Spend on hypoglycaemic agents is highly variable between practices and increased expenditure per patient is not associated with better glycemic control. Whilst newer, more expensive agents have additional benefits, in individuals where these advantages are more marginal widespread use of these agents have important cost implications (Diabetic Medicine)
Diabetes News
Tag: primary care
2022 update to the position statement by Primary Care Diabetes Europe: a disease state approach to the pharmacological management of type 2 diabetes in primary care
This position statement offers a simple and patient-centred clinical decision-making model with practical treatment recommendations that can be widely implemented by primary care clinicians worldwide through shared-decision conversations with their patients (Primary Care Diabetes)
Organisation of primary diabetes care in people with type 2 diabetes in relation to all-cause mortality: a nationwide register-based cohort study
This nationwide register-based cohort study suggests that the number of WTE GPs devoted to diabetes care have an impact on the risk of early death in people with T2DM (Diabetes Research and Clinical Practice)
A disease state approach to the pharmacological management of Type 2 diabetes in primary care
A position statement by Primary Care Diabetes Europe
Primary care-led weight management for remission of type 2 diabetes (DiRECT): an open-label, cluster-randomised trial
Our findings show that, at 12 months, almost half of participants achieved remission to a non-diabetic state and off antidiabetic drugs. Remission of type 2 diabetes is a practical target for primary care (The Lancet)
Are we missing hypoglycaemia? Elderly patients with insulin-treated diabetes present to primary care frequently with non-specific symptoms associated with hypoglycaemia
Non-specific symptoms are common in those >65 years. In insulin-treated patients at high hypoglycaemia risk, nausea, falls and unsteadiness should prompt consideration of hypoglycaemia (Primary Care Diabetes)
Overcoming clinical inertia in insulin initiation in primary care for patients with type 2 diabetes
Australian study – Stepping Up was associated with improved glycaemic control compared to usual care for 24 months, suggesting that the model facilitated more timely treatment intensification. Ongoing RN-CDE support may be needed to facilitate ongoing treatment intensification (Primary Care Diabetes)
How can point-of-care HbA1c testing be integrated into UK primary care consultations? – a feasibility study
HbA1c measurement with POC devices can be effectively implemented in primary care. This work has identified when these technologies might work best, as well as potential challenges. The findings can be used to inform the design of a pragmatic trial to implement POC HbA1c testing (Diabetes Research and Clinical Practice)
The effect of the BATHE interview technique on the empowerment of diabetic patients in primary care
The use of the BATHE technique in primary care has a positive effect on the empowerment of diabetes mellitus patients (Primary Care Diabetes)
The impact of primary care organization on avoidable hospital admissions for diabetes in 23 countries
Countries with elements of strong primary care do not necessarily have lower rates of diabetes-related hospitalizations. Hospital bed supply appeared to be a very important factor in this relationship. Apparently, it takes more than strong primary care to avoid hospitalizations (Scandinavian Journal of Primary Health Care)
Clinical coaching in primary care: Capable of improving control in patients with type 2 diabetes mellitus?
A correctible and even preventable contributing component in diabetes care corresponds to physicians’ performance. After 3 years of implementation, coaching was found to be worth the effort to improve type 2 diabetes control in primary care (Primary Care Diabetes)
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