BACKGROUND Type 1 diabetes mellitus (T1DM) may lead to severe long-term health consequences. In a longitudinal study, we aimed to identify factors present at diagnosis and 6 months later that were associated with glycosylated haemoglobin (HbA(1c)) levels at 24 months after T1DM diagnosis, so that diabetic children at risk of poor glycaemic control may be identified. METHODS 229 children <15 y...

AIMS To examine determinants for glycaemic control in primary care patients with Type 2 diabetes. METHODS In a community-based surveillance of primary care patients with Type 2 diabetes, 190 men and 186 women were consecutively identified and examined for cardiovascular risk factors. Insulin resistance and beta-cell function were estimated using homeostasis model assessment (HOMA). Good glyca...

To test the potential of Infrared (IR) thermography in diagnosing as well as predicting type 2 diabetes and its complications compared with biochemical assay of HbA(1c) as standard. As per American Diabetes Association criteria, threshold for diagnosis of diabetes was set as HbA(1c) ≥ 6.5 % (7.7 mmol L⁻¹). The total subjects (n = 62) were studied out of which control (n = 32) and diabetic subje...

BACKGROUND Admission hyperglycaemia is associated with poorer prognosis in patients with an acute coronary syndrome (ACS). Whether hyperglycaemia is more important than prior long-term glucose metabolism, is unknown. AIM To investigate the prognostic value of admission glucose and HbA(1c) levels in patients with ACS. METHODS We measured glucose and HbA(1c) at admission in 521 consecutive pa...

OBJECTIVE Patients with diabetes have a higher case fatality rate in myocardial infarction (MI) or stroke than those without diabetes: that is, MI and stroke are more often fatal if diabetes is present. We investigated whether the risk of MI or stroke being fatal in type 2 diabetes can be estimated using information available around the time diabetes is diagnosed. RESEARCH DESIGN AND METHODS ...

BACKGROUND Nephropathy is one of the complications of type 2 diabetes mellitus that could lead to end-stage renal disease. Persistent microalbuminuria is the best predictor of high risk of developing diabetic nephropathy. The relation between HbA 1c and microalbuminuria with the duration of diabetes is not clear. OBJECTIVES To determine microalbuminuria levels in type 2 diabetics and to corre...

OBJECTIVE To study the relationship between postoperative infectious complications and glycemic control for diabetic patients in an orthopedic hospital in Kuwait. SUBJECTS AND METHODS Patients who underwent surgical orthopedic procedures between 2006 and 2007 were identified to provide demographic and clinical informations including age, gender, type of surgery, length of operation, HbA(1c) v...

The central importance of HbA 1c in monitoring glycaemic control was highlighted by the Diabetes Control and Complications Trial (DCCT) which showed that improved glycaemic control, as monitored by HbA 1c , delayed the onset of diabetic complications. Following this publication the issue of international standardisation of glycated haemoglobin (GHb) measurements became an important objective. T...

AIM Despite the widespread assumption that adherence drives glycaemic control, there is little published support for this in Type 2 diabetes. The study objective was to determine whether self-reported medication adherence predicts future glycaemic control in Type 2 diabetes, after accounting for baseline control. METHODS Medication adherence (4-item Morisky scale), glycaemic control (HbA(1c)%...

OBJECTIVE The efficacy of the insulin analogs now available for multiple daily injection (MDI) and continuous subcutaneous insulin infusion (CSII) therapy in type 1 diabetes has not yet been established in pediatric patients. Our principal aim in this short-term study was to compare the efficacy of CSII to MDI with glargine in lowering HbA(1c) levels in children and adolescents with type 1 diab...