SA Journal of Diabetes & Vascular Disease: Vol 7, Issue 2, June 2010

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SAJDVD: VOLUME 7, ISSUE 2, JUNE 2010

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The heart in diabetes : editorial
Authors: Ker, J.A.; Published: 2010
From: South African Journal of Diabetes and Vascular Disease, Vol 7, Issue 2, Jun, Pages: 48-49
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Abstract: Diabetes mellitus is associated with a two- to four-fold increased risk of coronary artery disease, and in diabetic people, about two-thirds of deaths are cardiovascular (ischaemic heart disease, congestive heart failure and stroke). Some have suggested diabetes mellitus to be a coronary heart disease risk equivalent (having the same event rates as people without diabetes but with prior cardiovascular disease). However, this concept remains controversial, especially in younger patients.
Andre Francois Steyn in Memoriam
Authors: Mollentze, W.F.; Published: 2010
From: South African Journal of Diabetes and Vascular Disease, Vol 7, Issue 2, Jun, Pages: 49
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Abstract: André Francois Steyn is gebore op 22 Februarie 1931 op Caledon in die destydse Kaapprovinsie. Hy matrikuleer aan die Hoërskool Grey Kollege te Bloemfontein in 1948 en bly sy lewe lank 'n lojale ondersteuner van sy alma mater. Hy behaal die graad MB, ChB in 1954 aan die Universiteit van Pretoria en verrig sy internskap die daaropvolgende jaar aan die Nasionale Hospitaal, Bloemfontein. In dieselfde jaar tree hy in die huwelik met Jean Sonnenberg en word daar een seun en drie dogters uit die huwelik gebore. Na sy internskap vestig hy hom as algemene praktisyn te Bultfontein in die Vrystaat, waar hy vier jaar deurbring.
GLP-1 agonists : a novel treatment for South African diabetic patients : editorial
Authors: Rosenkranz, Bernd; Published: 2010
From: South African Journal of Diabetes and Vascular Disease, Vol 7, Issue 2, Jun, Pages: 51-53
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Abstract: Type 2 diabetes has become an epidemic worldwide, including in South Africa, where it is the sixth most common cause of death. Treatment strategies to combat hyperglycaemia reduce complications in these patients. Conventional antidiabetics all have their own limitations, especially weight gain and the risk of hypoglycaemia. There is therefore a clear need for novel treatment options, given alone or as combination therapy. New medications should exhibit an ideal glucose-lowering efficacy profile, be extremely safe in a broad range of patients and ultimately reduce co-morbidities and complications of diabetes.
Atrial fibrillation in Africa : editorial
Authors: Visagie, Gideon; Published: 2010
From: South African Journal of Diabetes and Vascular Disease, Vol 7, Issue 2, Jun, Pages: 54-55
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Abstract: Atrial fibrillation is a common disorder with serious consequences. The estimated prevalence of this condition is between 0.4 and 1% in western populations. It amounts to an annual expenditure of approximately US$ 7 billion per year in the United States. No specific figures are available for South Africa, but in the Heart of Soweto study, it was reported that 7% of patients referred for a new cardiac problem had atrial fibrillation.
Atrial fibrillation : which patients should be managed in primary, secondary and tertiary care? : review
Authors: Jones, David; Wong, Tom; Gorog, Diana; Markides, Vias; Published: 2010
From: South African Journal of Diabetes and Vascular Disease, Vol 7, Issue 2, Jun, Pages: 56-63
References: Jones References
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Abstract: Atrial fibrillation is the commonest sustained cardiac arrhythmia, and has a significant impact on morbidity and mortality. It is a leading cause of stroke, and suitable thromboprophylaxis should be considered in all patients. Treatment is tailored to the individual. This article will review the management strategies for patients with atrial fibrillation, and discuss the roles of primary, secondary, and tertiary care.
Common goals, different viewpoints : cardiologists and endocrinologists face off in a series of stimulating debates : meeting of the minds
Authors: Aalbers, J.L.; Wagenaar, P.; Published: 2010
From: South African Journal of Diabetes and Vascular Disease, Vol 7, Issue 2, Jun, Pages: 65-68
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Abstract: Servier's Meeting of the Minds, part two, which took place in Cape Town in March 2010, once again brought together cardiologists and endocrinologists to share their often opposing views on key issues relevant to both disciplines.
Diabetic prevalence and genetic determinants of diabetes among black South Africans : Servier supports South African diabetes studies : review
Authors: Published: 2010
From: South African Journal of Diabetes and Vascular Disease, Vol 7, Issue 2, Jun, Pages: 69
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Focus on liraglutide : the LEAD studies : review
Authors: Aalbers, J.L.; Mollentze W.F.; Published: 2010
From: South African Journal of Diabetes and Vascular Disease, Vol 7, Issue 2, Jun, Pages: 70-73
