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Diabetology, Volume 6, Issue 11

2025 November - 20 articles

Cover Story: It has been previously described that some women with type 1 diabetes may experience fluctuations in their glucose levels and insulin requirements in relation to the menstrual cycle. However, the exact impact of different cycle phases, or whether an advanced hybrid closed-loop system can help mitigate these cycle-dependent changes, is yet to be determined. View this paper
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Articles (20)

  • Article
  • Open Access
1,579 Views
13 Pages

Performance of the Triglyceride-Glucose (TyG) Index for Early Detection of Insulin Resistance in Young Adults: Comparison with HOMA-IR and QUICKI in Western Mexico

  • Africa Samantha Reynoso-Roa,
  • Susan Andrea Gutiérrez-Rubio,
  • Araceli Castillo-Romero,
  • Trinidad García-Iglesias,
  • Daniel Osmar Suárez-Rico,
  • Karen Marcela Becerra-Orduñez,
  • Cynthia Areli Temblador-Dominguez and
  • Teresa Arcelia García-Cobián

12 November 2025

Background/Objectives: Insulin resistance is a major public health issue in Mexico, closely linked to obesity, prediabetes, and type 2 diabetes. The euglycemic–hyperinsulinemic clamp is the diagnostic gold standard but is impractical for routin...

  • Review
  • Open Access
2,121 Views
19 Pages

11 November 2025

Background: Diabetic bone disease affects over 537 million people with diabetes worldwide, characterized by increased fracture risk despite paradoxically normal or elevated bone mineral density (BMD) in Type 2 diabetes. This narrative review synthesi...

  • Article
  • Open Access
1,961 Views
9 Pages

Effect of Menstrual Cycle on Glycemic Outcomes and Insulin Requirements in Women with Type 1 Diabetes Who Are Users of Advanced Hybrid Closed-Loop Systems

  • Marta Rosado-Fernández,
  • Elisenda Climent,
  • Mercè Fernández-Miró,
  • Anna Garrido,
  • Rosa Gaja,
  • Verónica Amador,
  • Gracia Natera,
  • Andrea González,
  • Gemma Llauradó and
  • Juana A. Flores-Le Roux
  • + 1 author

Purpose: It has been previously described that some women with type 1 diabetes (T1D) may experience changes in glucose levels in relation to their menstrual cycle. However, whether an advanced hybrid closed-loop system (AHCL) can mitigate these cycle...

  • Article
  • Open Access
947 Views
11 Pages

Background: Long-acting insulin analogues have been widely used in patients with type 2 diabetes with reduced insulin secretion. In these patients, hypoglycemia may occur during the night when they do not consume food. We have already reported that a...

  • Article
  • Open Access
1,297 Views
18 Pages

Prevalence of Elevated Insulin Resistance Risk in a Large Office Worker Population: Sex-Stratified Analyses and Lifestyle Correlates

  • Alberto Ramírez Gallegos,
  • Pedro Juan Tárraga López,
  • Ángel Arturo López-González,
  • Carla Busquets-Cortés,
  • Irene Coll Campayo,
  • Miguel García Samuelsson and
  • José Ignacio Ramírez Manent

Background: Insulin resistance (IR) is a key pathophysiological mechanism linking obesity, type 2 diabetes, and cardiovascular disease. Office workers, due to prolonged sedentary behavior and suboptimal lifestyle patterns, may be particularly suscept...

  • Article
  • Open Access
786 Views
12 Pages

Utilisation of Group-Based Diabetes Education Programmes: Perspectives of Healthcare Practitioners

  • Muili Olugbenga Lawal,
  • Anthony Woodman,
  • Farouk Ayodeji Lawal and
  • Hameedat Olajumoke Omobayo

Background: Structured patient education (SPE) is a critical component of diabetes management, with the potential to reduce its physical, social, and economic burden. National and international guidelines emphasise the importance of raising awareness...

