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Der Diabetologe
Journal Prestige (SJR): 0.115

Number of Followers: 0

Hybrid journal (It can contain Open Access articles)
ISSN (Print) 1860-9724 - ISSN (Online) 1860-9716
Published by Springer-Verlag

[2468 journals]

Fettstoffwechselstörungen: Hypertriglyzeridämie und
Lipoprotein(a)-Erhöhung im Fokus
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  Abstract: In this article, hypertriglyceridemia and elevated lipoprotein(a), two common problems in lipidology, will be discussed from a practical clinical perspective. Hypertriglyceridemia is clinically relevant because of its association with atherosclerosis and acute pancreatitis. In order to achieve better comparability, the lipid status in hypertriglyceridemia should be determined under fasting conditions. It is important to exclude secondary factors (derailed diabetes mellitus, alcohol, obesity, etc.) as additional factors in a mostly existing genetic predisposition. Therapeutically, the focus is on lifestyle measures and achieving the low-density lipoprotein (LDL) cholesterol target. If these measures are not sufficient to achieve triglyceride levels
  PubDate: 2025-04-04
Krebsvorsorge und -früherkennung bei Typ-2-Diabetes
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  Abstract: Cancer is the leading cause of premature death in people with type 2 diabetes (T2D). T2D-associated cancer can form in the liver, bile ducts, pancreas, stomach, intestine, kidney, bladder, (female) breast, uterus, and other tissues. Other risk factors such as tobacco smoking, lack of exercise, obesity, an unbalanced diet, alcohol consumption, or tumor-related chronic infections can further increase or amplify the risk of cancer. Therefore, people with type 2 diabetes mellitus should follow a healthy lifestyle and regularly participate in established cancer screening programs.
  PubDate: 2025-04-03
Hitze und Diabetes: klinische Perspektive
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  Abstract: Background As the frequency, duration, and intensity of heatwaves increase, people with diabetes face growing health risks. These individuals are particularly vulnerable to extreme temperature fluctuations due to common complications like diabetic neuropathy and comorbidities. Such conditions impair both thermoregulation and metabolic control, thereby raising the risk of acute complications, including hypoglycemia, hyperglycemia, and ketoacidosis. Objective The aim is to describe the physiological mechanisms and clinical challenges posed by heat exposure in diabetes management, particularly its effects on glucose metabolism. The study also seeks to present strategies that promote preventive measures and resilience-building among affected individuals. These strategies include personalized therapy adjustments, educational initiatives, and the implementation of systemic support structures to protect and stabilize the health of people with diabetes during extreme temperature conditions. Materials and methods A narrative literature review was conducted on the effects of high outdoor temperatures during heatwaves on glucose metabolism, particularly regarding metabolic dysregulation and associated rates of hospitalization, morbidity, and mortality in people with diabetes. Epidemiological data and clinical reports were also reviewed to assess the global relevance of the issue. Results Evidence suggests that high outdoor temperatures affect insulin absorption and action, leading to unstable blood glucose control. Increased insulin sensitivity at high temperatures raises the risk of hypoglycemia, while dehydration and thermoregulatory disturbances promote hyperglycemia. Older adults with diabetes and those with cardiovascular or renal conditions are particularly at risk, as these factors further impair temperature regulation and glucose metabolism. Conclusion Adapting diabetes management to extreme temperatures requires individualized therapy that includes both pharmacological and nonpharmacological measures. A combination of personal protective measures, technological innovations, and systemic adjustments is crucial to enhance the resilience of people with diabetes to extreme heat.
  PubDate: 2025-04-01
Myiasis einer Wunde unter extremen Hitzebedingungen
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  Abstract: This case report describes myiasis, a wound infection caused by fly larvae, in a man with diabetes mellitus during a heatwave with outdoor temperatures of 32 °C. Extreme climatic conditions combined with prolonged exposure to flies facilitated the colonization of the wound by larvae, thus, underlining the importance of preventive measures and hygienic care during high temperatures. Diagnosis was confirmed through visual inspection and microbiological analyses to exclude secondary bacterial infections. Treatment included mechanical decontamination, antiseptic irrigation, and administration of antibiotics. The clinical course improved significantly after removal of the larvae and optimization of wound care. The case illustrates the pivotal role of preventive strategies in managing chronic wounds, particularly under extreme environmental conditions. This includes consistent wound coverage, protection against insects, and patient education about potential risks associated with heatwaves. Furthermore, it is increasingly important consider the impact of environmental factors, such as rising temperatures, on the pathogenesis of wound infections to ensure effective prevention and treatment.
  PubDate: 2025-03-31
Mitbehandlung einer Depression führt zu HbA_1c-Reduktion
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  PubDate: 2025-03-27
Diabetes im Zeitalter künstlicher Intelligenz
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  PubDate: 2025-03-20
Mitteilungen des BDI
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  PubDate: 2025-03-20
Geschlechtersensible Aspekte von Diabetes mellitus Typ 2
