The Endocrinology Service at Starship Children's Health provides specialist care for all children diagnosed with type 1 diabetes in the Auckland region (New Zealand). Its Paediatric Diabetes Service provides centralised medical care for all diabetic children up to 15 yr who reside in the Auckland region, drawing from the regional population of approximately 1.5 million [12]. All children or adolescents diagnosed with type 1 diabetes who attended the Paediatric Service between 1 January 1990 and 31 December 2009 were eligible for this study. Subjects were captured from a comprehensive database (Starbase) that gathers data on all children with type 1 diabetes in the Auckland region. This information was cross-referenced with hospital admission data and subsequent clinical follow up, leading to a case ascertainment >95% for children with type 1 diabetes [13].
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Understanding how food affects blood sugar level and constantly monitoring it is a way of life for those with diabetes. This largely involves the balance between the amount of insulin currently in the body at any given time and how the foods we eat change that it. At center stage for this daily drama are carbohydrates. Knowing the difference between how the various types of carbohydrates are processed by the body is key to maintaining blood sugar levels. (more…)

Pre-diabetes and type 2 diabetes are at epidemic proportions in New Zealand with the Auckland region over represented in certain populations. This programme works with those who have the highest rates of pre-diabetes and type 2 diabetes in Auckland creating that awareness and preventing diabetes where possible that is needed on a more intimate level within the community.
The control group also experienced a decrease in HbA1c from baseline to the nine month follow-up, and experienced improvements in secondary outcomes, which could indicate trial effects. Previous research has shown that recruitment to a clinical trial alone can result in improvements in HbA1c,43 but it is not expected that these improvements would be sustainable past the initial few months without intervention.
In a perfect world, the answer to the question “should someone with diabetes take steroids?” would be a simple “no”. Of course, not only do we not live in a perfect world, there are also few simple answers for diabetics. Steroids can play havoc with blood sugar levels, but they can also be the best choice in treating some very serious conditions. So, perhaps the better answer would be “maybe” with the added caveat of making sure you are aware of the consequences and prepared to be proactive in managing them.   (more…)
Blood glucose tracking is the most common feature of diabetes apps [5,14], with other features including record of medications, dietary advice, and tracking, such as carbohydrate content calculation, and weight management support [5,11,12,14-16]. Additionally some apps recommend insulin dosing based on users inputs of glucose levels and estimated meal carbohydrate. Meta-analysis of 22 trials including 1657 patients in which use of mobile phone apps supporting diabetes management was compared to usual care or other Web-based supports showed that app use led to a mean reduction in HbA1c of 6mmol/mol that is 0.5% [9]. This compares favorably with the glucose lowering of lifestyle change, namely diet [17] and oral diabetes medication [18].
To obtain data on HPs’ knowledge and recommendation of apps to people with diabetes, a second survey was conducted of the HPs attending the annual scientific meeting of the New Zealand Society for the Study of Diabetes (NZSSD) in May 2016. Immediately prior to the meeting all registered attendees (n=286) were invited to participate in the online survey via email. The data from the patient survey was presented at the conference in a 15-min oral presentation and attendees were encouraged to complete the survey. Paper copies of the survey were also available at the meeting. This survey remained open for 2 weeks, with a reminder sent at 1 week.
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The A1C is a common blood test that measures the amount of glucose that is attached to the hemoglobin in our red blood cells. It has a variety of other names, including glycated hemoglobin, glycosylated hemoglobin, hemoglobin A1C and HbA1 and is used in the diagnosis and monitoring of diabetes. Unlike the traditional blood glucose test, the A1C does not require fasting, and blood can be drawn at any time of day. It is hoped that this will result in more people getting tested and decreasing the number of people with undiagnosed diabetes, which is currently estimated to be more than 7 million adults in the U.S. (more…)
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