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Primary Care Diabetes

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https://www.readbyqxmd.com/read/27914905/relationship-between-the-finnish-diabetes-risk-score-findrisc-vitamin-d-levels-and-insulin-resistance-in-obese-subjects
#1
Marcos M Lima-Martínez, Carlos Arrau, Saimar Jerez, Mariela Paoli, Juan P González-Rivas, Ramfis Nieto-Martínez, Gianluca Iacobellis
AIM: To assess the relationship between 25-hydroxyvitamin D [25(OH)D] blood concentrations in subjects with obesity and type 2 diabetes mellitus (T2D) risk according to the Finnish Diabetes Risk Score (FINDRISC) modified for Latin America (LA-FINDRISC). METHODS: This study was conducted in Ciudad Bolívar, Venezuela. Eighty two women and 20 men (53 obese and 49 nonobese), with an average age of 42.6±12.30 years were enrolled. Weight, height, body mass index (BMI), waist circumference (WC), fasting glucose, basal insulin, plasma lipids, Homeostasis Model Assessment-Insulin Resistance (HOMA-IR), and 25(OH)D levels were measured...
November 30, 2016: Primary Care Diabetes
https://www.readbyqxmd.com/read/27894781/increased-healthcare-utilization-costs-following-initiation-of-insulin-treatment-in-type-2-diabetes-a-long-term-follow-up-in-clinical-practice
#2
Almina Kalkan, Johan Bodegard, Johan Sundström, Bodil Svennblad, Carl Johan Östgren, Peter Nilsson Nilsson, Gunnar Johansson, Mattias Ekman
AIMS: To compare long-term changes in healthcare utilization and costs for type 2 diabetes patients before and after insulin initiation, as well as healthcare costs after insulin versus non-insulin anti-diabetic (NIAD) initiation. METHODS: Patients newly initiated on insulin (n=2823) were identified in primary health care records from 84 Swedish primary care centers, between 1999 to 2009. First, healthcare costs per patient were evaluated for primary care, hospitalizations and secondary outpatient care, before and up to seven years after insulin initiation...
November 25, 2016: Primary Care Diabetes
https://www.readbyqxmd.com/read/27852516/changes-in-the-management-of-type-2-diabetic-patients-in-family-medicine-practices-in-the-bursa-region
#3
Olgun Göktaş, Özen Öz Gül, Erdinç Ertürk
AIM: The aim of the study was to investigate the treatment and monitoring patterns of type 2 diabetes patients in the Bursa region over the last 5 years since the implementation of family practice in Turkey in 2010. METHODS: A total of 216 volunteer family doctors working in family health centers took part in this study. The records of 44,819 diabetic patients who visited these doctors between January 1, 2010 and December 31, 2014 were inspected retrospectively...
November 13, 2016: Primary Care Diabetes
https://www.readbyqxmd.com/read/27840086/venue-of-receiving-diabetes-self-management-education-and-training-and-its-impact-on-oral-diabetic-medication-adherence
#4
Jun Wu, Mary Lynn Davis-Ajami, Virginia Noxon, Zhiqiang Kevin Lu
AIMS: To determine predictors associated with the diabetes self-management education and training (DSME) venue and its impact on oral antidiabetic (OAD) medication adherence. METHODS: The Medical Expenditure Panel Survey household component (MEPS-HC) data (2010-2012) identified adults with diabetes prescribed OAD medication(s) who completed a supplemental Diabetes Care Survey (DCS). Based on the DCS responses to questions about the number and type of DSME venue(s), two groups were created: (1) multiple venues (a physician or health professional plus internet and/or group classes) vs (2) single venue (physician or health professional only)...
November 10, 2016: Primary Care Diabetes
https://www.readbyqxmd.com/read/27825583/barbados-insulin-matters-bim-study-perceptions-on-insulin-initiation-by-primary-care-doctors-in-the-caribbean-island-of-barbados
#5
Charles Grafton Taylor, Gordon Taylor, Anique Atherley, Ian Hambleton, Nigel Unwin, Oswald Peter Adams
AIMS: With regards to insulin initiation in Barbados we explored primary care doctor (PCD) perception, healthcare system factors and predictors of PCD reluctance to initiate insulin. METHODS: PCDs completed a questionnaire based on the theory of planned behaviour (TPB) and a reluctance to initiate insulin scale. Using linear regression, we explored the association between TPB domains and the reluctance to initiate insulin scale. RESULTS: Of 161 PCDs, 70% responded (75 private and 37 public sector)...