  • Article
  • Open Access
1,265 Views
16 Pages

The Dutch HbA1c Lifestyle Study (DAF-Study): Seasonal Variation of HbA1c in the Dutch Diabetes Population—Associations with Macronutrient Intake and Physical Activity

  • Erwin Kemna,
  • Henk Bilo,
  • Martine Deckers,
  • Christiaan Slim,
  • Annemarieke Loot,
  • Linda M. Henricks,
  • Jacoline Brinkman,
  • Jody van den Ouweland,
  • Steef Kurstjens and
  • Cas Weykamp
  • + 16 authors

Background/Objectives: Seasonal variation in hemoglobin A1c (HbA1c) values has been previously documented, with physical activity (PA) and macronutrient intake (MNI) suggested as potential drivers. This study combines seasonal mean HbA1c values from...

  • Article
  • Open Access
849 Views
14 Pages

Background: As the global incidence of diabetes continues to rise, expanding the scope of practice for primary healthcare professionals is essential in addressing the type 2 diabetes (T2D) epidemic. Oral health is bidirectionally linked to systemic h...

  • Systematic Review
  • Open Access
1,626 Views
21 Pages

Efficacy of Hyperbaric Oxygen Therapy in Diabetic Retinopathy and Macular Edema: A Systematic Review and Meta-Analysis

  • Enrico Moccia,
  • Vincenzo Rizzuto,
  • Pasquale Longobardi,
  • Anita Ferrone,
  • Marco Laurino,
  • Artūrs Zemītis and
  • Giuseppe Covello

Background: Diabetic retinopathy (DR) and diabetic macular edema (DME) are major causes of vision loss in diabetes. Hyperbaric oxygen therapy (HBOT) has been explored as an adjunctive treatment due to its potential to enhance oxygenation, reduce infl...

  • Article
  • Open Access
728 Views
13 Pages

Peripheral Blood Gene Expression Profiling in Proliferative Diabetic Retinopathy Using NanoString Technology

  • Alon Zahavi,
  • Shirel Weiss,
  • Jawad Abu Dbai,
  • Talal Salti and
  • Nitza Goldenberg-Cohen

Background: Proliferative diabetic retinopathy (PDR) is a vision-threatening complication of diabetes characterized by retinal neovascularization. Predicting which diabetic patients will develop PDR remains challenging. Measuring mRNA expression leve...

  • Systematic Review
  • Open Access
1 Citations
2,236 Views
19 Pages

The Diabetes-Pancreatic Cancer Risk Relationship over Time: A Systematic Review and Meta-Analysis

  • Araceli Fuentes,
  • Josep Montserrat-Capdevila,
  • Didac Florensa,
  • Sofia Godoy,
  • Judith Serrano and
  • Pere Godoy

Background/Objectives: The relationship between diabetes and pancreatic cancer (PCa) is controversial. In this meta-analysis and systematic review, we investigated diabetes and time since diagnosis as risk factors for PCa. Methods: Cohort and case-co...

  • Article
  • Open Access
1,674 Views
14 Pages

Prevalence of Liver Steatosis and Fibrosis Assessed by Transient Elastography in a High Cardiovascular-Risk Outpatient Cohort Including T1DM and T2DM Patients

  • Alina N. Saidi,
  • Willy B. Theel,
  • Diederick E. Grobbee,
  • Aart-Jan van der Lely,
  • Femme Dirksmeier-Harinck,
  • Marco Alings,
  • Ellen van der Zwan-van Beek,
  • Simone P. Rauh,
  • Moniba Rasheed and
  • Manuel Castro Cabezas

Background: Metabolic dysfunction-associated steatotic liver disease (MASLD) is common in T2DM, likely due to insulin resistance and obesity. Although screening is recommended in high-risk patients, its prevalence in outpatient cardiovascular clinica...

  • Article
  • Open Access
779 Views
14 Pages

Comparative Accuracy of the ECORE-BF Index Versus Non-Insulin-Based Insulin Resistance Markers in over 400,000 Spanish Adults

  • Marta Marina Arroyo,
  • Joan Obrador de Hevia,
  • Ángel Arturo López-González,
  • Pedro J. Tárraga López,
  • Carla Busquets-Cortés and
  • José Ignacio Ramírez-Manent

Background: The early detection of insulin resistance (IR) is critical for the prevention of type 2 diabetes and cardiometabolic diseases. The ECORE-BF index is a simple anthropometric tool for estimating body fat percentage and overweight. However,...

