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Diabetology, Volume 7, Issue 10

2026 October - 22 articles

Cover Story: Diabetic wound healing is impaired by persistent inflammation, reduced angiogenesis and abnormal extracellular matrix remodelling, with skin fibrosis further hindering tissue repair. This review examines the potential role of cortisol through 11β-Hydroxysteroid dehydrogenase (11β-HSD1) action in promoting fibrosis and delayed healing, focusing on its interactions with connective tissue growth factor (CTGF) and insulin-like growth factor binding protein-5 (IGFBP-5). Early evidence suggests that inhibiting 11β-HSD1 improves wound repair and tissue integrity, although interaction pathways remain poorly understood. Further research using chronic diabetic wound models is needed to clarify the underlying mechanisms and assess the therapeutic potential of 11β-HSD1 for diabetic wound healing. View this paper
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Articles (22)

  • Review
  • Open Access
344 Views
13 Pages

Beyond Hydration: Natural Mineral Water and Metabolic Health

  • Eleni Pavlidou,
  • Eleni Melenikioti,
  • Aristeidis Fasoulas,
  • Constantinos Giaginis and
  • Sousana K. Papadopoulou

Background: Natural mineral water (NMW) is a heterogeneous dietary exposure whose composition varies substantially among sources. Objective: This critical review examines human intervention evidence on NMW in relation to metabolic health across healt...

(This article belongs to the Section Treatment, Intervention and Care of Diabetes)
  • Article
  • Open Access
159 Views
16 Pages

Background: India bears one of the highest diabetes burdens globally, yet community-based evidence simultaneously examining the contributions of dietary adherence and physical activity to glycaemic control remains scarce. Most existing Indian studies...

(This article belongs to the Section Prevention and Public Health Management of Diabetes)
  • Article
  • Open Access
298 Views
19 Pages

A Phase III, Randomized, Double-Blind Clinical Trial of a Novel Triple Fixed-Dose Combination (Glimepiride/Vildagliptin/Metformin) in Mexican Adults with Uncontrolled Type 2 Diabetes After Dual Oral Therapy Failure

  • Ana Cristina García-Ulloa,
  • Victor Bohorquez-López,
  • Ana Flores-Barranco,
  • Salvador Pérez-Jaime and ,
  • Ivonne Bourget-Ontiveros,
  • Juan A. Becerra-Hernandez,
  • Kevin F. Rios-Brito,
  • Miguel A. Martinez-Hernandez,
  • Cuitlahuac Gasca-Chavez and
  • Jorge González-Canudas
  • + 8 authors+ 3 authors

Background/Objectives: Achieving glycaemic control remains challenging in patients with type 2 diabetes mellitus (T2DM). Fixed-dose combinations with complementary mechanisms may facilitate treatment intensification and improve adherence. This study...

(This article belongs to the Special Issue Early Intervention and Treatment Strategies for Diabetes)
  • Article
  • Open Access
213 Views
24 Pages

An Observational Comparison of Gestational Diabetes Mellitus Prevalence and Pregnancy Outcomes Before and During COVID-19 in the Australian Capital Territory, 2018–2021

  • Jennifer Hutchinson,
  • Matthew Hart,
  • Roisin Ashhurst,
  • Christopher J. Nolan and ,
  • Deborah Davis and
  • Catherine R. Knight-Agarwal
  • + 1 author+ 0 author

Background: In the Australian Capital Territory (ACT) during the Coronavirus disease 2019 (COVID-19) pandemic, gestational diabetes mellitus (GDM) testing using the World Health Organization’s (WHO) oral glucose tolerance test (OGTT) was replac...

(This article belongs to the Section Complications and Comorbidities of Diabetes)
  • Article
  • Open Access
175 Views
14 Pages

Background: Hospital inpatient hypoglycaemia is a common complication associated with poor patient outcomes. With the rising prevalence of diabetes mellitus (DM) and approximately 20% of hospital beds occupied by patients with DM, inpatient hypoglyca...

