Showing posts from January, 2021

Insulin management in patients with Type 1 Diabetes (S1/05)

It is important to be careful about what you eat, even if you don’t have diabetes. It will be much more rewarding if you are able to discuss what you can eat with a dietitian who will help you draw up a meal plan based on the mealtimes, routines and preferences that are important to your family. “You should never eat what you don’t like”, says UK dietitian Sherry Waldron. This study will give you many details about blood glucose and different foods, but you will learn the general aspects of healthy eating from your dietitian. Based of ADA (America Diabetes Association) and ISPAD (International Society for Pediatric and Adolescent Diabetes) guidelines, Postprandial glucose level is recommended to be less than 180 mg/dl (10 mmol/L) Current Standard of Care: Dosing insulin solely based on carbohydrate (CHO) content of meal. (Blood glucose in range might become more feasible) Glycaemic Effects of Dietary Fat • Fat delays gastric empting, increases insulin resistance (the inability of cel

Dealing with Dyslipidaemia in Diabetes #(S1/04)

Background  • Adults with diabetes are at increased risk for atherosclerotic cardiovascular disease (CVD) including heart attack and stroke  • Mortality from CVD in people with diabetes is significantly increased compared to non-diabetic population • While CVD events are rare in paediatrics, increased carotid intima-media thickness (cIMT) and endothelial dysfunction have been documented in youth with type 1 diabetes (T1D) • Dyslipidaemia is a known major and MODIFIABLE risk factor for atherosclerotic CVD (ASCVD)- defined as coronary heart disease) • Reduction of cholesterol levels reduces coronary disease risk in adults • In patients with diabetes, control of dyslipidaemia early in life may result in significant decrease in morbidity and mortality due to CVD DYSLIPIDAEMIA IS VERY COMMON IN YOUTH WITH DIABETES Screening: ISPAD guidelines Paediatric Type 1 Diabetes   • Lipid profile soon after stabilization of glycaemic control for children > 11 years’ old • As early