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  Abstract: The prevalence of type 2 diabetes is increasing in both sexes, with men usually being diagnosed at a younger age and with a lower body fat mass. Women often have a higher risk factor profile at diagnosis, particularly in relation to obesity and psychosocial stress. Pregnancy and menopause also increase the cardiometabolic risk in women. Women have a higher relative risk of cardiovascular disease and mortality compared to men. Gender-specific prevention strategies are still under development and require a better understanding of differences and mechanisms. Differing health effects of diabetes in men and women require personalized prevention and treatment strategies for optimal care.
  PubDate: 2025-03-20
Kardiovaskuläre Risikoreduktion durch GLP-1-Rezeptor-Agonisten in der
asiatischen und weißen Bevölkerung
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  PubDate: 2025-03-19
Kurzportraits der DiGA (digitale Gesundheitsanwendung) in der Diabetologie
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  Abstract: Since November 2024, two obesity digital health apps (DiGAs) are permanently listed in the DiGA directory of the German Federal Institute for Drugs and Medical Devices (BfArM): Oviva Direkt for obesity and zanadio. Furthermore, HelloBetter Diabetes and Vitadio—two DiGAs for patients with diabetes—are also permanently included. In addition, three diabetes DiGAs are preliminarily listed in the DiGA directory: glucura Diabetestherapie, mebix, and Una Health for diabetes. Thus, a total of seven DiGAs are available to support patients with type 2 diabetes mellitus or obesity in their therapy. The most important information about the prescription, the current evidence base and information about the individual DiGAs and their functions is presented.
  PubDate: 2025-03-12
Hitze und Arzneimittel
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  Abstract: The increasing frequency, duration and intensity of heat waves pose substantial health risks, particularly for vulnerable populations, including people with diabetes. Drug therapy is assumed to be an important factor influencing the occurrence of heat-related illness. In fact, numerous active ingredients can impair the body’s ability to respond to heat stress (thermoregulation), for example, by disrupting efficient heat-dissipating mechanisms such as perspiration and peripheral vasodilation. Some drugs increase the risk of volume depletion, lead to electrolyte disturbances, reduce vigilance or decrease thirst sensation. As the clinical relevance of the influence of drugs on thermoregulatory processes cannot be clearly determined at present, it is up to the physician to derive patient-specific recommendations for adapting drug treatment in phases of prolonged heat. It should also be taken into account that extreme ambient temperatures affect pharmacokinetic parameters, resulting in altered plasma levels of some active ingredients. Regarding the absorption of drugs that are administered cutaneously (insulin, opioids), there is evidence of a heat-driven increase in systemic exposure. The decisive factor here is the heat-induced increase in skin blood flow. As this is at the expense of blood flow to the organs, the pharmacokinetic processes distribution, metabolism and excretion are also affected by heat exposure. Particular challenges arise when dehydration occurs.
  PubDate: 2025-03-11
Potenzial der Nachhaltigkeitswissenschaft für das
Gesundheitswesen
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  Abstract: Thus far, no firm understanding of the overarching role that sustainability science could play in healthcare practice appears to have been established. Based on a clarification of the core characteristics defining sustainability research, four potential roles are introduced and explained in detail in this article: the role as an integrative force, mediating between the ecological, social, and economic aspects of sustainability; the role as a translator of theoretical–conceptual approaches from sustainability science into practice; the role as a coordinator, bringing together stakeholders from theory and practice in the sense of transdisciplinary research; the role as an educator, integrating education for sustainable development across all areas of medicine. The current state of sustainability and potential areas of action in diabetology are also discussed. Key factors identified for advancing sustainability include waste reduction and the promotion of a healthy, sustainable lifestyle.
  PubDate: 2025-03-04
Alters- und geschlechtsspezifische Effizienz bei der Behandlung des
Typ-2-Diabetes
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  PubDate: 2025-02-28
Kann man das 10-Jahres-Risikos für Diabetes mit Nüchternglukose,
Geschlecht, Alter und BMI abschätzen'
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  PubDate: 2025-02-28
Digitale Gesundheitsanwendungen – Ein Überblick
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  Abstract: Digital health applications (DiGAs) are CE-certified digital medical devices that support the treatment of patients. These include apps, but also browser-based applications. All DiGAs listed in the DiGA directory are reimbursed by German public health insurance providers and have successfully passed the assessment procedure of the Federal Institute for Drugs and Medical Devices. There is as yet no standardized regulation for privately insured persons. During the approval process, information on the product characteristics, data security, and the positive effect on care to be demonstrated by the manufacturer are examined. A DiGA is prescribed on the drug prescription (sample 16) and is usually prescribed for 90 days. Because even the best DiGA is useless without the cooperation of the medical professionals, experience with DiGAs is essential.
  PubDate: 2025-02-24
DIfE – DEUTSCHER DIABETES-RISIKO-TEST®
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  PubDate: 2025-02-20
Adipositastherapie und Diabetesprävention mit Tirzepatid
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  PubDate: 2025-02-19
FINDRISK – Test für Diabetesrisiko
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  PubDate: 2025-02-03
Verbesserung der Insulinsensitivität mit Tirzepatid vs. Semaglutid
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  PubDate: 2025-02-03
Diabetes und Straßenverkehr
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  PubDate: 2025-01-29

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