Use of a commercially available certified EHR was associated with improved drug treatment intensification, monitoring, and physiologic control among patients with diabetes, with greater improvements among patients with worse control and less testing in patients already meeting guideline-recommended glycemic and lipid targets (Annals of Internal Medicine)
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Liver IR index correlated more strongly than Matsuda ISI with levels of total cholesterol, CRP and triglycerides. Therefore, liver IR might be a significant indicator of CVD risk amongst men (Journal of Internal Medicine)
Moderate-intensity physical activity can substantially ameliorate the increased BC risk in diabetic women (Diabetes Care)
Screening middle aged people for type 2 diabetes has no overall effect on the number who die over the next 10 years, concludes a study by the UK Medical Research Council (BMJ)
This new edition provides information relating to GLP 1 therapy action, including the implications for use and the aspects of education that need to be addressed with users. This guidance is intended for nurses new to insulin therapy, and includes an overview of the underlying principles for starting insulin along with practical tips on education, adjustment of doses, and dealing with difficult situations (RCN)
The study results showed that in addition to clinical results showing a statistically significant 48 percent baseline adjusted reduction in nocturnal hypoglycaemia compared with insulin glargine patients treated with LY2605541* reported a statistically significant reduction in the anxiety and fear associated with experiencing a hypoglycaemic event based upon the Adult Low Blood Sugar Survey (Lilly)
The new analyses show linagliptin, alone or in combination with other diabetes therapies, lowered hemoglobin A1c (HbA1c or A1C) in elderly patients with type 2 diabetes, as well as in adults with type 2 diabetes with diabetic nephropathy (renal disease).Data from a fourth study found adding linagliptin to a stable dose of basal insulin improved blood glucose control over 52 weeks without an additional risk of hypoglycemia or weight gain compared to placebo (Lilly)
Findings have implications for facilitating children’s contributions in clinic, understanding how ideas about children are reproduced in clinical settings and supporting clinicians to engage with the capacities and priorities of children living with long-term illness (Diabetic Medicine)
Screening a population using a non-invasive risk stratification tool followed by a screening blood test is the most cost-effective method of screening for diabetes and abnormal glucose tolerance (Diabetes Research and Clinical Practice)
Participants had a poor understanding of most of the evidence-based concepts in type 2 diabetes that were explored. This disadvantages them in being able to make informed decisions about their health care and actively manage their diabetes (International Journal of General Medicine)
Intensive glycemic control and lipid interventions did not improve clinical outcomes in patients with type 2 diabetes (American Journal of Kidney Diseases)
Facebook , Twitter, the last few years have shown the ease of communication using technology where all aspects of someone can be followed on line and where a person’s once confidential information now seems to be open to the world. Compare that to communication between health care professionals involved in a patients care.
The adolescent and young adult years are difficult enough for a young person to handle, the additional burden of managing diabetes making this even harder.
Contrary to expectations, the linear advancement method was correlated to initial wound size in the longer duration wounds suggesting that in these chronic wounds, differing healing phases render the surface area calculation method superior to the linear advancement parameter (Wound Repair and Regeneration)
For children diagnosed with Type 1 diabetes aged under 6 years, good metabolic control was achievable until age 10 years, after which it deteriorated. Higher HbA1c levels observed in children diagnosed before the age of 6 years were associated with longer duration of disease (Diabetic Medicine)
This review provides an overview of the development of incretin-based therapies and explains their differing modes of action compared with traditional interventions (Clinical Endocrinology)
The absolute IENFD values from distal leg were significantly lower in both eDM2 (p
SMBG is beneficial for glycemic control and palm blood sampling is a useful procedure for OHA-treated T2D (Diabetes/Metabolism Research and Reviews)
As an outspoken critic of the coalition government’s health reforms, Baroness Barbara Young doesn’t hold back when asked about the future of the NHS. ‘I am concerned about integration,’ she says (GP)
This study provides clear evidence of altered axonal function in type 1 diabetic patients in the absence of clinical neuropathy. These findings suggest that altered axonal membrane potential may precede neuropathy onset in type 1 diabetes, and as such may indicate a window of opportunity to intervene and potentially reverse axonal membrane dysfunction before the development of irreversible neuropathy (Diabetes/Metabolism Research and Reviews)