EUROPEAN ENDOCRINOLOGY – VOLUME 5 – SUMMER 2009
Current Issues International Health and Diabetes
Diabetes and Tuberculosis – Old Associates Posing a Renewed Public Health Challenge
Intersecting Epidemics Diabetes and tuberculosis (TB) have existed for thousands of years. Great physicians in the ancient civilisations of Egypt, India, Greece and Rome described an illness that we now understand as diabetes. Similarly, the earliest evidence of TB has been found in the skeleton of a 30-year-old woman in Italy, dated to 5,800BCE.1 The […]
Diabetes in Sub-Saharan Africa – Overview of a Looming Health Challenge
A few decades ago, diabetes was considered a disease of affluent societies. This statement would be rather inappropriate today as it is known that most of the world’s diabetes patients live in developing countries. In absolute numbers, most of these people live in China and India.
International Diabetes Federation – The Global Voice for Diabetes
IDF is an associated non-governmental organisation (NGO) with the UN Department of Public Information and is in official relations with the World Health Organization (WHO) and the Pan-American Health Organization (PAHO). The Federation also works closely with other diabetes organisations, governments, health professionals, civil society, education and research institutions, pharmaceutical and other industries and other […]
Diabetes Pathophysiology and Genetics
Mitochondrial Dysfunction in Type 2 Diabetes – An Update
Insulin resistance in skeletal muscle and the liver is a central feature of type 2 diabetes.1 Insulin resistance is also believed to be the underlying mechanism responsible for the metabolic syndrome. Insulin-stimulated glucose disposal in skeletal muscle is reduced in insulin-resistant individuals due to impaired insulin signalling and multiple intracellular defects in glucose metabolism (reviewed […]
Thymus Dysfunction in the Development of Type 1 Diabetes and Endocrine Autoimmune Diseases
In distant species and invertebrates, the foundations of the neuroendocrine and immune systems have co-existed until now without any apparent problem. Some 470 millions years ago, while gene conversion already determined some rudiments of immune diversity in primitive vertebrates (such as jawless fishes), adaptive immunity emerged in lymphoid cells of cartilaginous fishes (i.e. sharks and […]
Gene Variants for Obesity and Type 2 Diabetes – A Shared Aetiology?
The incidence of type 2 diabetes is rising rapidly worldwide, and there are already more than 180 million diabetic subjects. Type 2 diabetes risk factors include ethnic background, age, hypertension, overweight, increased abdominal fat and lack of physical exercise. Obesity is considered to be the most important risk factor for type 2 diabetes and the […]
Screening for Type 2 Diabetes – The ADDITION Netherlands Study
The prevalence of type 2 diabetes is rapidly increasing. Most people are asymptomatic at diagnosis and the assumption is made that early diagnosis and treatment of type 2 diabetes will be beneficial, although definitive evidence is lacking.
Diabetes and Cardiovascular Risk
Advances in Our Understanding of Acromegaly – Is There an Optimal Management Regimen?
Active acromegaly is associated with a two- to three-fold increase in mortality that can be reduced to that of the background population with effective treatment to decrease growth hormone (GH) and insulin-like growth factor-I (IGF-I) levels to within normal limits. Advances in surgical techniques, new approaches in radiotherapy and a choice of medical treatments make […]
Familial Isolated Pituitary Adenomas
Pituitary adenomas are common intracranial tumours, and clinically relevant pituitary adenomas have been estimated to occur in about one in every 1,000 of the population. The vast majority of these adenomas are sporadic; however, there is increasing recognition that pituitary adenomas may also occur in a familial setting, and a recent estimate suggests that 5% […]
Guideline-orientated Diagnosis of Thyroid Nodules
Aetiology, Epidemiology and Risks
Consequences of the Use of Low Blood-spot Thyroid-stimulating Hormone Cut-offs for the Neonatal Screening of Congenital Hypothyroidism
Congenital hypothyroidism (CH) is the most common congenital endocrine disease and avoidable cause of severe mental retardation. L-thyroxine supplementation started by two to three weeks of age can prevent severe neurological damage. Thus, in economically advanced countries, neonatal screening programmes have been instituted to allow early CH detection and initiation of therapy.
Prelox® for Improvement of Erectile Quality
During the past two decades there has been a dramatic increase in our understanding of the physiology of an erection, as well as of the pathophysiology involved in the decline of erectile function. Men may suffer from erectile dysfunction (ED) as a result of psychogenic factors, such as performance anxiety. Less common are endocrinological influences […]
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