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Abstract: In this issue of the Journal, an editorial deals with these new entities as a class and provides data related mainly to exenatide, as it is currently available on the South African market (see page x). The clinical usefulness of these agents is likely to lead to the registration of liraglutide in South Africa, and review of this novel agent is pertinent for local physicians. In addition, South African specialist groups will seek to place these GLP-1 analogues into their protocols, and data on the value and clinical experience with liraglutide is pertinent to these developments.
Eating for Sustained Energy 4, Gabi Steenkamp and Liesbet Delport : book review
Authors: Published: 2010
From: South African Journal of Diabetes and Vascular Disease, Vol 7, Issue 2, Jun, Pages: 73
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Abstract: Gabi Steenkamp and Liesbet Delport, both registered dieticians, have recently released Eating for Sustained Energy 4, published by Tafelberg.
Clinical aspects of silent myocardial ischaemia : with particular reference to diabetes mellitus : achieving best practice
Authors: Dweck, Marc; Campbell, Ian W.; Miller, Douglas; Francis, C. Mark; Published: 2010
From: South African Journal of Diabetes and Vascular Disease, Vol 7, Issue 2, Jun, Pages: 74-79
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Abstract: Silent ischaemia is a common, under-recognised condition that is associated with an adverse prognosis. It is a marker of significant underlying coronary artery disease and therefore of future cardiovascular events. It is more prevalent in the diabetic population and diagnosis is usually made by a positive exercise tolerance test, positive myocardial perfusion scan or stress echo. The basis of treatment, in diabetic and non-diabetic subjects, is risk factor modification and coronary revascularisation of prognostically important coronary disease. Diabetic patients should receive risk factor modification even in the absence of ischaemia. Detection of silent ischaemia allows patients with prognostically important disease to be offered further treatment. The difficulty lies in deciding who to investigate further for this surreptitious disorder. The following clinical markers are of predictive use in this regard: electrocardiographic changes; erectile dysfunction; peripheral vascular disease and cardiac autonomic neuropathy. Their presence should prompt further investigation for silent ischaemia.
Diabetic diets need to be realistic, balancing nutritional and economic concerns : diabetes personality
Authors: Gilfillan, Marlene; Published: 2010
From: South African Journal of Diabetes and Vascular Disease, Vol 7, Issue 2, Jun, Pages: 80-81
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Abstract: A multidisciplinary approach is key to the management of diabetes - and physicians, counsellors, biokineticists, dieticians and educators all have important roles to play. This is the view of clinical dietician, Marlene Gilfillan, who is based at Kalafong Hospital in Pretoria. She has high praise for the 'closely networked' team in which she works, and feels that the successful interdisciplinary co-operation at Kalafong more than compensates for the resource shortages that are par for the course in the public sector.
Diabetes news
Authors: Published: 2010
From: South African Journal of Diabetes and Vascular Disease, Vol 7, Issue 2, Jun, Pages: 82
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Abstract: Stellenbosch University's research project in the Western Cape has been awarded a substantial international grant to benefit local diabetes patients. This grant forms part of a long-term funding relationship to identify, test and publish practical solutions to improve outcomes for people with diabetes throughout the world.
No child should die from diabetes : patient support
Authors: Published: 2010
From: South African Journal of Diabetes and Vascular Disease, Vol 7, Issue 2, Jun, Pages: 83
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Abstract: 'Life for a Child' manager visits Lilly South Africa to share growing success of support programme.
Diabetes myth-busters : a Novo Nordisk-sponsored education symposium : drug trends in diabetes
Authors: Amod, Aslam; Published: 2010
From: South African Journal of Diabetes and Vascular Disease, Vol 7, Issue 2, Jun, Pages: 85-86, 88
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Abstract: Diabetes myth-busters : a Novo Nordisk-sponsored education symposium.
Report on the first international symposium, Integrated Approach to Disease Management : Endocrinology, Metabolic Disorders and Cardiac Consequences, Middle East, Russia and Africa : Cape Town, 6-7 March 2010 : supplements
Authors: Published: 2010
From: South African Journal of Diabetes and Vascular Disease, Vol 7, Issue 2, Jun, Pages: S1-S8
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Abstract: The need for an integrated approach to diabetes and thyroid disease management resulted in the organisation of a special symposium between the developing regions of the Middle East and Africa, sponsored by Merck Serono.
International Global Diabetes Update : recent advances in insulin treatment in type 2 diabetes mellitus hosted by sanofi-aventis in Johannesburg, Pretoria, Durban and Cape Town : supplements
Authors: Published: 2010
From: South African Journal of Diabetes and Vascular Disease, Vol 7, Issue 2, Jun, Pages: S9-S12
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Abstract: International Global Diabetes Update : recent advances in insulin treatment in type 2 diabetes mellitus hosted by sanofi-aventis in Johannesburg, Pretoria, Durban and Cape Town

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