Diabetes and metabolism

Prof Merlin Thomas
Monographs iconMonographs

This article discusses the complications and considerations associated with managing older patients with type 2 diabetes and the need for an individualised approach.

Prof Merlin Thomas
Monographs iconMonographs

This article discusses how to assess abnormal liver function in a patient with type 2 diabetes, and the importance of managing this condition to improve long-term health outcomes.

Prof Merlin Thomas
Monographs iconMonographs

This article discusses common co-morbidities of type 2 diabetes and poor kidney function, and how optimal management must account for the mutual effects of one condition on the other.

Allison Sigmund
Clinical Articles iconClinical Articles

In Australia 12-14% of pregnancies are affected by gestational diabetes. Despite its prevalence, most people aren’t aware the risks don’t end when the pregnancy does. Diabetes occurs when the level of glucose (sugar) in the blood is higher than normal. Cells in the pancreas control blood glucose levels by producing insulin. When these cells are destroyed, type 1 diabetes results. When the body becomes resistant to the action of insulin and not enough insulin can be made, this is known as type 2 diabetes. Resistance to insulin action occurs for many reasons, including increasing age and body fat, low physical activity, hormone changes, and genetic makeup. Gestational diabetes occurs when high blood glucose levels are detected for the first time during pregnancy. Infrequently, this is due to previously undiagnosed diabetes. More commonly, the diabetes is only related to pregnancy. Pregnancy hormones reduce insulin action and increase insulin demand, in a similar way to type 2 diabetes, but usually after the baby is born, hormones and blood glucose levels go back to normal. Read more: Weight gain during pregnancy: how much is too much?

Who gets gestational diabetes?

Factors that increase the risk of gestational diabetes include:
  • a strong family history of diabetes
  • weight above the healthy range
  • non Anglo-European ethnicity
  • being an older mum.
Weight is the major risk factor that can be changed. But in some cases, gestational diabetes may develop without any of these risk factors. Rates of gestational diabetes in Australia have approximately doubled in the last decade. Increased testing for gestational diabetes, changing population characteristics, and higher rates of overweight and obesity may have contributed to this. There are likely to be other factors we do not fully understand.   >> Read More Source: The Conversation
Dr Gary Deed
Monographs iconMonographs

The object of this article is to assist the readers to make simpler Type 2 Diabetes management choices for themselves and patients.

Expert/s: Dr Gary Deed