrTedros "Almost 2 million cases of #COVID19 were reported in Europe last week, the most in a single week in that region since the pandemic started.

Almost 27,000 deaths were reported from Europe, more than half of all COVID-19 deaths globally last week"-@DrTedros
@DrTedros "#COVID19 is surging in countries with lower vaccination rates in Eastern Europe, but also in countries with some of the world’s highest vaccination rates in Western Europe"-@DrTedros

Read 28 tweets
Don’t miss a new accredited #tweetorial launching TOMORROW here on @cardiomet_CE. #Cardiologist, #SoMe education advocate, and true #Renaissance man @CMichaelGibson will be discussing a novel #aspirin prep that has PK/PD like plain #ASA . . .
. . . but a different site of absorption--with greater predictability than ECASA. DON'T MISS IT!! @DLBHATTMD @cpcannon @AnnMarieNavar @DrM_ODonoghue @DrMarthaGulati @practicalcardio @GuyattGH @DrMauricioCohen @SVRaoMD @ASPCardio @PlateletDoc @stephanamayer #FOAMed #CardioTwitter
1) Welcome to a #tweetorial where we’ll explore how changing the formulation of #aspirin & where it's absorbed in the GI tract can ⬇️the risk of acute GI injury, but still maintain predictable absorption. This program is accredited for 0.50h CE/#CME. I am @CMichaelGibson. #FOAMed Image
Read 42 tweets
[Thread] BREAKING 1. Real-world @Discovery_SA data on how well #Pfizer's two-dose #COVID19 jab works in SA:

14 days to 3 months after taking the 2nd shot: :
- 94% effectiveness @ COVID-related death
- 92% effectiveness @ COVID-related hospitalisation
2. What is real-world effectiveness?

It’s data from an actual vaccine roll-out. During studies jabs = used under tightly controlled conditions. In the real world those conditions = more fluid. Real-world data = how well jabs work outside of a trial.
3. Is there a difference between the protection offered by 1 dose of the #Pfizer jab and 2 doses?


- 1 dose = 78% effective @ hospitalisation (28 days after you’ve had a jab)
- 2 doses = 94% effective @ hospitalisation (14 days after the 2nd jab)
Read 11 tweets
🚨New in @JAMANetworkOpen🚨

We examined clinical outcomes of intensifying hospitalized older adults' #diabetes medications at discharge...

🧓+💉+💊+ 🏥--->🏡


This will be a thread...
For those who just want the punchline:
🧐Deeper Dive

Patients👵👴 often have blood sugar fluctuations in hospital, due to:
➖Acute illness
➖Home meds held
➖New meds
➖Diet change

We have guidelines for managing DM during hospitalization for other conditions, but no data on intensifying meds at discharge
Read 23 tweets
Warning ⚠️ ⚠️ I AM snarky. I get that we have an individual responsibility for our health. I get that but articles & comments as below definitely get my snark up. My kids have T3 #diabetes which is unbelievably difficult to control & truly cannot be controlled with #diet. 1/ ImageImage
furthermore inds present differently with T1 & T2. My nephew’s bs actually skyrocketed when playing basketball - a sport he loved and was good at. #Diabetes is hard to manage & costly. Furthermore there has been research highlighting harms of a restrictive diet particularly on 2/
children/youth. Articles such as this & statements such as this seems very flippant and NOT #patientcentric at ALL. We also have a greedy #pharmaceutical industry that needs to be held in check & they are NOT. There is no reason why the cost of #insulin has #skyrocketed. 3/
Read 5 tweets
Las personas con #tuberculosis (TB) ya no son físicamente como mostraban los libros: con musculatura esquelética. Desde hace algunos años, se han empezado a verlas obesas o con sobrepeso. La #diabetes es la principal comorbilidad de la enfermedad. 🧵 (1/6)… Image
En esta #entrevista, la directora ejecutiva de la Dirección de Prevención y Control de Tuberculosis del @Minsa_Peru, Julia Ríos, explica la necesidad de una buena alimentación en la lucha contra la #TB y de un enfoque integral para erradicarla. (2/6) Image
📌 “Una persona que se infecta tiene 10% de probabilidad de hacer la enfermedad en el tiempo que le queda de vida. Si es una persona con #VIH, con una inmunidad muy baja, el riesgo de que se enferme es de 10% por año”. (3/6)
Read 6 tweets
#idweek2021 @IDSAInfo Implications of #COVID19 in African-American & Latinx communities by Dr Hewlett Jr #idtwitter #medEd
#idweek2021 @IDSAInfo #disparities
Implications of #COVID19 in #BLM African-American & #Latinx communities by Dr Hewlett Jr #idtwitter #medEd #pregnancy #obgyntwitter
#idweek2021 @IDSAInfo #disparities Implications of #COVID19 in #BLM African-American & #Latinx communities by Dr Hewlett Jr #idtwitter #medEd #diabetes #obesity #race #FrontlineWorkers vascular disease
Read 6 tweets
EASD President Professor Stefano Del Prato @SDelprato virtually welcomes everyone to #EASD2021 - he is confident that this year will be another successful meeting, following the more than 20,000 delegates last year!
Globally, EASD is aiming to reach and connect as many people as possible. Last year we had delegates from Brazil and Mexico joining the meeting! #EASD2021
Amazing stats for this year’s meeting! #EASD2021
Read 12 tweets
It’s #EASD2021 week 🥳🥳🥳

