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Termination Of Pregnancy And Sterilisation In Women With Childhood-onset Type 1 Diabetes

Termination of pregnancy and sterilisation in women with childhood-onset type 1 diabetes

Termination of pregnancy and sterilisation in women with childhood-onset type 1 diabetes


, Volume 60, Issue12 , pp 23772383 | Cite as
Termination of pregnancy and sterilisation in women with childhood-onset type 1 diabetes
The aim of this study was to explore the association between type 1 diabetes and reproductive health indicators in women, focusing on termination of pregnancy and sterilisation.
We conducted a registry-based cohort study involving 2281 women with childhood-onset type 1 diabetes, matched for age and birthplace with women without diabetes: two control participants for each woman with diabetes. We compared the frequencies of termination of pregnancy and sterilisation over a 25year period between women with type 1 diabetes and women without, and estimated standardised incidence ratios (SIRs). Smoothed age and period effects in the incidence of termination of pregnancy or sterilisation were tested statistically.
There were more terminations of pregnancy (SIR 1.67; 95% CI 1.51, 1.86) and sterilisations (SIR 1.69; 95% CI 1.56, 1.83) in women with diabetes than in control women. During recent years, sterilisations in women with diabetes have decreased and the difference compared with control women has vanished. The indications for both procedures showed a statistically highly significant difference: maternal medical indications were almost absent (<1%) in procedures among control women, but comprised 23.6% of terminations of pregnancy and 22.9% of sterilisations in women with diabetes.
The indications for termination of pregnancy and sterilisation are different in women with diabetes compared with other women. Pregnancies in women with type 1 Continue reading

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Travel Like a Pro with Nature Made Daily Diabetes Health Pack!

Travel Like a Pro with Nature Made Daily Diabetes Health Pack!


Travel Like a Pro with Nature Made Daily Diabetes Health Pack!
(This shop has been compensated by Collective Bias, Inc. and its advertiser. All opinions are mine alone. #NatureMadeHealthPack #CollectiveBias
Please note, this blog does not provide medical advice, diagnosis or treatment. Please consult with your healthcare practitioner.)
This week marks the beginning of easily my favorite time of year: Summer! While it takes me a bit to adjust to these temperatures heating up (94 today, and going up as the week goes on), Summer always means fun events, lighter evenings, and a road trip or two (of course).
As my date book fills up with more day trips, weekend adventures and some further travels in the works, one thing is always for sure: I need to plan accordingly when we go away. I am the Queen of forgetting something, and have learned (the hard way) to make check lists and notes when I go shopping pre-road trip adventures.
Since last weekend found us in Carmel-by-the-Sea, California, and I knew I needed to stay organized, I made a check list to ensure nothing was forgotten on our little road trip up the California Coast, and, have to admit, I forget how into check lists I am If youre a fellow forgetter, read on as I list some common essentials that we should remember when packing for a little fun in the sun!
SNACKS. BECAUSE YOU DONT WANT A HANGRY MARY TO COME ALONG.
Whether it be a protein bar, fruit, almonds, I need to have a healthy munchies at the ready. And, who doesnt want to munch on a road trip? Which, brings me to my 2nd must-have
Ive been a Type 1 since I Continue reading

How to Get Diabetes Drugs for Free

How to Get Diabetes Drugs for Free


By Jeemin Kwon, Ann Carracher, and Kelly Close
If you meet certain income and insurance requirements, you may be eligible for assistance programs that offer free prescriptions check to see if you qualify!
Many people know that some drug manufacturers have Patient Assistance Programs (PAPs) to make prescription diabetes drugs free for those who meet certain eligibility requirements. Weve done a six-month-long project looking into these programs to better understand how they are similar, how they are different, and who they can and cant help. These programs are usually reserved for individuals without private insurance or full Medicare benefits, but some programs review applications on a case-by-case basis.
Finding information about these programs can be difficult, and even when you find the information, PAPs often have complicated income, insurance, and prescription requirements. In this article, we break down current PAPs in the US by manufacturer and give the details to help you find the right program. Click to jump down to a section:
Each PAP program has a similar free application, regardless of the drug that you want help with DPP-4 inhibitors , GLP-1 agonists , SGLT-2 inhibitors , or basal or fast acting insulin , all of which are particularly expensive diabetes drugs that PAPs can help with. There is one portion to be filled out by the person who has been prescribed the drugs, and another to be completed by a doctor or nurse or one of their team. All programs require a prescription, but the applications vary in whether proof of income or particular insurance do Continue reading

Diabetes and Your Period

Diabetes and Your Period


If youve noticed higher blood sugar levels shortly before or during your period, or if your blood sugars are bouncing up and down as you approach menopause , join the club. Diabetes and your menstrual cycle are closely intertwined, thanks to fluctuating levels of hormones. In fact, if youre a woman who has diabetes or who is at risk of diabetes, brace yourself for a somewhat bumpy ride as you navigate your menstrual cycle over the course of your life. The good news? There are steps you can take to help ensure smooth sailing.
Two main hormones regulate your menstrual cycle: estrogen and progesterone. These two hormones are secreted by the ovaries. Estrogen thickens the lining of the uterus in preparation for a possible pregnancy. It has other functions, too, such as regulating bone and vaginal health. Progesterone is also needed to prepare the uterus for pregnancy, and it helps to maintain the lining of the uterus throughout pregnancy. These hormones can affect how your body responds to insulin, and are responsible for the blood sugar ups and downs that you may notice at different times of the month, or when you are nearing or in menopause.
As you approach that time of the month, you might experience premenstrual syndrome, or PMS. PMS starts about one to two weeks before your period. It affects about 90% of women at some point in their lives, bringing a combination of physical, emotional, and psychological factors with it. Symptoms include irritability, mood swings, depression, fatigue, bloating, breast tenderness, and food cravings.
PMS is likely caused by changes in h Continue reading

EnteroMedics Announces Publication of Three-Year Data from vBloc Diabetic Patient Study in Journal of Diabetes and Obesity

EnteroMedics Announces Publication of Three-Year Data from vBloc Diabetic Patient Study in Journal of Diabetes and Obesity

ST. PAUL, Minn., Feb. 9, 2017 /PRNewswire/ -- EnteroMedics Inc. (ETRM), the developer of medical devices using neuroblocking technology to treat obesity, metabolic diseases and other gastrointestinal disorders, today announced the publication of three-year data from the Company's VBLOC DM2 Study of vBloc® Neurometabolic Therapy in obese patients with Type 2 diabetes. The publication, entitled "Vagal Nerve Block for Improvements in Glycemic Control in Obese Patients with Type 2 Diabetes Mellitus: Three-Year Results of the VBLOC DM2 Study," was published in the Journal of Diabetes and Obesity and is available online here.
"In addition to maintaining weight loss over time, successful management of comorbid conditions such as diabetes is critical," said Charles Billington, M.D., Professor, Department of Medicine, University of Minnesota. "The three-year data from the VBLOC DM2 study continue to demonstrate that vBloc Therapy not only provides durable improvements in weight loss through three years, but also improved glycemic control in obese patients with Type 2 diabetes who do not wish to undergo anatomy-altering weight-loss procedures."
Results from the study demonstrate that after three years, the average percentage excess weight loss (%EWL) was 21% with reductions in hemoglobin A1c (HbA1c) of 0.6 percentage points from a baseline of 7.8%. This clinically meaningful reduction in HbA1c resulted in 39% of participants either reducing or stopping their diabetes medications. Additionally, 71% of study participants were at or below the American Diabetes Association target for Hb Continue reading

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