(This article belongs to the Special Issue Advances in Inpatient Diabetes Care)
  • Article
  • Open Access
169 Views
11 Pages

Long-Term Protection from Severe Hypoglycemia Following Pancreas Transplantation: A Single-Center Cohort Study

  • Sara Shahrestani,
  • Rachel Todd,
  • Rafael Khaim,
  • Vikram Wadhera and ,
  • Fasika Tedla,
  • Matthew Holzner,
  • Ron Shapiro,
  • Sander Florman and
  • Kasi McCune
  • + 4 authors+ 0 author

Background: Patients with type 1 diabetes complicated by severe hypoglycemia and impaired awareness remain at high risk of mortality despite advances in diabetes treatment. Pancreas transplantation offers definitive β-cell replacement; however,...

(This article belongs to the Section Treatment, Intervention and Care of Diabetes)
  • Protocol
  • Open Access
253 Views
14 Pages

Organisational Health Literacy in Diabetes Healthcare: Protocol for a Multisite Implementation and Evaluation of OHL-Act

  • Maiken Meldgaard,
  • Helle Terkildsen Maindal,
  • Liv Stubbe Østergaard,
  • Mette Juel Rothmann and
  • Anna Aaby

Health literacy challenges are associated with greater risk and adverse outcomes of long-term conditions such as diabetes mellitus and contribute to persistent health inequalities. In response, increasing attention has been given to Organisational He...

(This article belongs to the Special Issue Public Health Approaches to Diabetes Care)
  • Article
  • Open Access
319 Views
12 Pages

Development of the Digital Diabetes Education Platform for Type 1 Diabetes in Pakistan

  • Anum Anwar,
  • Sana Ajmal,
  • Abdul Wahab,
  • Aliza Fatima and ,
  • Salma Mehar and
  • Maddie Julian
  • + 1 author+ 0 author

Objectives: This study aimed to develop a structured and culturally appropriate diabetes education platform to provide accessible education to individuals and caregivers of Type 1 Diabetes (T1D). Methods: In phase I, the digital tele-education platfo...

(This article belongs to the Section Prevention and Public Health Management of Diabetes)
  • Article
  • Open Access
332 Views
28 Pages

Background/Objectives: In this retrospective aggregate pharmacovigilance study, we described UK Yellow Card reporting relative to partial English National Health Service (NHS) general practice (GP) prescribing for six glucagon-like peptide-1 (GLP-1)-...

(This article belongs to the Special Issue Efficacy, Safety and Real-World Evidence of Hypoglycemic Drugs)
  • Article
  • Open Access
288 Views
13 Pages

The Clinical Spectrum and Significance of ABCC8 Gene Variants in the Diagnosis of Monogenic Diabetes

  • Natalia Kapelan,
  • Piotr Tust,
  • Sebastian Skoczylas,
  • Tomasz Płoszaj and ,
  • Karolina Gadzalska,
  • Monika Gorządek,
  • Paulina Jakiel,
  • Ewa Juścińska,
  • Edyta Budzyńska and
  • Agnieszka Zmysłowska
  • + 8 authors+ 3 authors

Background: ABCC8 gene variants have been linked to a range of conditions that affect insulin secretion, such as congenital hyperinsulinism, neonatal diabetes and maturity-onset diabetes of the young (MODY). This study aimed to characterise ABCC...

(This article belongs to the Special Issue Precision Medicine for Diabetes: From Screening to Personalized Management)
  • Article
  • Open Access
242 Views
16 Pages

Exploratory Associations of Subjective Sleep Characteristics, Psychosocial Factors, and Glycemic Control in Adults with Type 1 Diabetes

  • Boglárka Varga,
  • Enikő Nemes-Nagy,
  • Csongor Aszalos,
  • Bianca-Larisa Abalașei and ,
  • Monica Iudita Maria Szabo and
  • Mariana Cornelia Tilinca
  • + 1 author+ 0 author

Background/Objectives: Sleep health contributes to glucose homeostasis and metabolic regulation. We explored associations between subjective sleep characteristics, glycemic control, and diabetes-related clinical factors in adults with type 1 diabetes...