We can’t wait to share our new #eLearning modules and other initiatives with you! Once again, this year’s conference is virtual – and there are some new ‘live’ twists to tempt you in, too. #MedTwitter #Diabetes

Read more:…
Firstly, make sure you watch EASD President Stefano Del Prato’s opening address tomorrow (Tues 28 Sept at 10am CET). Stefano will be announcing some exciting news about the #eLearning platform and what we will be able to offer our users in the future! #EASD2021 #Diabetes
Starting on Weds 29 Sept, we’re launching new #eLearning modules, featuring live Q&A sessions with the course authors.

At 12pm CET, ‘Fear of Hypoglycaemia’ with Professor Frank Snoek

At 2pm CET, ‘NAFLD - Prevention and Treatment’ with Professor Michael Roden

Read 9 tweets
(1/12) #AFibAwareness #Tweetorial: Today the #ACCEP will be sharing information about #AFib risk factors, risk reduction techniques & more! Follow along as we discuss how mental health, exercise & OSA factor into AFib symptoms & treatment options. ⬇
@DrJCheungEP @Dr_Mike_Fradley (2/12) #AFibAwareness #Tweetorial: Normally, the human ❤ pumps >100k heartbeats each day. If you have #AFib, the ❤ doesn’t always beat the way it should.

People w/ AF are 5x more likely to have a #stroke, & it can lead to HF. Treating AF early can help:
(3/12) #AFibAwareness #Tweetorial: Some people with #AFib don’t have any symptoms. Those who do may report:
💗 Heart palpitations
😴 Feeling unusually tired
🌬️ Unexplained shortness of breath
😵 Dizziness
💥 Chest pain
Read 12 tweets
Every year, exposure to #AirPollution is estimated to cause 7⃣ million premature deaths and result in the loss of millions more healthy years of life.

🆕 guidelines recommend air quality levels to protect health and save lives around the 🌎🌍🌏

The WHO Global Air Quality Guidelines provide clear evidence of the damage #AirPollution inflicts on health, at even lower concentrations than previously understood. The guidelines recommend 🆕 air quality levels by reducing levels of 🔑 air pollutants.

The 🆕 WHO Global Air Quality Guidelines recommend air quality levels for 6⃣ pollutants.

Small particulate matter (PM₁₀ and PM₂.₅) are of particular public health relevance, as they are capable of penetrating deep into the lungs 🫁.

Read 8 tweets
Insulin—one of the greatest medical achievements of all time. Yet, its centenary year is marred by persisting inequity in access.

@TheLancetEndo continues to highlight 100 years of #insulin:

Explore the NEW #Insulin100 content 👇 The insulin centenary must ...
Type 1 #diabetes is characterised by autoimmune-mediated destruction of pancreatic β-cell mass.

This Review highlights advances and challenges in regenerative medicine approaches to restoring β-cell mass and function: #Insulin100 Image
Insulin's centenary is worthy of celebration—but blood glucose control with #insulin in people with #diabetes remains nearly universally suboptimal.

This Review explores the developments of insulin delivery beyond anything currently marketed. #Insulin100
Read 4 tweets

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