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Primary Care Diabetes

Estibaliz Gamboa Moreno, Maider Mateo-Abad, Lourdes Ochoa de Retana García, Kalliopi Vrotsou, Emma Del Campo Pena, Álvaro Sánchez Perez, Catalina Martínez Carazo, Juan Carlos Arbonies Ortiz, M Ángeles Rúa Portu, Koldo Piñera Elorriaga, Amaya Zenarutzabeitia Pikatza, Miren Nekane Urquiza Bengoa, Tomás Méndez Sanpedro, Ana Oses Portu, Miren Bakarne Aguirre Sorondo, Rafael Rotaeche Del Campo
AIM: The purpose of this study was to assess the efficacy of the Spanish Diabetes Self-Management Program (SDSMP) versus usual care in adults with type 2 diabetes mellitus (T2DM) residing in a Spanish region. METHODS: A two-year follow-up randomised controlled trial. The intervention consisted of 6 weekly structured peer-to-peer workshops. The primary outcome was change in HbA1c levels. Secondary outcomes included other clinical measures, quality of life, self-efficacy, life-style changes, medication and use of healthcare services...
November 5, 2018: Primary Care Diabetes
Francesco Fici, Elif Ali Bakir, Sengul Beyaz, Wim Makel, Nicolas Roberto Robles
BACKGROUND: Albuminuria is an early marker of kidney disease in patients with diabetes and/or hypertension undetected or untreated albuminuria is a leading cause of chronic kidney disease and cardiovascular events, The purpose of the present survey was to assess the prevalence of albuminuria in patients with diabetes and hypertension, treated with a combinations of renin angiotensin aldosterone system inhibitors and dihydropyridine calcium channel blockers. METHODS: The survey was performed in 105 Primary Care Units in Turkey and involved outpatients, routinely visited by either a specialist or a non-specialist physician...
October 13, 2018: Primary Care Diabetes
Chaima Rachdi, Rahma Damak, Feten Fekih Romdhane, Haroun Ouertani, Majda Cheour
AIM: Depression is prevalent in patients with type 2 diabetes. It may have a negative impact on the management of diabetes mellitus and could affect weight. The main aim of the investigation was to evaluate the effect of antidepressant treatment (sertraline) on anthropometric variables and glycemic control in depressed type 2 diabetic patients. METHODS: Thirty three type 2 diabetic outpatients depressed received open-label sertraline therapy for up to 12 weeks. Clinical outcome measures included the 17-item Hamilton depression rating...
October 1, 2018: Primary Care Diabetes
Julia Vergier, Martine Samper, Fabienne Dalla-Vale, Valérie Ventura, Franciane Baucher, Florence Joubert, Charlotte Pons, Murielle De Oliveira, Randa Salet, Noémie Faure-Galon, Paola Adiceam, Elysabeth Baechler-Sadoul, Sophie Epstein, Gilbert Simonin, Rachel Reynaud
AIMS: To understand the opinions of children with type 1 diabetes about their everyday use of flash glucose monitoring. (FGM). METHODS: Children with type 1 diabetes using the FreeStyle Libre® FGM system and/or their parents were surveyed in several French medical centers between December 2016 and June 2017, regardless of their treatment regimen and metabolic control. RESULTS: Of the 347 patients recruited, 79.5% had been using the sensor for more than three months (average usage time: 285 days)...
September 26, 2018: Primary Care Diabetes
Seyed Morteza Shamshirgaran, Louisa Jorm, Sanja Lujic, Hilary Bambrick
BACKGROUND: Ethnic variation in the occurrence of type 2 diabetes, complications, mortality, and health behaviours has been reported. The current research examined patterns of health-related outcomes by country of birth in people with diabetes aged 45years and over in New South Wales, Australia. METHODS: This study was based on the baseline data of 266,848 participants aged 45years and over from "The Sax Institute's 45 and Up Study" (2006-2009), NSW; Australia's most populous state...
September 25, 2018: Primary Care Diabetes
Jo-Anne E Manski-Nankervis, Sharmala Thuraisingam, Janet K Sluggett, Phyllis Lau, Irene Blackberry, Jenni Ilomaki, John Furler, J Simon Bell
AIM: To determine whether the prescribing of non-insulin anti-hyperglycaemic medications in Australian general practice is consistent with current guidelines for treatment of type 2 diabetes (T2D) in people with renal impairment. METHODS: Cross-sectional study of 9624 people with T2D in the NPS MedicineInsight dataset aged≥18years with average estimated glomerular filtration rate (eGFR) <60ml/min/1.73m2 and prescribed at least one non-insulin anti-hyperglycaemic medication from October 2014 to September 2015...
