This is first observational prospective study of insulin degludec in routine clinical practice that we evaluated the effect on glycemic control and risk of hypoglycemia in basal-bolus insulin therapy. We found that insulin degludec can maintain glycemic control at a lower insulin dose and frequency of hypoglycemia in type 1 diabetes, while it can improve glycemic control at equally insulin dose...

Objective. The purpose of this study is to investigate the meaning of living with an insulin pump for the management of type 1 diabetes during the period of emerging adulthood. Through a phenomenological narrative, this study contributes to the reflective understanding of the everyday life experiences of this population. Methods. A hermeneutic phenomenological design was used for this study of ...

Jill Hill is a Diabetes Specialist Nurse, Shropshire Community Health NHS Trust, and Co-Chair of TREND-UK. Insulin therapy is ultimately required by many people with type 2 diabetes. Unlike in type 1 diabetes, the aim of insulin therapy in people with type 2 diabetes is initially to supplement the endogenous insulin produced by pancreatic beta-cells against a background of insulin resistance. O...

Mohammed Ali and Venkat Narayan describe the challenge of implementing evidence-based interventions for prevention for the large number of people at increased risk of type 2 diabetes.

Diabetes mellitus is one of the commonest pre-existing medical disorders complicating pregnancy in the UK. Having either type 1 or type 2 diabetes increases the likelihood of poor pregnancy outcomes. Here we review specific advice women with diabetes should receive before conception to help reduce such risks.