SA Journal of Diabetes & Vascular Disease: Vol 6, Issue 1, March 2009

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SAJDVD: VOLUME 6, ISSUE 1, MARCH 2009

Title: Bariatric surgery for obesity : a cure for the metabolic syndrome? : editorial
Authors: Grobler, Stephen
From: South African Journal of Diabetes and Vascular Disease, Vol 6, Issue 1, Mar
Published: 2009
Pages: 5-7, 12, 20
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Abstract: The prevalence of overweight and obesity has accelerated at an alarmingly rapid rate to reach epidemic proportions throughout the western world. In South Africa, around 10% of men and 28% of women have a body mass index (BMI) ≥ 30 kg / m2. One in three men and one in two women are overweight, with their BMI above 2 kg / m2. Patients have morbid obesity if their BMI is ≥ 3 - 40 kg / m2 with serious weight-related co-morbidity present. The term severe clinical obesity is more appropriate to describe people of such size. In addition, some surgeons speak of super- and mega-obesity if the BMI exceeds 0 or 70 kg / m2, respectively. Alternatively, absolute or relative increases in body weight may be used to define obesity.
Title: Diabetes and exercise : review
Authors: Du Toit, Elmine
From: South African Journal of Diabetes and Vascular Disease, Vol 6, Issue 1, Mar
Published: 2009
Pages: 8-12
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Abstract: Medication, a balanced meal plan and exercise form the basis of the treatment of diabetes. Regular exercise is beneficial to all individuals with diabetes, provided that blood glucose levels are controlled.
Individuals with diabetes should consult with their healthcare team before starting an exercise programme, to assess individual tolerance, physical or medical condition and diabetic control. The exercise plan should vary depending on interest, age, general health and level of physical fitness.
Individuals with type 1 diabetes can participate in all levels of exercise if they have good blood glucose control and no complications. If complications are present, certain precautions need to be taken by most before they can exercise.
Title: Weight management and cardiovascular disease : implications of recent and ongoing clinical trials : review
Authors: Wilding, John; Finer, Nick
From: South African Journal of Diabetes and Vascular Disease, Vol 6, Issue 1, Mar
Published: 2009
Pages: 14-20
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Abstract: Obesity is a global issue with increasing evidence that overweight and obesity are associated with a higher chronic disease risk. Despite over 10 years of government recognition of a need to develop and implement effective prevention strategies, all age groups are getting fatter with overweight becoming the 'norm'. Modest weight loss reduces many of the risk factors that accompany obesity, notably type 2 diabetes, hypertension and dyslipidaemia. Adherence to lifestyle changes required to achieve these improvements is poor and progressively more weight-loss medications are used as adjunctive therapy, while bariatric surgery is performed for the severely obese.
Currently available pharmacotherapy shows encouraging benefits in clinical trials but remains unproven as an effective strategy to support long-term weight loss and weight maintenance and for translation of improved surrogate risk markers into fewer cardiovascular events and a longer life. Three large clinical trials are ongoing in an attempt to answer this question.
Title: Management of the obese child - application of NICE guidelines 2006 : achieving best practice
Authors: Matyka, Krystyna A.; Malik, Shital
From: South African Journal of Diabetes and Vascular Disease, Vol 6, Issue 1, Mar
Published: 2009
Pages: 21-25
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Abstract: The increasing prevalence of overweight and obesity worldwide has prompted interest in the condition. Of particular concern is the increase of excess adiposity, often accompanied by reduced physical activity, in the young. In 2006 the National Institute for health and Clinical Excellence (NICE) published guidance on the identification, assessment and management of overweight and obesity in adults and children. Herein we aim to describe the approach to management of a severely obese child using the NICE guidelines and personal practice from a secondary care weight management clinic.
Title: Diabetes news
From: South African Journal of Diabetes and Vascular Disease, Vol 6, Issue 1, Mar
Published: 2009
Pages: 25, 44
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Abstract: Wereld Diabetesdag te Springfontein : 15/11/08
Diabetes youth camps
CDE leadership camp
Title: Getting a grip on slipping glucose control in the patient with type 2 diabetes mellitus : hands on
Authors: Maasdorp, S.D.; Mollentze, W.F.
From: South African Journal of Diabetes and Vascular Disease, Vol 6, Issue 1, Mar
Published: 2009
Pages: 26-28
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Abstract: Diabetes mellitus is a global pandemic associated with a high mortality rate and causing significant morbidity due to the complications arising from poorly controlled diabetes. It is the fourth leading cause of death by disease in the world and every 10 seconds one person dies from diabetes-related causes. An estimated 246 million people had diabetes in 2007 and, with seven million people developing diabetes each year, we can expect this number to rise to 380 million by 2025.
Title: Weight of the world newsletter : diabetes educator's focus
From: South African Journal of Diabetes and Vascular Disease, Vol 6, Issue 1, Mar
Published: 2009
Pages: 30-32
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Abstract: As the incidence of obesity-related diabetes continues to increase on an unprecedented scale, the need to raise awareness of both the issue itself and its health and social consequences is becoming more pressing. Unlike other public-health conditions such as smoking, which have been the focus of attention and funding worldwide, the international community has been slow to react to the problem of obesity-related diabetes. Healthcare professionals are now beginning to examine the link between obesity and diabetes in more detail, in order to understand whether these conditions are truly interdependent, and what can be done to tackle them.
Title: Exercise as treatment for diabetes : a practical guide to exercising : diabetes educator's focus
Authors: Chetty, Thasmae
From: South African Journal of Diabetes and Vascular Disease, Vol 6, Issue 1, Mar
Published: 2009
Pages: 33-36, 1-3
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Abstract: People with diabetes are often nervous about exercising for fear of complications. However, if they are active on a regular basis, they reduce their risks of cardiovascular disease more so than their inactive counterparts. Exercise plays an extremely important role in both the prevention and treatment of diabetes. In the past, emphasis was on medication, insulin and a low-calorie diet. Exercise was noted as part of the treatment protocols but was very seldom reinforced. Currently, the primary emphasis in diabetes therapy is exercise and balanced eating, in conjunction with medication if necessary.
A biokineticist is an exercise therapist who assesses patients and prescribes exercise for various medical conditions. He / she is an integral part of the diabetes care team.
Title: Managing diabetes and hypertension in a resource-poor setting : diabetes personality
Authors: Katz, Ivor
From: South African Journal of Diabetes and Vascular Disease, Vol 6, Issue 1, Mar
Published: 2009
Pages: 37-38
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Abstract: The Soweto Chronic Disease Outreach Programme (CDOP) was established at the Chris Hani-Baragwanath Hospital in 1999. Its primary aim is to detect the complications that could arise from chronic diseases such as diabetes and hypertension early, by screening susceptible patients. In the 10 years of its existence, it has made a considerable contribution towards addressing the problem of early detection and appropriate treatment of these diseases in resource-poor settings in southern Gauteng.
Title: Weighing up therapeutic regimens in type 2 diabetes : insights from recent trials : drug trends
From: South African Journal of Diabetes and Vascular Disease, Vol 6, Issue 1, Mar
Published: 2009
Pages: 41-42, 44
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Abstract: Many current therapies for diabetes, such as the majority of sulphonylureas, the thiazolidinediones (TDZ) and most insulins result in weight gain, with an estimated 2 kg of weight gained for every 1% decrease in HbA. What are today's best choices for treating type 2 diabetics without causing weight gain?

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