September 24, 2018: Primary Care Diabetes
Shannon S Wu, Kitty S Chan, Jaeyong Bae, Eric W Ford
AIMS: To study the association of EMR's clinical reminder use on a comprehensive set of diabetes quality metrics in U.S. office-based physicians and within solo- versus multi-physician practices. We conducted a retrospective cohort study on visits made by adults with diabetes identified from the National Ambulatory Medical Care Survey (2012-2014). METHODS: Multiple logistic regression is used to test for associations between clinical reminder use and recommended services by the American Diabetes Association...
September 12, 2018: Primary Care Diabetes
Seydahmet Akın, Cem Bölük, Ülkü Türk Börü, Mustafa Taşdemir, Tuğçe Gezer, Fatma Gülhan Şahbaz, Özcan Keskin
AIMS: This study aimed to investigate the prevalence of restless leg syndrome (RLS) in type-2 diabetes mellitus (DM) patients and to determine the risk factors. METHODS: Patients were recruited from the Dr. Lütfi Kırdar Kartal Training and Research Hospital Diabetes Center. Patients between 18-80 years of age and meeting a minimum 5 years diagnosis of type-2 DM were included. All patients were examined by the same neurologist in terms of having RLS. The diagnosis was made according to the updated International Restless Legs Syndrome Study Group consensus criteria...
September 10, 2018: Primary Care Diabetes
Yvonne Midolo Azzopardi, Alfred Gatt, Nachiappan Chockalingam, Cynthia Formosa
AIM: The aim of this study was to compare different screening modalities in the detection of PAD in a primary care setting. METHODS: Fifty participants living with Type 2 diabetes were recruited. Pulse palpation, waveform analysis, ankle brachial pressure index, absolute toe pressure, toe brachial pressure index and transcutaneous oxygen pressure were compared in the detection of peripheral arterial disease. One hundred limbs were included for analysis. RESULTS: This study showed different results in peripheral arterial disease screening tests in the same group of participants...
September 7, 2018: Primary Care Diabetes
Marilina Santero, Daniela Morelli, Analía Nejamis, Luz Gibbons, Vilma Irazola, Andrea Beratarrechea
AIM: To evaluate the one-year post effect of the implementation of a diabetes program that includes mHealth interventions on the quality of diabetic care in public primary care centers. METHOD: It is a quasi-experimental study with outcome measurements at baseline, 6 and 12months. The program includes primary care team training, a diabetes registry with a decision support tool in an app. and text messages for patients. RESULTS: At baseline, 947 patients were included in the registry, 62...
August 27, 2018: Primary Care Diabetes
Majid Aminzadeh, Najmeh Navidi, Ehsan Valavi, Seyyed Mohammad Hassan Aletayeb
AIMS: Incidence of type 1 diabetes mellitus (T1DM) is increasing worldwide. We aimed to study trends in presentation and incidence of childhood diabetes in the last 15years in south-western Iran. METHODS: During a detailed review of compiled records of the main tertiary children's hospital of southwest of Iran, from January 2000 to December 2009, the following clinical information relevant to diabetes were analysed: admissions, demographic data, clinical and laboratory findings, hospital course, and mortality...
August 22, 2018: Primary Care Diabetes
Barbara M Daly, Bruce Arroll, Michelle Honey, Robert K R Scragg
AIMS: To describe trends from 2006-8 to 2016 in demographic, education and work settings of the primary health care nursing workforce who provide diabetes care in the Auckland region. METHODS: A total of 1416 practice, Accident and Medical, district and diabetes specialist nurses were identified who provide community-based care. Of those, 459 were randomly selected and 336 were interviewed in 2016, and were compared with 287 nurses interviewed in 2006-8. RESULTS: A 73% response rate was attained in 2016...
August 22, 2018: Primary Care Diabetes
Peter Zeh, Ann-Marie Cannaby, Harbinder K Sandhu, Jane Warwick, Jackie A Sturt
AIMS: To explore General Practice teams cultural-competence, in particular, ethnicity, linguistic skillset and cultural awareness. The practice teams' access to diabetes-training, and overall perception of cultural-competence were also assessed. METHODS: A cross-sectional single-city-survey with one in three people with diabetes from an ethnic minority group, using 35 semi-structured questions was completed. Self-reported data analysed using descriptive statistics, interpreted with reference to the Culturally-Competent-Assessment-Tool...