(This article belongs to the Section Treatment, Intervention and Care of Diabetes)
  • Article
  • Open Access
355 Views
24 Pages

A Robust and Explainable Framework for Predicting Hospital Readmission in Patients with Diabetes

  • Adil Ayaz Afridi,
  • Muhammad Usman,
  • Daniel J. Rubin and
  • Muhammad Rizwan Rashid Rana

Background: Hospital readmission among patients with diabetes remains a healthcare challenge, contributing to adverse clinical outcomes, increased healthcare expenditures, and reduced quality of care. This study presents a leakage-resistant and clini...

(This article belongs to the Section Complications and Comorbidities of Diabetes)
  • Article
  • Open Access
237 Views
11 Pages

Non-Biomedical Factors in Diabetic Foot Prevention in Ulcer-Free Patients: A Delphi Consensus Study

  • Raúl Fernández-Torres,
  • Francisco Javier Martínez-Barrios,
  • Luis Ignacio Rodríguez-Pérez,
  • Álvaro Amores-Ternero and
  • María Ruiz-Muñoz

Background/Objectives: Diabetic foot disease is associated with high rates of ulceration, amputation and premature mortality. While biomedical risk factors are systematically assessed in clinical practice, non-biomedical determinants—psychologi...

(This article belongs to the Special Issue Prevention and Care of Diabetic Foot Ulcers)
  • Review
  • Open Access
330 Views
12 Pages

Type 2 diabetes (T2D) is increasingly recognized as a systemic network disorder in which impaired communication among endocrine, neural, immune, and microbial systems drives metabolic dysfunction and accelerates biological aging. Extending DeFronzo&r...

(This article belongs to the Special Issue Molecular and Nutritional Strategies for Diabetes Prevention and Metabolic Health)
  • Article
  • Open Access
235 Views
23 Pages

Glycemic Improvement Despite Limited Weight-Loss Response in Adults with Obesity and High Cardiometabolic Burden: A Real-World Study from the Brazilian Amazon

  • Alana Ferreira de Oliveira,
  • Laila de Castro Araújo,
  • Tatiana Cristina Dias de Oliveira,
  • Valéria de Castro Fagundes and ,
  • Lorena dos Reis Rabelo,
  • Dulcinéia Sampaio Azeredo,
  • Angelica Arêa Leão Martins,
  • Francywagner Silva Vargas,
  • Harbi Amjad Nabih Othman and
  • Luann Wendel Pereira de Sena
  • + 18 authors+ 13 authors

Objective: Obesity and type 2 diabetes mellitus frequently coexist and require therapeutic strategies capable of addressing both excess adiposity and cardiometabolic risk. However, real-world evidence on whether improvements in cardiometabolic parame...

(This article belongs to the Section Treatment, Intervention and Care of Diabetes)
  • Review
  • Open Access
353 Views
21 Pages

11β-HSD1-Mediated Cortisol Signalling in Fibrosis and Impaired Diabetic Wound Healing: Current Evidence and Emerging Mechanisms

  • Carol-Ann Lao,
  • Begonya Alcacer-Pitarch,
  • Steven Patterson,
  • Ana Tiganescu and
  • Catherine S. Wright

Diabetic wound healing is characterised by persistent inflammation, impaired angiogenesis, extracellular matrix (ECM) dysregulation, and defective tissue remodelling, frequently resulting in chronic wounds such as diabetic foot ulcers (DFUs). Fibrosi...

(This article belongs to the Special Issue Advances in Diabetic Wound Healing: From Mechanisms to Therapies)
  • Review
  • Open Access
499 Views
19 Pages

The prevalences of overweight, obesity, prediabetes, and diabetes are rapidly increasing worldwide, accompanied by increased insulin resistance (IR). Although the proportions of these populations vary greatly by region, a common trend across all area...

