Skip to main content
Erschienen in: Der Diabetologe 5/2017

26.06.2017 | Typ-1-Diabetes | Einführung zum Thema

Diabetes Update 2017

Was ist neu in der Diabetologie? Welche Leitlinien müssen geändert werden?

verfasst von: Univ.-Prof. Dr. W. A. Scherbaum

Erschienen in: Die Diabetologie | Ausgabe 5/2017

Einloggen, um Zugang zu erhalten

Auszug

Beim Diabetes Update im März 2017 in Mainz wurden aktuelle Informationen zum Diabetes mellitus und Neuerungen auf diesem Fachgebiet vorgetragen und diskutiert. Inzwischen ist es für die am Diabetes interessierten Kolleginnen und Kollegen schon ein Muss, dabei gewesen zu sein. In dieser Ausgabe werden vier der beim Diabetes Update referierten Themen von den entsprechenden Experten in Form von Übersichtsarbeiten dargeboten. Diese sind
  • Diabetes und Lipide (Prof. Dr. Klaus Parhofer, Klinikum der Ludwig Maximilian Universität München)
  • Nichtmedikamentöse Behandlung des Diabetes (Prof. Dr. Stephan Martin, Westdeutsches Diabetes- und Gesundheitszentrum in Düsseldorf)
  • Adipositas und Ernährung (Prof. Dr. Andreas Hamann, Hochtaunus-Kliniken Bad Homburg)
Literatur
1.
Zurück zum Zitat Tamayo T, Brinks R, Hoyer A et al (2016) The prevalence and incidence of diabetes in Germany. Dtsch Arztebl Int 113:177–182PubMedPubMedCentral Tamayo T, Brinks R, Hoyer A et al (2016) The prevalence and incidence of diabetes in Germany. Dtsch Arztebl Int 113:177–182PubMedPubMedCentral
2.
Zurück zum Zitat American Diabetes Association (2017) Classification and diagnosis of diabetes. Diabetes Care 40(Suppl 1):S11–S24CrossRef American Diabetes Association (2017) Classification and diagnosis of diabetes. Diabetes Care 40(Suppl 1):S11–S24CrossRef
3.
Zurück zum Zitat Toledo-Corral CM, Alderete TL, Habre R et al (2016) Effects of air pollution exposure on glucose metabolism in Los Angeles minority children. Pediatr Obes. doi:10.1111/ijpo.12188 PubMed Toledo-Corral CM, Alderete TL, Habre R et al (2016) Effects of air pollution exposure on glucose metabolism in Los Angeles minority children. Pediatr Obes. doi:10.​1111/​ijpo.​12188 PubMed
4.
Zurück zum Zitat Thiering E, Markevych I, Brüske I et al (2016) Associations of residential long-term air pollution exposures and satellite-derived greenness with insulin resistance in German adolescents. Environ Health Perspect 124:1291–1298CrossRefPubMedPubMedCentral Thiering E, Markevych I, Brüske I et al (2016) Associations of residential long-term air pollution exposures and satellite-derived greenness with insulin resistance in German adolescents. Environ Health Perspect 124:1291–1298CrossRefPubMedPubMedCentral
5.
Zurück zum Zitat Eze IC, Imboden M, Kumar A et al (2016) Air pollution and diabetes association: modification by type 2 diabetes genetic risk score. Environ Int 94:263–271CrossRefPubMed Eze IC, Imboden M, Kumar A et al (2016) Air pollution and diabetes association: modification by type 2 diabetes genetic risk score. Environ Int 94:263–271CrossRefPubMed
6.
Zurück zum Zitat Hansen AB, Ravnsjaer L, Loft S et al (2016) Long-term exposure to fine particulate matter and incidence of diabetes in the Danish Nurse Cohort. Environ Int 91:243–250CrossRefPubMed Hansen AB, Ravnsjaer L, Loft S et al (2016) Long-term exposure to fine particulate matter and incidence of diabetes in the Danish Nurse Cohort. Environ Int 91:243–250CrossRefPubMed
7.
