In individuals with Type 2 diabetes on hypoglycaemic medications, fasting of any type increased the rate of hypoglycaemia. With education and medication reduction, fewer than expected hypoglycaemic events occurred. Although it was not possible to determine whether fasting on consecutive days increased the risk of hypoglycaemia, an acceptable rate was observed in both arms.

Weight-based treatment using 0.3 g/kg glucose was more effective for symptomatic hypoglycaemia in children and adults with Type 1 diabetes who were using continuous subcutaneous insulin infusion than treatment based on current international recommendations.

J. Neurochem. (2010) 10.1111/j.1471‐4159.2010.06615.x Abstract The amyloid precursor protein (APP) is critically involved in the pathogenesis of Alzheimer’s disease, and is strongly up‐regulated in response to traumatic, metabolic, or toxic insults to the nervous system. The processing of APP by γ/ε‐secretase activity results in the generation of the APP intracellular domain (AICD). Previously, we have shown that AICD induces the expression of genes (transgelin, α2‐actin) with functional roles in actin organization and dynamics and demonstrated that the induction of AICD and its co‐activator Fe65 (AICD/Fe65) resulted in a loss of organized filamentous actin structures within the cell. As mitochondrial function is thought to be reliant on ordered actin dynamics, we examined mitochondrial function in human SHEP neuroblastoma cells inducibly expressing AICD/Fe65. Confocal analysis of the mitochondrial membrane potential (Δψm) identified a significant decrease in the Δψm in the AICD50/Fe65 over‐expressing cells. This was paralleled by significantly reduced ATP levels and decreased basal superoxide production. Over‐expression of the proposed AICD target gene transgelin in SHEP‐SF parental cells and primary neurons was sufficient to destabilize actin filaments, depolarize Δψm, and significantly alter mitochondrial disrtibution and morphology. Our data demonstrate that the induction of AICD/Fe65 or transgelin significantly alters actin dynamics and mitochondrial function in neuronal cells.