November 4, 2016: Primary Care Diabetes
https://www.readbyqxmd.com/read/27780683/collective-empowerment-strategies-for-patients-with-diabetes-mellitus-a-systematic-review-and-meta-analysis
#6
REVIEW
Nayara Ragi Baldoni, Jéssica Azevedo Aquino, Cristina Sanches-Giraud, Cláudia Di Lorenzo Oliveira, Roberta Carvalho de Figueiredo, Clareci Silva Cardoso, Thiago Reis Santos, Geisa Cristina Silva Alves, Amaury Lelis Dal Fabbro, André Oliveira Baldoni
AIMS: To perform a systematic review and meta-analysis to identify and analyze collective empowerment strategies for patients with Diabetes Mellitus (DM). METHODS: The systematic review was performed using PubMed/MEDLINE, Science Direct and BVS. The term "Diabetes Mellitus" was used with each of the following describers, along with the connector "AND": "self-care", "health education", "motivation" and "empowerment". Inclusion criteria were: intervention study with control group published between 2004 and 2014...
October 22, 2016: Primary Care Diabetes
https://www.readbyqxmd.com/read/27771271/associations-between-gestational-diabetes-mellitus-and-elevated-hba1c-early-postpartum-in-a-multi-ethnic-population
#7
Christin Waage, Anne Karen Jenum, Ibrahimu Mdala, Jens Petter Berg, Kåre Richardsen, Kåre Birkeland
AIMS: To investigate the prevalence of elevated HbA1c 14 weeks postpartum in different ethnic groups and in women with and without gestational diabetes mellitus (GDM) in the index pregnancy and to explore demographic and biological factors from early pregnancy associated with elevated HbA1c (HbA1c ≥5.7% (≥39mmol/mol)) postpartum. METHODS: From a cohort study in Oslo, Norway, we included 570 pregnant women, examined in gestational week 15, 28, and 14 weeks postpartum...
October 19, 2016: Primary Care Diabetes
https://www.readbyqxmd.com/read/27745857/evaluating-the-impact-of-an-enhanced-primary-care-diabetes-service-on-diabetes-outcomes-a-before-after-study
#8
S Seidu, D H Bodicoat, M J Davies, H Daly, B Stribling, A Farooqi, E M Brady, K Khunti
: Diabetes is an ambulatory care-sensitive condition and a high quality primary care or risk factor control can lead to a decrease in the risk of non-elective hospitalisations while ensuring continuity of care with usual primary care teams. AIMS AND METHODS: In this before and after study, eight primary care practices providing a newer enhanced diabetes model of care in Leicester UK, were compared with matched neighbouring practices with comparable demographic features providing a more expensive integrated specialist-community care diabetes service...
October 10, 2016: Primary Care Diabetes
https://www.readbyqxmd.com/read/27727005/clinical-inertia-to-insulin-initiation-and-intensification-in-the-uk-a-focused-literature-review
#9
Kamlesh Khunti, David Millar-Jones
Achieving tight glycaemic control early following the diagnosis of type 2 diabetes is key to optimising clinical outcomes, yet many patients and clinicians are reluctant to initiate and intensify insulin therapy. Reasons for this arise primarily from a lack of time, clinical expertise and patient understanding. However, meaningful progress can be achieved with self-management educational programmes soon after diagnosis. Clinician education and training, along with easy-to-use and well-tolerated therapies (for example, those carrying a low risk of hypoglycaemia and/or avoiding weight gain), may also increase the likelihood of patient adherence...