(This article belongs to the Special Issue Molecular and Nutritional Strategies for Diabetes Prevention and Metabolic Health)
  • Review
  • Open Access
424 Views
11 Pages

Pancreatic β-Cell Dysfunction and Protection: Emerging Insights from Glucocorticoid Signaling and Islet Microcirculation

  • Hideaki Kaneto,
  • Tomohiko Kimura,
  • Yuichiro Iwamoto,
  • Junpei Sanada and ,
  • Masashi Shimoda and
  • Kohei Kaku
  • + 1 author+ 0 author

PDX-1 and MafA are insulin gene transcription factors and maintain mature pancreatic β-cell function. After chronic exposure to hyperglycemia, however, the expression levels of PDX-1 and MafA are substantially suppressed by provoked oxidative st...

(This article belongs to the Special Issue Molecular and Nutritional Strategies for Diabetes Prevention and Metabolic Health)
  • Article
  • Open Access
436 Views
14 Pages

Tirzepatide Failed to Improve Neuropathy in a Murine Nonobese Streptozotocin-Induced Type 1 Diabetes Model, Despite Alleviating Systemic Inflammation

  • Pavlina Andreeva-Gateva,
  • Milen Hristov,
  • Dragomira Nikolova,
  • Ilyan Bogdanov and ,
  • Zafer Sabit and
  • Ivanka Dimova
  • + 1 author+ 0 author

29 September 2026

Background/Objectives: This study aimed to assess the effect of tirzepatide on systemic inflammation in a diabetic neuropathy (DN) model in mice. Methods: Type 1 diabetes was induced with streptozotocin 180 mg/kg i.p. One month later, we injected two...

(This article belongs to the Section Complications and Comorbidities of Diabetes)
  • Article
  • Open Access
436 Views
20 Pages

25 September 2026

Background: Semaglutide and tirzepatide are not approved for type 1 diabetes (T1D), and their real-world effects on insulin requirements, metabolic outcomes, and safety are uncertain. Methods: Using de-identified electronic health record data from a...

(This article belongs to the Special Issue Efficacy, Safety and Real-World Evidence of Hypoglycemic Drugs)
  • Review
  • Open Access
426 Views
38 Pages

Diabetic Bone Disease and Fracture Healing: Molecular Mechanisms, Skeletal Fragility, and Emerging Orthopedic Therapeutic Strategies

  • Maxwell J. Latshaw,
  • Aaron J. Gillespie,
  • Hasan Pracha,
  • Shawn J. Yates and ,
  • Anoop Sunkara,
  • Arun K. Movva and
  • Albert T. Anastasio
  • + 2 authors+ 0 author

24 September 2026

Diabetes mellitus is increasingly recognized as a disorder of skeletal quality in addition to metabolic dysregulation. Both type 1 and type 2 diabetes are associated with increased fracture risk, impaired fracture healing, and higher rates of orthope...

(This article belongs to the Special Issue Bone Metabolism and Skeletal Health in Diabetes)
  • Review
  • Open Access
561 Views
28 Pages

The GLP-1–Gut Microbiota–Autoimmunity Axis in Type 1 Diabetes: Emerging Evidence and Mechanistic Perspectives

  • Anna Arecco,
  • Grazia Piras,
  • Francesco Cocchiara,
  • Davide Carlo Maggi and
  • Alessandra Puddu

23 September 2026

Type 1 diabetes (T1D) is an autoimmune disease in which genetic susceptibility interacts with environmental and immunometabolic factors. Growing evidence implicates gut dysbiosis, impaired intestinal barrier integrity, and altered microbial metabolit...

(This article belongs to the Special Issue Molecular and Nutritional Strategies for Diabetes Prevention and Metabolic Health)
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Diabetology - ISSN 2673-4540