Most people with T2D reported that transitioning to insulin therapy was less difficult than they had feared. People with T2D and physicians exhibited differing perceptions regarding the transition (Patient Preference and Adherence)
Diabetes News
Category: Management
Understanding adolescent and parent acceptability and feasibility experience in a large Type 1 diabetes mellitus behavioural trial
Acceptability and feasibility of behavioural interventions with adolescents with chronic illness have multifactorial dimensions. While empowering adolescent self‐management, parental support is also an under‐appreciated aspect to consider. Potential revisions were identified for subsequent behavioural trialsAcceptability and feasibility of behavioural interventions with adolescents with chronic illness have multifactorial dimensions. While empowering adolescent self‐management, parental support is also an under‐appreciated aspect to consider. Potential revisions were identified for subsequent behavioural trialshttps://onlinelibrary.wiley.com/doi/abs/10.1111/dme.13913
Standards of Medical Care in Diabetes—2019 Abridged for Primary Care Providers
The American Diabetes Association’s (ADA’s) Standards of Medical Care in Diabetes is updated and published annually in a supplement to the January issue of Diabetes Care
Behavioral Strategies to Lower Postprandial Glucose in Those with Type 2 Diabetes May Also Lower Risk of Coronary Heart Disease
These secondary analyses suggest that broad-spectrum lifestyle interventions that focus on lowering PPG may lower the risk of future CHD, which could guide future research (Diabetes Therapy)
Cost‐effectiveness of intensification with SGLT2i in Type 2 Diabetes patients on metformin and sitagliptin compared to direct intensification with insulin in the United Kingdom
For UK T2D patients not at goal on metformin and sitagliptin therapy, treatment intensification with SGLT2i prior to NPH insulin is cost‐neutral or cost‐effective compared to immediate NPH insulin intensification (Diabetes, Obesity and Metabolism)
Intermediate Diabetes Outcomes in Patients Managed by Physicians, Nurse Practitioners, or Physician Assistants: A Cohort Study
No clinically significant variation was found among the 3 PCP types with regard to diabetes outcomes, suggesting that similar chronic illness outcomes may be achieved by physicians, NPs, and PAs (Annals of Internal Medicine)
Physical exercise and non‐insulin glucose‐lowering therapies in the management of Type 2 diabetes mellitus: a clinical review
To date there is limited understanding of the interactions between oral/injectable agents and engagement in physical activity in people at risk or already living with Type 2 diabetes. The results of the present review lead us to advocate physical exercise for people at risk of developing or already with Type 2 diabetes whilst using drug monotherapy, with some caveats (Diabetic Medicine)
Future Roadmaps for Precision Medicine Applied to Diabetes: Rising to the Challenge of Heterogeneity
This review will map the key elements of future diabetes research in humans and its potential for clinical translation to promote precision medicine in all diabetes subtypes (Journal of Diabetes Research)
Prevalence of Diabetic Neuropathy in Young Adults with Type 1 Diabetes and the Association with Insulin Pump Therapy
DSPN and CAN are prevalent in young adults with T1D with no association found with CSII treatment (Diabetes Technology and Therapeutics)
Management of Hyperglycemia in Type 2 Diabetes, 2018. A Consensus Report by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD)
The American Diabetes Association and the European Association for the Study of Diabetes convened a panel to update the prior position statements, published in 2012 and 2015, on the management of type 2 diabetes in adults (Diabetes Care)
Efficacy of a self-management education programme on patients with type 2 diabetes in primary care: A randomised controlled trial
HbA1c reductions are difficult to obtain in adequately controlled patients. On the other hand, raising awareness on one´s disease can increase disease control self-efficacy. This finding, accompanied by reduced medication consumption and healthcare use rates, highlights that usual care would be benefited by incorporating certain SDSMP aspects (Primary Care Diabetes)
Glycemic control with a basal-bolus insulin protocol in hospitalized diabetic patients treated with glucocorticoids: a retrospective cohort study
A significantly higher percentage of patients with diabetes who were treated with glucocorticoids during hospitalization did not achieve glycemic control with a basal-bolus insulin protocol (BMC Endocrine Disorders)
Effect of Health Information Technologies on Glycemic Control Among Patients with Type 2 Diabetes
Our meta-analysis shows that overall, HITs have favorable impact on glycemic control of patients with type 2 diabetes. On average, mobile-based interventions produce larger effects compared to other forms of approaches under review (Current Diabetes Reports)
Management of Hyperglycemia in Type 2 Diabetes, 2018
A Consensus Report by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD)
Standards of Medical Care in Diabetes—2018
16 sections (Diabetes Care)
NICE impact diabetes
This report considers how NICE’s evidence-based guidance can contribute to improvements in the prevention and management of diabetes
Inpatient hypoglycaemia; should we should we focus on the guidelines, the targets or our tools?
These guidelines suggest using lower limits of glucose targets varying from 4.0 to 6.0 mmol/l [2–4]. Levy et al. propose a lower glucose limit of 5 mmol/l with the catchphrase ‘stop at 5 and keep the inpatient alive’ (Diabetic Medicine)
Effect of a Remotely Delivered Tailored Multicomponent Approach to Enhance Medication Taking for Patients With Hyperlipidemia, Hypertension, and Diabetes
A remotely delivered multicomponent behaviorally tailored intervention resulted in a statistically significant increase in medication adherence but did not change clinical outcomes (JAMA Internal Medicine)
Nurse-led psychological intervention for type 2 diabetes: a cluster randomised controlled trial (Diabetes-6 study) in primary care
Training nurses in MI and basic CBT to support self-management did not lead to improvements in glycaemic control or other secondary outcomes in people with T2D at 18 months. It was also unlikely to be cost-effective. Furthermore, the increased contact with standard-care nurses did not improve glycaemic control (British Journal of General Practice)
Glycaemic control and mortality in older people with type 2 diabetes: The Fremantle Diabetes Study Phase II
Tight glycaemic control may be hazardous in older people with type 2 diabetes when achieved with pharmacotherapy with metformin, and especially with insulin or sulphonylureas. These data confirm that overtreatment is likely to be an important clinical problems in this vulnerable population (Diabetes, Obesity and Metabolism)
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