August 22, 2018: Primary Care Diabetes
Antonio Bernabe-Ortiz, Pablo Perel, Juan Jaime Miranda, Liam Smeeth
AIMS: To assess the diagnostic accuracy of the Finnish Diabetes Risk Score (FINDRISC) for undiagnosed T2DM and to compare its performance with the Latin-American FINDRISC (LA-FINDRISC) and the Peruvian Risk Score. MATERIALS AND METHODS: A population-based study was conducted. T2DM and undiagnosed T2DM were defined using oral glucose tolerance test (OGTT). Risk scores assessed were FINDRISC, LA-FINDRISC and Peruvian Risk Score. Diagnostic accuracy of risk scores was estimated using the c-statistic and the area under the ROC curve (aROC)...
August 18, 2018: Primary Care Diabetes
Angharad Kate Woolley, Michelle Hadjiconstantinou, Melanie Davies, Kamlesh Khunti, Samuel Seidu
AIMS: Online patient education is a growing form of support to patients with chronic conditions, including type 2 diabetes (Type 2 DM) and cardiovascular disease (CVD). Multiple systematic reviews have been undertaken on this topic with conflicting results. We aim to explore the applications of online patient education in Type 2 DM and CVD and synthesise current evidence. METHODS: A systematic review of systematic reviews was performed. Ovid Medline, EMBASE and Cochrane Database were searched between January 2005 and May 2018...
August 18, 2018: Primary Care Diabetes
Leila Nikniaz, Zeinab Nikniaz, Nitin Shivappa, James R Hébert
AIMS: Investigating the association between the dietary inflammatory index (DII® ) and metabolic syndrome (MetS) components and liver enzymes in Iranian population. METHODS: The present cross-sectional study consist of 606 participants from East-Azarbaijan-Iran. The MetS status was determined using ATPIII NCEP criteria. Moreover, liver enzymes including alanine aminotransferase and aspartate aminotransferase were measured. The DII was calculated according to Shivappa et al...
October 2018: Primary Care Diabetes
Anna Glechner, Lina Keuchel, Lisa Affengruber, Viktoria Titscher, Isolde Sommer, Nina Matyas, Gernot Wagner, Christina Kien, Irma Klerings, Gerald Gartlehner
AIMS: To assess the efficacy, safety, and cost-effectiveness of lifestyle intervention, compared with treatment as usual in people with prediabetes as defined by the American Diabetes Association. For older studies, we used the 1985 World Health Organization definition. METHODS: We systematically searched multiple electronic databases and referenced lists of pertinent review articles from January 1980 through November 2015. We performed an update search in MEDLINE on April 26, 2017...
October 2018: Primary Care Diabetes
Paula Costa-Urrutia, Carolina Abud, Valentina Franco-Trecu, Valentina Colistro, Martha Eunice Rodríguez-Arellano, Julio Granados, Marilia Seelaender
Pre diabetes mellitus (pre-DM) is considered an early-reversible condition that can progress to Type 2 diabetes mellitus (T2DM) which is the main cause of death for adult Mexican population. Gene variants influencing fasting glucose levels may constitute helpful tool for prevention purposes in pre-DM condition. Physically active Mexican-Mestizo adults (n=565) were genotyped for 6 single nucleotide polymorphisms (SNPs) (ADIPOQ rs2241766, ACSL1 rs9997745, LIPC rs1800588, PPARA rs1800206, PPARG rs1801282 and PPARGC1A rs8192678) related to lipid and carbohydrate metabolism...
October 2018: Primary Care Diabetes
Vinni Faber Rasmussen, Esben Thyssen Vestergaard, Ole Hejlesen, Camilla Urup Noe Andersson, Simon Lebech Cichosz
AIM: This study investigates the prevalence of smell and taste impairment in adults with diabetes and potential risk factors for sense deterioration and its influence of daily food intake. METHODS: Data from the NHANES 2013-2014 were analyzed. Smell impairment was defined as failing to identify ≥3 of 8 odors in NHANES Pocket Smell Test. Taste impairment was defined as being unable to identify quinine or NaCl in NHANES Tongue Tip and Whole-mouth Test. RESULTS: A total of 3204 people (428 patients with diabetes, 2776 controls) were suitable to be included...
October 2018: Primary Care Diabetes
Rachel P Ogilvie, Shivani A Patel, K M Venkat Narayan, Neil K Mehta
AIMS: Although U.S. territories fall within the mandate outlined by Healthy People 2020, they remain neglected in diabetes care research. We compared the prevalence and secular trends of four recommended diabetes care practices in the U.S. territories of Guam, Puerto Rico, and the U.S. Virgin Islands to the 50 United States and D.C. ("U.S. States") in 2001-2015. METHODS: Data were from 390,268 adult participants with self-reported physician diagnosed diabetes in the Behavioral Risk Factor Surveillance System...
October 2018: Primary Care Diabetes
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