Zurück zum Zitat Wang Z, Liu M (2016) Life years lost associated with diabetes: an individually matched cohort study using the U.S. National Health Interview Survey data. Diabetes Res Clin Pract 118:69–76CrossRefPubMed Wang Z, Liu M (2016) Life years lost associated with diabetes: an individually matched cohort study using the U.S. National Health Interview Survey data. Diabetes Res Clin Pract 118:69–76CrossRefPubMed
8.
Zurück zum Zitat Famulla S, Hövelmann U, Fischer A et al (2016) Insulin injection into lipohypertrophic tissue: blunted and more variable insulin absorption and action and impaired postprandial glucose control. Diabetes Care 39:1486–1492CrossRefPubMed Famulla S, Hövelmann U, Fischer A et al (2016) Insulin injection into lipohypertrophic tissue: blunted and more variable insulin absorption and action and impaired postprandial glucose control. Diabetes Care 39:1486–1492CrossRefPubMed
9.
Zurück zum Zitat Andrew KW, Trang LT, Laura P et al (2016) Duration of infusion set survival in lipohypertrophy versus nonhyperlipotrophied tissue in patients with type 1 diabetes. Diabetes Technol Ther 18:429–435CrossRef Andrew KW, Trang LT, Laura P et al (2016) Duration of infusion set survival in lipohypertrophy versus nonhyperlipotrophied tissue in patients with type 1 diabetes. Diabetes Technol Ther 18:429–435CrossRef
10.
Zurück zum Zitat Shetty VB, Fournier PA, Davey RJ et al (2016) Effect of exercise intensity on glucose requirements to maintain euglycemia during exercise in type 1 diabetes. J Clin Endocrinol Metab 101:972–980CrossRefPubMed Shetty VB, Fournier PA, Davey RJ et al (2016) Effect of exercise intensity on glucose requirements to maintain euglycemia during exercise in type 1 diabetes. J Clin Endocrinol Metab 101:972–980CrossRefPubMed
11.
Zurück zum Zitat Bally L, Zueger T, Pasi N (2016) Accuracy of continuous monitoing during differing exercise conditions. Diabetes Res Clin Pract 112:1–5CrossRefPubMed Bally L, Zueger T, Pasi N (2016) Accuracy of continuous monitoing during differing exercise conditions. Diabetes Res Clin Pract 112:1–5CrossRefPubMed
12.
Zurück zum Zitat Drazen JM, Harrington DP, McMurray JJV et al (2017) An FDA viewpoint on unique considerations for medical device clinical trials. N Engl J Med 376:1350–1357CrossRef Drazen JM, Harrington DP, McMurray JJV et al (2017) An FDA viewpoint on unique considerations for medical device clinical trials. N Engl J Med 376:1350–1357CrossRef
13.
Zurück zum Zitat Heinemann L, Kamann S (2016) Adhesives used for diabetes medical devices: a neglected risk with serious consequences? J Diabetes Sci Technol 10:1211–1215CrossRefPubMed Heinemann L, Kamann S (2016) Adhesives used for diabetes medical devices: a neglected risk with serious consequences? J Diabetes Sci Technol 10:1211–1215CrossRefPubMed
14.
Zurück zum Zitat Van Beers CA, DeVries JH, Kleijer SJ et al (2016) Continuous glucose monitoring for patients with type 1 diabetes and impaired awareness of hypoglycaemia (IN CONTROL): a randomised, open-label, crossover trial. Lancet Diabetes Endocrinol 4:893–902CrossRefPubMed Van Beers CA, DeVries JH, Kleijer SJ et al (2016) Continuous glucose monitoring for patients with type 1 diabetes and impaired awareness of hypoglycaemia (IN CONTROL): a randomised, open-label, crossover trial. Lancet Diabetes Endocrinol 4:893–902CrossRefPubMed
15.
Zurück zum Zitat Bolinder J, Antuna R, Geelhoed-Duijvestijn P et al (2016) Novel glucose-sensing technology and hypoglycaemia in type 1 diabetes: a multicenter, non-masked, randomised controlled trial. Lancet 388:2254–2263CrossRefPubMed Bolinder J, Antuna R, Geelhoed-Duijvestijn P et al (2016) Novel glucose-sensing technology and hypoglycaemia in type 1 diabetes: a multicenter, non-masked, randomised controlled trial. Lancet 388:2254–2263CrossRefPubMed
