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Diabetologia OnlineFirst articles

Fully closed-loop systems: can people with type 1 diabetes just do it? Insights from open-source systems

  • Open Access
  • Review

Automated insulin delivery (AID) systems have significantly advanced diabetes management, progressively reducing user interactions required for optimal glucose management. This review evaluates the current landscape and future potential of AID …

Prospective comparison of WBC SPECT/CT and conventional MRI for diagnosing osteomyelitis and monitoring treatment response in diabetic foot infections

There is a worldwide epidemic of diabetes. In 2022, the estimated prevalence of diabetes in the United States was 7.6%, with an associated national economic burden of US$412.9 billion [ 1 ]. Foot infections are among the most serious and costly …

Teplizumab treatment for stage 2 type 1 diabetes: a real-world evaluation of metabolic and immunological outcomes

In November 2022, the United States Food and Drug Administration (FDA) approved teplizumab as the first disease-modifying immunotherapy for type 1 diabetes [ 1 ]. Teplizumab is a humanised monoclonal antibody that binds to CD3, an integral part of …

Transient ER stress cell-autonomously promotes beta cell cycling in mice

Diabetes mellitus is a chronic disease caused by insulin deficiency. Current treatments focus on regulating blood glucose levels without addressing the underlying beta cell defect. To cure diabetes, restoring and preserving a functional beta cell …

Sex steroids, SHBG and type 2 diabetes in women: what do we really know?

Androgens and oestrogens differentially regulate metabolic processes that impact the development of type 2 diabetes in women. The biological actions of these sex steroids are, however, dependent on their bioavailability, which is regulated by …

Identification of a genetic risk factor for metformin-induced vitamin B12 deficiency

Metformin, the primary treatment for type 2 diabetes, is largely well tolerated but can cause vitamin B 12 deficiency in 5.8–22% [ 1 , 2 ] of patients. The Diabetes Prevention Program Outcomes Study (DDPOS) showed that combined low and …

Dynamic changes in circulating microRNAs during oral glucose tolerance testing support their potential as diagnostic and monitoring biomarkers in cystic fibrosis-related diabetes

Cystic fibrosis-related diabetes (CFRD) is the most common comorbidity in individuals with cystic fibrosis (CF), affecting at least 50% of the adult CF population [ 1 ]. Acquiring CFRD is associated with a ~6-fold increase of morbidity and …

How adolescents with type 1 diabetes experience physical education in middle school: a qualitative study

All physical education (PE) teachers will, at some point, teach students with type 1 diabetes because it is one of the most prevalent chronic diseases in children and adolescents [ 1 , 2 ]. The incidence of type 1 diabetes among those under 15 …

Acute and resolving inflammation differentially regulates beta cell function in mice via interactions between peritoneal and islet-associated macrophages

Pancreatic beta cells usually compensate adequately for the insulin resistance that is associated with obesity, but compensation fails in the minority of individuals who develop type 2 diabetes [ 1 , 2 ]. Inflammation is one of multiple mechanisms …

Phosphodiesterase ENPP2, which is co-upregulated in obese and pregnant mice, is essential for islet beta cell compensation during obesity

Type 2 diabetes mellitus is characterised by insulin resistance and progressive decline in beta cell mass and function. During impaired glucose tolerance and newly diagnosed type 2 diabetes, beta cell loss is approximately 40% and 63% …

Duodenal myoelectrical hyperactivity drives diabetic remission in rat models of type 2 diabetes

Roux-en-Y gastric bypass (RYGB) provides profound metabolic benefits in type 2 diabetes, surpassing those achieved by lifestyle or pharmaceutical interventions [ 1 – 3 ]. However, its inherent invasiveness and associated risks limit its broad …

Effects of insulin regimens for type 2 diabetes mellitus: a systematic review and network meta-analysis

Insulin therapy becomes necessary for many individuals with type 2 diabetes mellitus as pancreatic beta cell function progressively declines [ 1 ]. It is particularly indicated for those presenting with marked or symptomatic hyperglycaemia [ 2 ].

Islet amyloid disrupts MHC class II antigen presentation and delays autoimmune diabetes in NOD mice

Type 1 diabetes is caused by autoreactive T cell-mediated destruction of pancreatic beta cells leading to insufficient insulin levels and hyperglycaemia. Islet macrophages play a key role in the initiation and progression of type 1 diabetes …

Prevalence of type 2 diabetes among global Indigenous adult populations: a systematic review

Indigenous Peoples are incredibly diverse, with over 476 million individuals and more than 5000 populations in approximately 90 countries worldwide [ 1 ]. Prior to varying experiences of colonisation, many Indigenous Peoples consistently consumed …

Characterisation of human pancreatic mesenchymal stromal cells in type 1 diabetes

Mesenchymal stromal cells (MSCs) form the focus of attention in an increasing number of translational research fields, including diabetes [ 1 – 4 ], because of their strong immunomodulatory [ 5 , 6 ] and regenerative [ 7 – 10 ] properties. We have …

Aberrant STING signalling promotes endothelial dysfunction and neurovascular injury in diabetic retinopathy

Diabetic retinopathy is the most common complication of diabetes mellitus, affecting approximately 22.27% of individuals with diabetes [ 1 ]. It remains a leading cause of visual impairment worldwide [ 2 ]. Clinically, diabetic retinopathy is …

Effects of combined intraduodenal administration of lauric acid and l-tryptophan on postprandial plasma glucose, glucoregulatory hormones and gastric emptying in type 2 diabetes: a double-blind, randomised, crossover study

Postprandial glycaemic excursions are the major determinant of ‘average’ glycaemic management (as assessed by measurement of HbA 1c ) in type 2 diabetes, and the dominant factor when HbA 1c is moderately elevated (i.e. <64 mmol/mol [<8%]) [ 1 ].

Dietary intake of vitamins A, B, C, D and E and risk of islet autoimmunity and type 1 diabetes in genetically at-risk children: a prospective study from the DIPP birth cohort

Environmental factors such as dietary factors have been suggested to play a significant role in islet autoimmunity (IA) and type 1 diabetes development [ 1 ]. Dietary factors may act either as triggers, promotors or inhibitors of autoimmune …

Efficacy of tirzepatide versus semaglutide in achieving therapeutic targets in type 2 diabetes: a post hoc analysis of the SURPASS-2 Trial

Simultaneous management of glucose levels, lipid profile, BP and body weight is essential for preventing chronic complications in type 2 diabetes and has been consistently associated with a reduction in incident cardiovascular events [ 1 – 5 ].