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Diabetes News

Category: Management


Six-Month Randomized, Multicenter Trial of Closed-Loop Control in Type 1 Diabetes

October 16th 2019

In this 6-month trial involving patients with type 1 diabetes, the use of a closed-loop system was associated with a greater percentage of time spent in a target glycemic range than the use of a sensor-augmented insulin pump (NEJM)

Categories: Management, News
Tags: closed-loop, Type 1 Diabetes

Categories: Management
Tags: closed-loop, Type 1 Diabetes

Diabetic foot problems: prevention and management

October 11th 2019

NICE: In October 2019, we reviewed the evidence for antimicrobial prescribing for diabetic foot infections and updated the recommendations 

Categories: Management, News
Tags: feet

Categories: Management
Tags: feet

Disparities in glycaemic control, monitoring, and treatment of type 2 diabetes in England: A retrospective cohort analysis

October 9th 2019

Our findings suggest that disparity in glycaemic control, diabetes-related monitoring, and prescription of newer therapies remains a challenge in diabetes care. Both SES and ethnicity were important determinants of inequality (PLOS Medicine)

Categories: Management, News
Tags: Type 2 Diabetes

Categories: Management
Tags: Type 2 Diabetes

Diabetes Prevention Programme – Information Governance and Data Flows Framework

September 10th 2019

Updated: August 2019 (NHS England Diabetes Programme Team and Data Sharing and Privacy Unit, NHS England & NHS Improvement)

Categories: Management, News
Tags: NHS

Categories: Management
Tags: NHS

Severe Hypoglycemia Attributable to Intensive Glucose-Lowering Therapy Among US Adults With Diabetes

August 20th 2019

Intensive glucose-lowering therapy, particularly among vulnerable clinically complex adults, is strongly discouraged because it may lead to hypoglycemia. However, intensive treatment was equally prevalent among US adults, irrespective of clinical complexity (Mayo)

Categories: Management, News
Tags: hypoglycemia

Categories: Management
Tags: hypoglycemia

Changes in behaviors after diagnosis of type 2 diabetes and 10-year incidence of cardiovascular disease and mortality

August 4th 2019

In the year following diabetes diagnosis, small reductions in alcohol use were associated with lower hazard of CVD and small reductions in calorie intake were associated with lower hazard of all-cause mortality in a population-based sample (Cardiovascular Diabetology)

Categories: Management, News
Tags: Type 2 Diabetes

Categories: Management
Tags: Type 2 Diabetes

The Association Between Polypharmacy and Adverse health Consequences in Elderly Type 2 Diabetes Mellitus Patients

August 1st 2019

Pooled risk estimates reveal that polypharmacy is associated with increased all-cause mortality, macrovacular complications and hospitalization using categorical definitions. These findings assert the need for interventions that optimize the balance of benefits and harms in medicines prescribing (Diabetes Research and Clinical Practice)

Categories: Management, News
Tags: polypharmacy, Type 2 Diabetes

Categories: Management
Tags: polypharmacy, Type 2 Diabetes

Protocol: investigating the effectiveness and cost benefit of a lifestyle intervention targeting type 2 diabetes in Australia

July 16th 2019

The outcomes of this study have the potential to inform decisions about patient treatment and potentially provide incentive for the provision of funded lifestyle-based preventive and restorative programs for patients diagnosed with T2DM (BMC Endocrine Disorders)

Categories: Management, News
Tags: Type 2 Diabetes

Categories: Management
Tags: Type 2 Diabetes

Type 2 diabetes in adults: management

June 27th 2019

It focuses on patient education, dietary advice, managing cardiovascular risk, managing blood glucose levels, and identifying and managing long-term complications (NICE)

Categories: Management, News

Categories: Management

Type 1 diabetes in adults: diagnosis and management

June 27th 2019

This guideline covers the care and treatment of adults (aged 18 and over) with type 1 diabetes (NICE)

Categories: Management, News
Tags: Type 1 Diabetes

Categories: Management
Tags: Type 1 Diabetes

Diabetic foot problems: prevention and management

June 27th 2019

This guideline covers preventing and managing foot problems in children, young people and adults with diabetes. The guideline aims to reduce variation in practice (NICE)

Categories: Management, News
Tags: foot

Categories: Management
Tags: foot

Cross-sectional study about the use of telemedicine for type 2 diabetes mellitus management in Spain: patient’s perspective. The EnREDa2 Study

June 26th 2019

In Spain, nearly 10% of patients with T2DM have experience with TM and it is well accepted, especially one based on glucometers. Nevertheless, in order to promote TM use, easier and time-saving programmes for patient-physician interaction should be optimised (BMJ)