16.
Zurück zum Zitat Haak T, Hanaire H, Ajjan R et al (2016) Flash glucose-sensing technology as a replacement for blood glucose monitoring for the management of insulin-treated type 2 diabetes: a multicenter, open-label randomized controlled trial. Diabetes Ther 8:55–73CrossRefPubMedPubMedCentral Haak T, Hanaire H, Ajjan R et al (2016) Flash glucose-sensing technology as a replacement for blood glucose monitoring for the management of insulin-treated type 2 diabetes: a multicenter, open-label randomized controlled trial. Diabetes Ther 8:55–73CrossRefPubMedPubMedCentral
17.
Zurück zum Zitat Russell SJ, Hillard MA, Balliro C et al (2016) Day and night glycaemic control with a bionic pancreas versus conventional insulin pump therapy in preadolescent children with type 1 diabetes: a randomised crossover trial. Lancet Diabetes Endocrinol 4:233–243CrossRefPubMedPubMedCentral Russell SJ, Hillard MA, Balliro C et al (2016) Day and night glycaemic control with a bionic pancreas versus conventional insulin pump therapy in preadolescent children with type 1 diabetes: a randomised crossover trial. Lancet Diabetes Endocrinol 4:233–243CrossRefPubMedPubMedCentral
18.
Zurück zum Zitat Bergensthal RM, Garg S, Stuart A (2016) Safety of a hybrid closed-loop insulin delivery system in patients with type 1 diabetes. JAMA 316(13):1407–1408CrossRef Bergensthal RM, Garg S, Stuart A (2016) Safety of a hybrid closed-loop insulin delivery system in patients with type 1 diabetes. JAMA 316(13):1407–1408CrossRef
19.
Zurück zum Zitat Tauschmann M, Allen JM, Wilinska ME et al (2016) Day-and-night hybrid closed-loop insulin delivery in adolescents with type 1 diabetes: a free-living, randomied clinical trial. Diabetes Care 39:1168–1174CrossRefPubMed Tauschmann M, Allen JM, Wilinska ME et al (2016) Day-and-night hybrid closed-loop insulin delivery in adolescents with type 1 diabetes: a free-living, randomied clinical trial. Diabetes Care 39:1168–1174CrossRefPubMed
20.
Zurück zum Zitat Del Favero S, Boscari F, Messori M et al (2016) Randomized summer camp crossover trial in 5‑ to 9‑year-old children: outpatient wearable artificial pancreas is feasible and safe. Diabetes Care 39:1180–1185CrossRefPubMed Del Favero S, Boscari F, Messori M et al (2016) Randomized summer camp crossover trial in 5‑ to 9‑year-old children: outpatient wearable artificial pancreas is feasible and safe. Diabetes Care 39:1180–1185CrossRefPubMed
21.
Zurück zum Zitat Shah AS, Dabelea D, Fino NF et al (2016) Predictors of increased carotid intima-media thickness in youth with type 1 diabetes: The SEARCH CVD study. Diabetes Care 39:418–425CrossRefPubMed Shah AS, Dabelea D, Fino NF et al (2016) Predictors of increased carotid intima-media thickness in youth with type 1 diabetes: The SEARCH CVD study. Diabetes Care 39:418–425CrossRefPubMed
22.
Zurück zum Zitat Fiorentino M, Bolignano D, Tesar V et al (2016) Renal biopsy in patients with diabetes: a pooled meta-analysis of 48 studies. Nephrol Dial Transplant. doi:10.1093/ndt/gfw070 PubMed Fiorentino M, Bolignano D, Tesar V et al (2016) Renal biopsy in patients with diabetes: a pooled meta-analysis of 48 studies. Nephrol Dial Transplant. doi:10.​1093/​ndt/​gfw070 PubMed
23.
Zurück zum Zitat Li L, Zhang X, Li Z et al (2017) Renal pathological implications in type 2 diabetes mellitus patients with renal involvement. J Diabetes Complicat 31:114–121CrossRefPubMed Li L, Zhang X, Li Z et al (2017) Renal pathological implications in type 2 diabetes mellitus patients with renal involvement. J Diabetes Complicat 31:114–121CrossRefPubMed
