Metabolism

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ESPEN 2012

The 34th Congress of the European Society of Clinical Nutrition and Metabolism 8-11 September, Barcelona, Spain

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Diabetes and CAD

Anja Behringer reports on a neglected risk factor. With an aging population multimorbidity is increasingly a major challenge for hospital care. Diabetes is one of the medical conditions frequently encountered in multimorbid patients since cardiac and vascular diseases are often accompanied by dysfunctions of the blood sugar metabolism.

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Precision scales save lives

There are times when the timely detection of a patient’s weight change could save a life. Regular weight checks can reveal an unexplained loss of fluids due to diarrhoea, vomiting and third-degree burns in time to prevent complications.

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Dysglycaemia

Dysglycaemia is a new term in critical care that recognises the vital importance for glucose monitoring of patients in the intensive care unit (ICU). Beyond the clinical consensus over this word for grouping critically ill patients with hyperglycaemia, hypoglycaemia or high blood sugar, there is no broad agreement on how best to manage these patients. Report: John Brosky.

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Trail blazing bariatric surgery devices

Major advances in Natural Orifice Transluminal Endoscopic Surgery (NOTES) lead to a tremendous interest in new surgical endoscopes. The advantages of minimally invasive surgery via natural body orifices, such as the mouth, are obvious: less post-operative pain, a minor infection rate, minor incisional hernia, shorter hospitalisation and, finally, better cosmetic results. Karoline Laarmann reports

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The 16th IFSO World Congress

September saw the international crème de la crème of bariatric surgery descend on Hamburg for the 16th World Congress of the International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO 2011). Among their discussions: new minimally invasive procedures, the importance of aftercare and the lack of recognition of the importance of surgical treatment of the severely obese in…

The Norfolk Diabetes Prevention Study

UK -- Family doctors (GPs) in Norfolk are inviting patients aged over 40, with a Body Mass Index above 30 and a family history of diabetes, to take part in the Norfolk Diabetes Prevention Study (NDPS). Funded by the National Institute for Health Research, the innovative £2.2million project will run for five years at the Norfolk and Norwich University Hospital (NNUH) and will involve 10,000…

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Could high coffee intake cut breast cancer risk?

Oestrogen receptor (ER)-negative breast cancer, remains hard to treat despite major advances in surgery and adjuvant therapies. The latest results from a Swedish study [Pub: Breast Cancer Res. 2011 May 14;13(3):R49] suggest that a high daily intake of coffee -- more than five cups -- is associated with a statistically significant decrease in ER-negative breast cancer among postmenopausal women…

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Bariatric surgery: A last resort -- or the only way to go?

More than half of the European population is overweight, or worst, obese. When diet and lifestyle changes do not result in permanent weight reduction in obese patients, bariatric surgery is now considered a final option. But, that’s far too late, says Professor Rudolf A Weiner, head of the surgical department at Sachsenhausen Hospital in Frankfurt/Main, Germany, and President of the German…

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Healthy gut flora could prevent obesity

Poor gut flora is believed to trigger obesity. In the same way, healthy gut flora could reduce the risk. This has shown to be the case in tests on rats. Daily intake of a lactic acid bacteria, which has been given the name Lactobacillus plantarum HEAL19, appears to be able to prevent obesity and reduce the body’s low-level inflammation.

Artificial pancreas

Two small randomised trials published on bmj.com suggest that closed loop insulin delivery (also referred to as an artificial pancreas) may improve overnight blood glucose control and reduce the risk of nocturnal hypoglycaemia in adults with type 1 diabetes.

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Human milk is medicine for pre-term babies

This is the claim made by Dr Paula Meier during event discussions in the lead up to Medela’s 6th International Breastfeeding and Lactation Symposium (Amsterdam, 15-16 April 2011). Although the benefits of human milk for infants in neonatal intensive care units is widely accepted, there has been a lack of focus on how to encourage and support mothers of preterm infants to stimulate and…

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Imaging for diabetes and vascular occlusive disease

Metabolic syndrome, diabetes and vascular disease: What do we need to know? During ECR session this important question is addressed by vascular specialist Professor Erich Minar, Assistant Head of the Department of Angiology at the Vienna General Hospital (AKH), President of the Austrian Society of Angiology, and scientific researcher working closely with research centres in the USA.

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2010 European Summit on CVD Prevention review

"Some progress, but the big challenges remain". This was the verdict after the European Society of Cardiology (ESC) hosted the 2010 European Summit on CVD Prevention on 30 November. The summit was attended by a broad cross-section of medical experts, healthcare organisations, national societies, regulators and representatives from the European Union (EU). The aim of this bi-annual event is to…

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Is Santa Claus toxic?

The exact location of Santa’s Workshop has long been kept secret, but one thing every child knows is that he lives somewhere up by the North Pole. It’s a place that has seen great changes in recent years with melting sea ice and warmer summer temperatures attributed to global warming.But climate change isn’t the only bad news facing the world’s favorite jolly old elf: research from the…

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