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An overview of insulin pump therapy: appropriate use of an expensive resource
Item type: Journal Article • Journal: Journal of Endocrinology, Metabolism and Diabetes of South Africa • Authors: VJ Brown --- Diabetes Education, Centre for Diabetes and Endocrinology,Insulin pump therapy is an option for intensive insulin therapy in patients with type l diabetes who meet the criteria described in this article. Pump therapy may assist in the reduction of haemoglobin A1c (HbA1c) and the frequency of severe... -
Double jeopardy: hypoglycaemia and advanced hepatocellular carcinoma
Item type: Journal Article • Journal: Journal of Endocrinology, Metabolism and Diabetes of South Africa • Authors: V Nicolaou --- Division of Endocrinology, Department of Medicine, R Shires --- Division of Endocrinology, KRL Huddle --- Department of Internal Medicine,Nonislet cell tumour-induced hypoglycaemia is an uncommon, but serious complication of malignancy. The aetiopathogenesis is largely as a result of tumoral overproduction of incompletely processed insulin-like growth factor-II. We describe the case of a 30-year-old black male patient who presented... -
Intraoperative glucose management in children < 1 year or < 10 kg: an observational study
Item type: Journal Article • Journal: Southern African Journal of Anaesthesia and Analgesia • Authors: K. Bester --- Division of Paediatric Anaesthesia, Department of Anaesthesia and Perioperative Medicine, South Africa T. Pretorius --- Department of Anaesthesia and Perioperative Medicine, South AfricaBackground: Infants may be at risk of hypoglycaemia in the perioperative period. Current evidence has led to the global use of maintenance fluid with low-concentration dextrose in these patients. This study aimed to analyse the current practice of anaesthetists in... -
Incidence of hypoglycaemia among insulin-treated patients with type 1 or type 2 diabetes mellitus: South African cohort of International Operations Hypoglycaemia Assessment Tool (IO HAT) study
Item type: Journal Article • Journal: Journal of Endocrinology, Metabolism and Diabetes of South Africa • Authors: Mahomed AK Omar --- Department of Diabetes and Endocrinology, South Africa Adri Kok --- Specialist Physician, South Africa Duma Khutsoane --- Physician, Medi-Clinic, South Africa Shaifali Joshi --- General Physician, South Africa Michael Ramaboea --- Physician, Louis Pasteur Hospital, South Africa Makepisi Lesiba Isaac Mashitisho --- Physician, Legae Medi Clinic, South Africa Verushka Chetty --- Novo Nordisk A/S, South Africa Levi John Koopman --- Novo Nordisk A/S, South Africa Louise Johnson --- Physician, Montana Hospital, South AfricaObjectives: To assess the incidence and rates of hypoglycaemia in patients with type 1 diabetes mellitus (T1DM) or type 2 diabetes mellitus (T2DM) in the South African cohort of the International Operations Hypoglycaemia Assessment Tool (IO HAT) study. -
Incidence of hypoglycaemia in the South African population with diabetes: results from the IDMPS Wave 7 study
Item type: Journal Article • Journal: Journal of Endocrinology, Metabolism and Diabetes of South Africa • Authors: Hilton Kaplan --- Centre of Diabetes and Endocrinology, South Africa Aslam Amod --- Department of Diabetes and Endocrinology, South Africa Francois H van Zyl --- Cert Endocrinology and Metabolism (SA), South Africa Jeevren Reddy --- Stanger Manor, South Africa Alet van Tonder --- Sanofi, South Africa Ellina Tsymbal --- Sanofi, South Africa Alicia McMaster --- Sanofi, South AfricaObjectives: Management of diabetes is a balancing act of preventing a state of hyperglycaemia while avoiding episodes of hypoglycaemia. Limited information is currently available on the incidence of hypoglycaemia in South African people diagnosed with diabetes. Data regarding the management... -
An unusual presentation of insulinoma and the serious consequences of delayed diagnosis
Item type: Journal Article • Journal: Journal of Endocrinology, Metabolism and Diabetes of South Africa • Authors: Z Dire --- , South Africa FJ Raal --- , South AfricaInsulinomas are rare functional neuroendocrine tumours. These tumours present with symptoms of hypoglycaemia, adrenergic and neuroglycopenic symptoms. Insulinomas are usually small in size, making them difficult to locate. Diagnosis is often delayed in these cases resulting in lasting neurological complications,...