24.
Zurück zum Zitat Klessens CQF, Woutman TD, Veraar KAM et al (2016) An autopsy study suggests that diabetic nephropathy is underdiagnosed. Kidney Int 90:149–156CrossRefPubMed Klessens CQF, Woutman TD, Veraar KAM et al (2016) An autopsy study suggests that diabetic nephropathy is underdiagnosed. Kidney Int 90:149–156CrossRefPubMed
25.
Zurück zum Zitat Wanner C, Inzucchi SE, Lachin JM et al (2016) Empagliflozin and progression of kidney disease in type 2 diabetes. N Engl J Med 375:323–344CrossRefPubMed Wanner C, Inzucchi SE, Lachin JM et al (2016) Empagliflozin and progression of kidney disease in type 2 diabetes. N Engl J Med 375:323–344CrossRefPubMed
26.
Zurück zum Zitat Heerspink HJL, Desai M, Jardine M et al (2017) Canagliflozin slows progression of renal function decline independently of glycemic effects. J Am Soc Nephrol 28:368–375CrossRefPubMed Heerspink HJL, Desai M, Jardine M et al (2017) Canagliflozin slows progression of renal function decline independently of glycemic effects. J Am Soc Nephrol 28:368–375CrossRefPubMed
27.
28.
Zurück zum Zitat Marso SP, Bain SC, Consoll A et al (2016) Semaglutide and cardiovascular outcomes in patients with type 2 diabetes. N Engl J Med 375:1834–1844CrossRefPubMed Marso SP, Bain SC, Consoll A et al (2016) Semaglutide and cardiovascular outcomes in patients with type 2 diabetes. N Engl J Med 375:1834–1844CrossRefPubMed
29.
Zurück zum Zitat Magulies KB, Hernandez AF, Redfield MM et al (2016) Effects of Liraglutide on clinical stability among patients with advanced heart failure and reduced ejection fraction: a randomized clinical trial. JAMA 316:500–508CrossRef Magulies KB, Hernandez AF, Redfield MM et al (2016) Effects of Liraglutide on clinical stability among patients with advanced heart failure and reduced ejection fraction: a randomized clinical trial. JAMA 316:500–508CrossRef
30.
Zurück zum Zitat Heart Protection Study Collaborative Group (2002) MRC/BHF Heart Protection Study of cholesterol-lowering with simvastatin in 20,536 high-risk individuals: a randomised placebo-controlled trial. Lancet 360(9326):7–22CrossRef Heart Protection Study Collaborative Group (2002) MRC/BHF Heart Protection Study of cholesterol-lowering with simvastatin in 20,536 high-risk individuals: a randomised placebo-controlled trial. Lancet 360(9326):7–22CrossRef
31.
Zurück zum Zitat Heart Outcomes Prevention Evaluation Study Investigators (2000) Effects of an angiotensin-converting-enzyme inhibitor, ramipril, on cardiovascular events in high risk patients. N Engl J Med 342:145–153CrossRef Heart Outcomes Prevention Evaluation Study Investigators (2000) Effects of an angiotensin-converting-enzyme inhibitor, ramipril, on cardiovascular events in high risk patients. N Engl J Med 342:145–153CrossRef
32.
Zurück zum Zitat Zinman B, Wanner C, Lachin JM et al (2015) Empagliflozin, cardiovascular outcome, and mortality in type 2 diabetes. N Engl J Med 373:2117–2128CrossRefPubMed Zinman B, Wanner C, Lachin JM et al (2015) Empagliflozin, cardiovascular outcome, and mortality in type 2 diabetes. N Engl J Med 373:2117–2128CrossRefPubMed
33.
Zurück zum Zitat Zannad F, McMurray JJV, Krum H et al (2011) Epleronone in patients with systolic heart failure and mild symptoms. N Engl J Med 364:11–21CrossRefPubMed Zannad F, McMurray JJV, Krum H et al (2011) Epleronone in patients with systolic heart failure and mild symptoms. N Engl J Med 364:11–21CrossRefPubMed
34.
