Rethinking Diabetes: A Weekly Review
Malattie Metaboliche e Diabetologia
When Low Blood Sugar Hits Hard: Rethinking Hypoglycemia’s Hidden Costs
This episode uncovers the far-reaching impact of hypoglycemia, from impaired surgical safety to increased dementia risk. We explore how new drugs, continuous glucose monitoring, brain metabolism research, and even herbal medicine are reshaping diabetes care—and what it means for patient outcomes.
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Bibliografia
- Tirzepatide & counterregulation – Pieber et al. show tirzepatide preserves glucagon response during hypoglycemia in type 2 diabetes, with notable hormonal changes.
- CGM in surgery – Carlier et al. review perioperative continuous glucose monitoring, highlighting overall accuracy but technical challenges intraoperatively.
- Diabetes & dementia risk – Tabesh et al. link hypoglycemia and poor glycemic control with higher dementia and cognitive decline risks in type 2 diabetes.
- Nitric oxide & brain health – Siervo et al. identify inorganic nitrate in astrocytes as a potential neuroprotective mechanism under hypoxia.
- Neonatal mortality in Africa – Jena & Jaldo find preterm birth and low birth weight are major mortality drivers, underscoring maternal health gaps.
- Herbal medicine efficacy – Li et al. review ginger, turmeric, and other herbal remedies, finding modest HbA1c reductions but stressing caution as adjuncts.
- Smart Snack app – Mosquera-Lopez et al. show a bedtime app intervention reduced severe nocturnal hypoglycemia in type 1 diabetes.
- Insulin icodec app adherence – Bajaj et al. report strong adherence to app-based dosing support for once-weekly insulin in treatment-naïve patients.
- Real-world CGM switch – Chu & Abitbol demonstrate improved HbA1c and time-in-range after moving from flash to real-time CGM in adults with type 1 diabetes.
- Long-term iGlarLixi outcomes – Malik et al. confirm sustained 0.9% HbA1c reduction over 24 months with stable weight in U.S. type 2 diabetes patients.
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