October 7, 2016: Primary Care Diabetes
https://www.readbyqxmd.com/read/27727004/a-colombian-diabetes-risk-score-for-detecting-undiagnosed-diabetes-and-impaired-glucose-regulation
#10
Noël Christopher Barengo, Diana Carolina Tamayo, Teresa Tono, Jaakko Tuomilehto
AIMS: (i) To develop a diabetes mellitus risk score model for the Colombian population (ColDRISC); and (ii) to evaluate the accuracy of the ColDRISC unknown Type 2 diabetes mellitus METHODS: Cross-sectional screening study of the 18-74 years-old population of a health-care insurance company (n=2060) in northern Colombia. Lifestyle habits and risk factors for diabetes mellitus were assessed by an interview using a questionnaire consisting of information regarding sociodemographic factors, history of diabetes mellitus, tobacco consumption, hypertension, nutritional and physical activity habits...
October 7, 2016: Primary Care Diabetes
https://www.readbyqxmd.com/read/27692850/hba1c-as-a-predictor-of-diabetes-after-gestational-diabetes-mellitus
#11
Rickard Claesson, Claes Ignell, Nael Shaat, Kerstin Berntorp
AIM: We wanted to investigate third-trimester HbA1c as a predictor of diabetes after gestational diabetes mellitus (GDM). METHODS: Women with GDM were followed up prospectively for five years from pregnancy to detect the development of diabetes. The ability of HbA1c to predict diabetes was evaluated with receiver-operating characteristic (ROC) curves and logistic regression analysis. RESULTS: By five years, 73 of 196 women had been diagnosed with diabetes...
September 28, 2016: Primary Care Diabetes
https://www.readbyqxmd.com/read/27669637/large-increase-in-the-prevalence-of-self-reported-diabetes-based-on-a-nationally-representative-survey-in-hungary
#12
Beatrix A Domján, Viktória Ferencz, Tímea Tänczer, Zsófia Szili-Janicsek, László Barkai, Tibor Hidvégi, György Jermendy, Péter Kempler, Gábor Winkler, László Gerő, Adam G Tabák
AIMS: To estimate and compare the prevalence of self-reported diabetes based on nationally representative surveys of the Hungarian adult population in 2002 (published data - Hungarostudy) and a survey in 2012. METHODS: A cross-sectional computer-assisted telephone interview survey on a stratified representative sample of community-dwelling adults (n=1000) in 2012. To describe self-reported diabetes prevalence and its temporal changes generalized linear models were used and results were compared to figures from Hungarostudy...
September 23, 2016: Primary Care Diabetes
https://www.readbyqxmd.com/read/27651320/diabetes-mortality-in-serbia-1991-2015-a-nationwide-study-a-joinpoint-regression-analysis
#13
Milena Ilic, Irena Ilic
PURPOSE: The aim of this study was to analyze the mortality trends of diabetes mellitus in Serbia (excluding the Autonomous Province of Kosovo and Metohia). METHODS: A population-based cross sectional study analyzing diabetes mortality in Serbia in the period 1991-2015 was carried out based on official data. The age-standardized mortality rates (per 100,000) were calculated by direct standardization, using the European Standard Population. Average annual percentage of change (AAPC) and the corresponding 95% confidence interval (CI) were computed using the joinpoint regression analysis...
September 17, 2016: Primary Care Diabetes
https://www.readbyqxmd.com/read/27633894/personalised-treatment-targets-in-type-2-diabetes-patients-the-dutch-approach
#14
Anne Meike Boels, Huberta E Hart, Guy E Rutten, Rimke C Vos
AIMS: To compare the proportion of cardiometabolic well-controlled type 2 diabetes mellitus (T2DM) patients according to a clearly defined, simple personalised approach, versus the 'one-size-fits-all' approach. METHODS: Observational study using routine data of primary care type 2 diabetes patients in the Netherlands. The proportions of patients that reach the targets for HbA1c, systolic blood pressure and low-density lipoprotein cholesterol in the two different approaches were compared...
September 12, 2016: Primary Care Diabetes
https://www.readbyqxmd.com/read/27515716/associations-of-hba1c-and-fasting-plasma-glucose-with-incident-diabetes-implications-for-pre-diabetes-thresholds-in-a-japanese-population
#15
Tomoko Nakagami, Yuki Tanaka, Junko Oya, Moritoshi Kurita, Chisato Isago, Yukiko Hasegawa, Arata Ito, Naoki Hirota, Reika Tsuzura, Yasuko Uchigata
AIMS: This study assessed pre-diabetes (pre-DM) cutoffs for HbA1c and fasting plasma glucose (FPG) that were associated with an increased risk of incident DM. METHODS: We evaluated 2267 non-diabetic Japanese health-check examinees (HbA1c: <6.5% [<48mmol/mol] and FPG: <7.0mmol/L) who were 30-79 years old and were followed-up for 5 years. Incident DM was defined as HbA1c of ≥6.5% (≥48mmol/mol), FPG of ≥7.0mmol/L, or physician-diagnosed DM. RESULTS: During 11047 person-years, we identified 99 incident DM cases (4...