Zurück zum Zitat Ogawa H, Nakayama M, Morimoto T et al (2008) Low-dose Aspirin for primary prevention of atherosclerotic events in patients with type 2 diabetes. A randomized controlled trial. JAMA 300(18):2134–2141CrossRefPubMed Ogawa H, Nakayama M, Morimoto T et al (2008) Low-dose Aspirin for primary prevention of atherosclerotic events in patients with type 2 diabetes. A randomized controlled trial. JAMA 300(18):2134–2141CrossRefPubMed
37.
Zurück zum Zitat Colon S, Nazareth I, Petersen I (2012) A cohort study of trends in the prevalence of pregestational diabetes in pregnancy recorded in UK general practice between 1995 and 2012. BMJ Open 6(1):e009494 Colon S, Nazareth I, Petersen I (2012) A cohort study of trends in the prevalence of pregestational diabetes in pregnancy recorded in UK general practice between 1995 and 2012. BMJ Open 6(1):e009494
38.
Zurück zum Zitat Noctor E, Crowe C, Carmody L et al (2016) Abnormal glucose tolerance post-gestational diabetes mellitus as defined by the International Association of Diabetes and Pregnancy Study Groups criteria. Eur J Endocrinol 175:287–297CrossRefPubMed Noctor E, Crowe C, Carmody L et al (2016) Abnormal glucose tolerance post-gestational diabetes mellitus as defined by the International Association of Diabetes and Pregnancy Study Groups criteria. Eur J Endocrinol 175:287–297CrossRefPubMed
39.
Zurück zum Zitat Parent B, Martopullo I, Weiss N et al (2016) Bariatric surgery in women of childbearing age, timing between an operation and birth, and associated perinatal complications. JAMA Surg. doi:10.1001/jamasurg.2016.3621 PubMed Parent B, Martopullo I, Weiss N et al (2016) Bariatric surgery in women of childbearing age, timing between an operation and birth, and associated perinatal complications. JAMA Surg. doi:10.​1001/​jamasurg.​2016.​3621 PubMed
40.
Zurück zum Zitat Tojesen I (2016) Birth complicatiions are more common within two years of bariatric surgery, study finds. BMJ 355:i5651CrossRef Tojesen I (2016) Birth complicatiions are more common within two years of bariatric surgery, study finds. BMJ 355:i5651CrossRef
41.
Zurück zum Zitat Butalia S, Gutierrez L, Lodha A et al (2016) Short- and long-term outcomes of metformin compared with insulin alone in pregnacy: a systematic review and meta-analysis. Diabet Med 34:27–36CrossRefPubMed Butalia S, Gutierrez L, Lodha A et al (2016) Short- and long-term outcomes of metformin compared with insulin alone in pregnacy: a systematic review and meta-analysis. Diabet Med 34:27–36CrossRefPubMed
42.
Zurück zum Zitat Mohammedi K, Woodward M, Hirakawa Y et al (2016) Microvascular and macrovascular disease and risk for major peripheral arterial disease in patients with type 2 diabetes. Diabetes Care 39:1796–1803CrossRefPubMed Mohammedi K, Woodward M, Hirakawa Y et al (2016) Microvascular and macrovascular disease and risk for major peripheral arterial disease in patients with type 2 diabetes. Diabetes Care 39:1796–1803CrossRefPubMed
43.
Zurück zum Zitat Pickwell K, Siersma V, Kars M et al (2016) Minor amputation does not negatively afect health-related quality of life as compared with conservative treatment in patients with a diabetic foot ulcer; An observational study. Diabetes Metab Res Rev. doi:10.1002/dmrr.2867 PubMed Pickwell K, Siersma V, Kars M et al (2016) Minor amputation does not negatively afect health-related quality of life as compared with conservative treatment in patients with a diabetic foot ulcer; An observational study. Diabetes Metab Res Rev. doi:10.​1002/​dmrr.​2867 PubMed
44.