Categories: Management, News
Tags: telemedicine, Type 2 Diabetes

Categories: Management
Tags: telemedicine, Type 2 Diabetes

Lack of Durable Improvements in β-Cell Function Following Withdrawal of Pharmacological Interventions in Adults With Impaired Glucose Tolerance or Recently Diagnosed Type 2 Diabetes

June 10th 2019

In adults with IGT or recently diagnosed type 2 diabetes, interventions that improved β-cell function during active treatment failed to produce persistent benefits after treatment withdrawal. These observations suggest that continued intervention may be required to alter the progressive β-cell dysfunction in IGT or early type 2 diabetes (Diabetes Care)

Categories: Management, News
Tags: B Cell, Type 2 Diabetes

Categories: Management
Tags: B Cell, Type 2 Diabetes

Diabetic ketoacidosis and hyperosmolar hyperglycemic syndrome: review of acute decompensated diabetes in adult patients

June 2nd 2019

This review covers recommendations for acute management of diabetic ketoacidosis and HHS, the complications associated with these disorders, and methods for preventing recurrence. It also discusses why many patients who present with these disorders are at high risk for hospital readmissions, early morbidity, and mortality well beyond the acute presentation (BMJ)

Categories: Management, News
Tags: hyperglycemia, hyperosmolar, Ketoacidosis

Categories: Management
Tags: hyperglycemia, hyperosmolar, Ketoacidosis

A randomized trial comparing the efficacy and safety of treating patients with very elevated hba1c levels with basal‐bolus insulin or a glp‐1 receptor agonist plus basal insulin

May 31st 2019

In patients with HbA1c≥10% treatment with GLP1RA plus basal insulin, compared with basal‐bolus insulin, resulted in better glycemic control and weight, lower insulin dosage and hypoglycemia, and improved quality of life. This treatment strategy is an effective and safe alternative to basal‐bolus insulin regimen (Diabetes, Obesity and Metabolism)

Categories: Management, News
Tags: GLP1, insulin

Categories: Management
Tags: GLP1, insulin

Recruitment, retention, and training of people with type 2 diabetes as diabetes prevention mentors (DPM) to support a healthcare professional-delivered diabetes prevention program: the Norfolk Diabetes Prevention Study (NDPS)

May 29th 2019

Individuals with type 2 diabetes can be recruited, trained and retained as DPM in large numbers to support a group-based diabetes prevention program delivered by healthcare professionals. This volunteer model is low cost, and accesses the large type 2 diabetes population that shares a lifestyle experience with the target population. This is an attractive model for supporting diabetes prevention efforts (BMJ)

Categories: Management, News
Tags: Type 2 Diabetes

Categories: Management
Tags: Type 2 Diabetes

Deintensification in older patients with type 2 diabetes: a systematic review of approaches, rates and outcomes

April 2nd 2019

Available but limited evidence suggests that the benefits of deintensification outweighs the harms in older people with type 2 diabetes with or without comorbidities (Diabetes, Obesity and Metabolism)

Categories: Management, News
Tags: deintensification, Type 2 Diabetes

Categories: Management
Tags: deintensification, Type 2 Diabetes

Fully closed-loop insulin delivery in inpatients receiving nutritional support: a two-centre, open-label, randomised controlled trial

March 31st 2019

Closed-loop insulin delivery is an effective treatment option to improve glycaemic control in patients receiving nutritional support in hospital (The Lancet Diabetes & Endocrinology)

Categories: Management, News
Tags: closed-loop, inpatients

Categories: Management
Tags: closed-loop, inpatients

A Practical Guide to Delivering Nutritional Advice to People with Diabetes

March 27th 2019

Adopting new skills and changing their own behaviour is challenging for many healthcare professionals, and there are few education programmes available that specifically address effective consultation skills rather then increasing clinical expertise. Despite these challenges, there are practical strategies that can be incorporated into general practice and most of these strategies are not more time-consuming than standard approaches and are more effective if used appropriately (Diabetes Therapy)

Categories: Management, News
Tags: nutrition

Categories: Management
Tags: nutrition

The Role and Effectiveness of Telephone Peer Coaching for Adult Patients with Type 2 Diabetes

March 27th 2019

This pilot found that a pragmatic low-cost telephone peer-coaching intervention assisted patients with type 2 diabetes to better self-manage their diabetes  (Canadian Journal of Diabetes)

Categories: Management, News
Tags: Type 2 Diabetes

Categories: Management
Tags: Type 2 Diabetes
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