Both low and high levels of glycaemic control were associated with an increased mortality risk, and the level of variability also seems to be an important factor, suggesting that a stable glycaemic level in the middle range is associated with lower risk (The Lancet Diabetes & Endocrinology)
Diabetes News
Category: Management
How Does Diabetes Affect Daily Life? A Beyond-A1C Perspective on Unmet Needs
Patients across cultures and countries report negative experiences from diabetes, not only with regard to glycemia, but also regarding physical, emotional, social, and financial health metrics. Diabetes is a 24/7 unwanted job with no vacations, breaks, or set-it-and-forget-it phone apps (Clinical Diabetes)
Cost-effectiveness of insulin pumps compared with multiple daily injections both provided with structured education for adults with type 1 diabetes
A health economic analysis of the Relative Effectiveness of Pumps over Structured Education (REPOSE) randomised controlled trial. Our analysis of the REPOSE data suggests that routine use of pumps in adults without an immediate clinical need for a pump, as identified by National Institute for Health and Care Excellence, would not be cost-effective (BMJ Open)
Long-term outcomes associated with triple-goal achievement in patients with type 2 diabetes mellitus
Achievement of triple-goal was associated with better health outcomes among veterans with T2DM compared to those that did not, while LDL-C has more weight of influence. Multi-faceted treatment strategies targeting hypertension, hyperglycemia and hyperlipidemia may improve health outcome in veterans with T2DM (Diabetes Research and Clinical Practice)
Young Adult Diabetes: Engaging to improve; outcomes of the young adult clinic restructure
Using results of local audits and feedback from a subsequent multi-disciplinary team (MDT) and patient focus group meeting, the young adult diabetes clinic was re-designed with a vision to have a structured, patient-led, flexible clinic service with specific aims and objectives, to be achieved within 12 months (December 2016) (NICE)
Timing of Exercise Affects Glycemic Control in Type 2 Diabetes Patients Treated with Metformin
Results suggest that timing of exercise is a modifiable factor influencing postexercise glycemic control and exercise at 30 minutes postbreakfast may be preferred in terms of lowering and stabilizing postprandial glucose levels in patients treated with metformin (Journal of Diabetes Research)
The Berlin Declaration: A call to action to improve early actions related to type 2 diabetes. How can specialist care help?
The Berlin Declaration focuses on four aspects of early action, and proposes actionable policies relating to each aspect: early detection, prevention, early control and early access to the right interventions. In addition, a number of treatment targets are also proposed to provide goals for these policies (Diabetes Research and Clinical Practice)
Changing Patients’ Treatment Preferences and Values with a Decision Aid for Type 2 Diabetes Mellitus: Results from the Treatment Arm of a Randomized Controlled Trial
The values-focused PDA for T2DM medication intensification prepared patients to make a shared decision with their clinician and changed patients’ values regarding what was important in making that decision (Diabetes Therapy)
Supporting the management of type 2 diabetes with pharmacist-led reviews and implementing NICE recommended nine key care processes
The project aimed to reduce the number of missing care processes and optimise pharmaceutical treatment (NICE Guideline 28) of patients whose treatment targets for glycated haemoglobin (HbA1c), blood pressure (BP) or total cholesterol (TC) readings were not being achieved (NICE)
Individualized Glycemic Control for U.S. Adults With Type 2 Diabetes: A Cost-Effectiveness Analysis
Health policies and clinical programs that encourage an individualized approach to glycemic control for U.S. adults with type 2 diabetes reduce costs and increase quality of life compared with uniform intensive control (Annals of Internal Medicine)
Transfer from paediatric to adult care for young adults with Type 2 diabetes: the SEARCH for Diabetes in Youth Study
Young adults with Type 2 diabetes exhibit worsening glycaemic control and loss to follow-up during the transfer from paediatric to adult care. Our study highlights the need for development of tailored clinical programmes and healthcare system policies to support the growing population of young adults with youth-onset Type 2 diabetes (Diabetic Medicine)
Socio-demographic determinants and effect of structured personal diabetes care
(Denmark) A 19-year follow-up of the randomized controlled study diabetes Care in General Practice (BMC Endocrine Disorders)
SIGN guidelines
The Role of Peers for Diabetes Management in Adolescents and Emerging Adults With Type 1 Diabetes: A Longitudinal Study
This study highlights the importance of peers in predicting the functioning of youths with type 1 diabetes (Diabetes Care)
Palliative and end of life care of people with diabetes: issues, challenges and strategies
Palliative and end of life care are essential, but largely overlooked, aspects of comprehensive, personalised diabetes care … This paper makes the case for early initiation of palliative care and proactive planning for end of life (Diabetes Research and Clinical Practice)
Type 2 Diabetes in the Real World: The Elusive Nature of Glycemic Control
In order to help our patients achieve meaningful and sustained HbA1c reductions—and move the dial positively on the next NHANES and HEDIS HbA1c analyses—we appeal to the diabetes community to drive even harder for innovative approaches designed with the real world in mind (Diabetes Care)
Web-based self-management support for people with type 2 diabetes (HeLP-Diabetes): randomised controlled trial in English primary care
Access to HeLP-Diabetes improved glycaemic control over 12 months (BMJ)
Perioperative passport: empowering people with diabetes along their surgical journey
Our data indicate that the perioperative passport is effective in both informing and involving people in their diabetes care throughout the perioperative period (Diabetic Medicine)
Management of diabetes and dementia
The incidence and prevalence of diabetes and dementia are rapidly rising and adequate time and thought needs to be invested in avoiding uncontrolled diabetes in these patients (British Journal of Diabetes)
Insulin regimens and glycemic control in different parts of Europe over 4 years after starting insulin in people with type 2 diabetes: data from the CREDIT non-interventional study
When starting insulin, HbA1c and prevalence of complications were higher in EEur. Regional differences exist in choice of insulin regimens in Europe. However, people starting insulin improved and sustained their glycemic control regardless of regional differences or insulin regimens used (Diabetes Research and Clinical Practice)
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