Zurück zum Zitat Weber MA, Bloch M, Bakris GL et al (2016) Cardiovascular outcomes according to systolic blood pressure in patients with and without diabetes: An ACCOMPLISH substudy. J Clin Hypertens (Greenwich) 18(4):299–307CrossRef Weber MA, Bloch M, Bakris GL et al (2016) Cardiovascular outcomes according to systolic blood pressure in patients with and without diabetes: An ACCOMPLISH substudy. J Clin Hypertens (Greenwich) 18(4):299–307CrossRef
45.
Zurück zum Zitat Yusuf S, Bosch J, Dagenais G et al (2016) Cholesterol lowering in intemediate-risk persons without cardiovascular disease. N Engl J Med 374(21):2021–2031CrossRefPubMed Yusuf S, Bosch J, Dagenais G et al (2016) Cholesterol lowering in intemediate-risk persons without cardiovascular disease. N Engl J Med 374(21):2021–2031CrossRefPubMed
46.
Zurück zum Zitat Hacke W, Donnan G, Fieschi C et al (2004) Association of outcome with early stroke treatment: pooled analysis of ATLANTIS, ECASS, and NINDS rt-PA stroke trials. Lancet 363(9411):768–774CrossRefPubMed Hacke W, Donnan G, Fieschi C et al (2004) Association of outcome with early stroke treatment: pooled analysis of ATLANTIS, ECASS, and NINDS rt-PA stroke trials. Lancet 363(9411):768–774CrossRefPubMed
47.
Zurück zum Zitat Stahl CH, Lind M, Svensson AM et al (2017) Glycaemic control and excess risk of ischeamic and hemorrhagic stroke in patients with type 1 diabetes: a cohort study of 33 453 patients. J Intern Med 281:261–272CrossRefPubMed Stahl CH, Lind M, Svensson AM et al (2017) Glycaemic control and excess risk of ischeamic and hemorrhagic stroke in patients with type 1 diabetes: a cohort study of 33 453 patients. J Intern Med 281:261–272CrossRefPubMed
48.
Zurück zum Zitat Kernan WN, Viscoli CM, Furie KL et al (2016) Pioglitazone after ischemic stroke or transient ischemic attack. N Engl J Med 374(14):1321–1331CrossRefPubMedPubMedCentral Kernan WN, Viscoli CM, Furie KL et al (2016) Pioglitazone after ischemic stroke or transient ischemic attack. N Engl J Med 374(14):1321–1331CrossRefPubMedPubMedCentral
49.
Zurück zum Zitat Skiada A, Petrikkos G (2013) Cutaneous mucomycosis. Skinmed 11:155–159PubMed Skiada A, Petrikkos G (2013) Cutaneous mucomycosis. Skinmed 11:155–159PubMed
50.
Zurück zum Zitat Mirhoseini M, Saleh N, Al Momeni A et al (2016) A study on the association of diabetic dermopathy with nephropathy and retinopathy in patients with type 2 diabetes mellitus. J Nephropathol 5:139–143CrossRefPubMedPubMedCentral Mirhoseini M, Saleh N, Al Momeni A et al (2016) A study on the association of diabetic dermopathy with nephropathy and retinopathy in patients with type 2 diabetes mellitus. J Nephropathol 5:139–143CrossRefPubMedPubMedCentral
52.
Zurück zum Zitat Binder B (2016) Differentialdiagnose der Hautveränderungen an den Beinen bei CVI. Wien Med Wochenschr 166:270CrossRefPubMed Binder B (2016) Differentialdiagnose der Hautveränderungen an den Beinen bei CVI. Wien Med Wochenschr 166:270CrossRefPubMed
Metadaten
Titel
Diabetes Update 2017
Was ist neu in der Diabetologie? Welche Leitlinien müssen geändert werden?
verfasst von
Univ.-Prof. Dr. W. A. Scherbaum
Publikationsdatum
26.06.2017
Verlag
Springer Medizin
Schlagwort
Typ-1-Diabetes
Erschienen in
Die Diabetologie / Ausgabe 5/2017
Print ISSN: 2731-7447
Elektronische ISSN: 2731-7455
DOI
https://doi.org/10.1007/s11428-017-0234-6

Weitere Artikel der Ausgabe 5/2017

Der Diabetologe 5/2017 Zur Ausgabe

Magazin

Magazin

Praxisempfehlungen der Deutschen Diabetes Gesellschaft

Kurz, prägnant und aktuell: Die Praxisempfehlungen der Deutschen Diabetes Gesellschaft.