December 2016: Primary Care Diabetes
https://www.readbyqxmd.com/read/27497876/comment-on-management-of-postprandial-glucose-recommended-targets-and-treatment-with-biphasic-insulin
#16
LETTER
Sanjay Kalra
No abstract text is available yet for this article.
December 2016: Primary Care Diabetes
https://www.readbyqxmd.com/read/27427307/management-of-postprandial-glucose-recommended-targets-and-treatment-with-biphasic-insulin
#17
REVIEW
Andreas Liebl
Increases in glycaemia, particularly following meals, have been independently associated with diabetes complications, most notably cardiovascular disease. Control of postprandial plasma glucose (PPG) therefore plays an important role in diabetes management. International diabetes guidelines acknowledge the value of PPG monitoring yet place relatively little emphasis on PPG control. This article considers the impact of suboptimal PPG control and current recommendations with regard to management of PPG. Specific consideration is given to the role of biphasic insulins, one of the treatment options recognised by the International Diabetes Federation as preferentially lowering PPG levels...
December 2016: Primary Care Diabetes
https://www.readbyqxmd.com/read/27388795/patient-engagement-impacts-glycemic-management-with-vildagliptin-and-vildagliptin-metformin-single-pill-regimens-in-type-2-diabetes-mellitus-the-glorious-study
#18
Michel Hermans, Luc Van Gaal, Ingrid Rézette, Evis Daci, Karen MacDonald, Kris Denhaerynck, Stefaan Vancayzeele, Lut De Meester, Andreas Clemens, Brian Yee, Ivo Abraham
AIMS: To evaluate the real-world effectiveness of vildagliptin and vildagliptin/metformin, combined with patient engagement, on glycemic outcomes. Patient engagement included both clinicians' engaging patients through education and counseling; and patients' self-engagement through disease awareness, lifestyle changes, and medication adherence. METHODS: Prospective, observational, open-label, multi-center, pharmacoepidemiologic study of type 2 diabetes mellitus (T2DM) patients treated de novo with vildagliptin or vildagliptin/metformin...
December 2016: Primary Care Diabetes
https://www.readbyqxmd.com/read/27353459/effectiveness-of-vildagliptin-versus-other-oral-antidiabetes-drugs-as-add-on-to-sulphonylurea-monotherapy-post-hoc-analysis-from-the-edge-study
#19
K M Prasanna Kumar, U Phadke, H Brath, A Gawai, P M Paldánius, C Mathieu
AIM: In this post hoc analysis of the EDGE study, we assessed the effectiveness and safety of vildagliptin versus other oral antidiabetes drugs (OADs) as add-on to first-line sulphonylurea (SU) therapy in patients who did not receive metformin in a real-life setting. METHODS: The primary endpoint was odds of achieving an HbA1c reduction of >0.3% without tolerability issues. Secondary endpoint was odds of achieving HbA1c <7.0% without hypoglycaemia or weight gain...
December 2016: Primary Care Diabetes
https://www.readbyqxmd.com/read/27297805/prevalence-of-unwillingness-to-use-insulin-therapy-and-its-associated-attitudes-amongst-patients-with-type-2-diabetes-in-saudi-arabia
#20
Mohammed Ali Batais, Peter Schantter
AIMS: This study aimed at determining the prevalence of unwillingness to use insulin and its associated attitudes amongst participants with Type 2 diabetes in Saudi Arabia. A further aim was to investigate whether demographic characteristics such as age, gender, educational level and duration of diabetes are associated with unwillingness to use insulin among these participants. METHODS: This is a cross-sectional study conducted among participants with Type 2 diabetes using a self-administered questionnaire...
December 2016: Primary Care Diabetes
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