  • Article
  • Open Access
1,552 Views
11 Pages

The Symptom Burden of Autonomic Neuropathy Is Associated with Decreased Quality of Life in 6961 People with Diabetes

  • Sigurd Kassow Morsby,
  • Maria Bitsch Poulsen,
  • Esben Bolvig Mark,
  • Johan Røikjer,
  • Amar Nikontovic,
  • Peter Vestergaard and
  • Christina Brock

Background: Diabetes often causes microvascular complications such as neuropathy. Autonomic neuropathy remains under-recognized, and its impact on quality of life (QoL) is unclear. This study investigated associations between symptoms of autonomic dy...

  • Article
  • Open Access
2,427 Views
12 Pages

Experience with Oral Semaglutide in Clinical Practice: Efficacy and Safety Data from the Multicentric Croatian Study

  • Klara Ormanac,
  • Tomislav Bozek,
  • Klara Žuljević,
  • Josip Grbavac,
  • Matea Petrinovic,
  • Sanja Klobucar,
  • Silvija Canecki Varzic,
  • Maja Cigrovski Berkovic and
  • Ines Bilic-Curcic

Background: Oral semaglutide is the first oral GLP-1 receptor agonist approved for treating patients with type 2 diabetes mellitus (T2DM). This real-world retrospective study evaluated its effectiveness and tolerability in patients requiring a third-...

  • Systematic Review
  • Open Access
4,000 Views
16 Pages

Background: Diabetic foot ulcers (DFUs) carry high risks of infection, amputation, and mortality. We systematically reviewed randomized controlled trials (RCTs) of negative-pressure wound therapy (NPWT), including single-use systems, for clinically u...

  • Article
  • Open Access
2,666 Views
14 Pages

Knowledge and Practices in Diabetic Foot Ulcer Prevention Among Patients with Diabetes Mellitus in Gauteng, South Africa

  • Tshifhiwa Mukheli,
  • Tshepo P. Mokoena,
  • Shingirai B. Kagodora and
  • Thifhelimbilu E. Luvhengo

Background: Patients with diabetes mellitus are at increased risk of foot ulcerations. Prevention and timeous treatment of diabetic foot ulcer requires a multidisciplinary team, including patients and healthcare workers. The study investigated levels...

  • Review
  • Open Access
2,470 Views
26 Pages

How the Salutogenic Pattern of Health Reflects in Type 2 Diabetes Mellitus: A Narrative Review

  • Sandra Mijač,
  • Ksenija Vitale,
  • Karmen Lončarek and
  • Goran Slivšek

By 2045, approximately 783.2 million people are projected to be diagnosed with type 2 diabetes mellitus (T2DM). In addition, obesity is expected to affect up to 22% of the world’s population or one in four people. The diabesity epidemic, a worr...

  • Article
  • Open Access
3,340 Views
18 Pages

A Mathematical Modeling Approach to Estimate Blood Glucose Behavior in Individuals with Prediabetes

  • Alexis Alonso-Bastida,
  • Dolores Azucena Salazar-Piña,
  • Manuel Adam-Medina,
  • Lourdes Gutiérrez-Xicotencatl,
  • Christian Ríos-Enríquez,
  • Margarita Ramos-García and
  • Daniel Villanueva-Vásquez

Background: Glucose homeostasis is a crucial physiological process, and its disruption is closely linked to the onset of Type 2 Diabetes Mellitus (T2DM), a major global health issue. Objective: This study presents a novel mathematical model to descri...

  • Article
  • Open Access
1,496 Views
23 Pages

Background/Objectives: Diabetic foot infections (DFIs) are a leading cause of hospitalization, amputation, and costs among patients with diabetes. Although early treatment is assumed to reduce complications, its real-world effects remain uncertain. W...

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Diabetology - ISSN 2673-4540