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Primary Care Diabetes

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https://www.readbyqxmd.com/read/28623082/diabetes-mellitus-mortality-in-spanish-cities-trends-and-geographical-inequalities
#1
I Aguilar-Palacio, M A Martinez-Beneito, M J Rabanaque, C Borrell, L Cirera, A Daponte, M F Domínguez-Berjón, A Gandarillas, M Gotsens, P Lorenzo-Ruano, M Marí-Dell'Olmo, A Nolasco, M Saez, P Sánchez-Villegas, C Saurina, C Martos
AIM: To analyze the geographical pattern of diabetes mellitus (DM) mortality and its association with socioeconomic factors in 26 Spanish cities. METHODS: We conducted an ecological study of DM mortality trends with two cross-sectional cuts (1996-2001; 2002-2007) using census tract (CT) as the unit of analysis. Smoothed standardized mortality rates (sSMR) were calculated using Bayesian models, and a socioeconomic deprivation score was calculated for each CT. RESULTS: In total, 27,757 deaths by DM were recorded, with higher mortality rates observed in men and in the period 1996-2001...
June 13, 2017: Primary Care Diabetes
https://www.readbyqxmd.com/read/28619242/insurance-coverage-and-diabetes-quality-indicators-among-patients-with-diabetes-in-the-us-general-population
#2
Emily D Doucette, Joanne Salas, Jing Wang, Jeffrey F Scherrer
This study explores associations between health insurance and diabetes quality indicators. Data were obtained from 8305 patients with diabetes who reported no insurance, Medicaid or private insurance in the 2013 BRFSS in 26 states in the US. Six diabetes quality indicators were assessed: HgbA1c testing, foot exam, eye exam, influenza immunization, pneumococcal immunization and diabetes education. Logistic regression was performed comparing quality indicators by insurance group adjusting for covariates. Subjects with private insurance or Medicaid were more likely than the uninsured to have HgbA1c testing (OR=2...
June 12, 2017: Primary Care Diabetes
https://www.readbyqxmd.com/read/28601549/how-to-prevent-type-2-diabetes-in-women-with-previous-gestational-diabetes-a-systematic-review-of-behavioural-interventions
#3
REVIEW
Anne Louise Winkler Pedersen, Helle Terkildsen Maindal, Lise Juul
OBJECTIVES: Women with previous gestational diabetes (GDM) have a seven times higher risk of developing type 2 diabetes (T2DM) than women without. We aimed to review the evidence of effective behavioural interventions seeking to prevent T2DM in this high-risk group. METHODS: A systematic review of RCTs in several databases in March 2016. RESULTS: No specific intervention or intervention components were found superior. The pooled effect on diabetes incidence (four trials) was estimated to: -5...
June 7, 2017: Primary Care Diabetes
https://www.readbyqxmd.com/read/28583425/dapagliflozin-therapy-for-type-2-diabetes-in-primary-care-changes-in-hba1c-weight-and-blood-pressure-over-2-years-follow-up
#4
J Wilding, C Bailey, U Rigney, B Blak, M Kok, C Emmas
AIMS: To investigate prescribing patterns and effect of dapagliflozin among individuals with T2DM using UK primary care data. METHODS: Adult patients with T2DM initiating dapagliflozin treatment were identified from the Clinical Practice Research Datalink. Changes in HbA1c, body weight and systolic blood pressure were assessed in subgroups defined by glucose lowering treatment at baseline and compliance with the Summary of Product Characteristics. Logistic regression examined the association of baseline characteristics with achievement of target HbA1c (≤53mmol/mol) and weight reduction (by ≥3...
June 2, 2017: Primary Care Diabetes
https://www.readbyqxmd.com/read/28579058/the-challenge-of-living-with-diabetes-in-women-and-younger-adults-a-structural-equation-model
#5
Rokhsareh Aghili, Martin Ridderstråle, Maryam Kia, Ameneh Ebrahim Valojerdi, Mojtaba Malek, Amir Farshchi, Mohammad Ebrahim Khamseh
BACKGROUND: Attitudes toward diabetes care are different between genders and age-groups. Furthermore, diabetes related challenges may cause psychosocial problems. Therefore, we were to compare the psychosocial status and glycemic control in women and men with type 2 diabetes (T2D) in different age-groups. METHODS: 441 adults with T2D were recruited. Demographic, self-care behavior, resources and affective variables as well as the health related quality of life (HRQoL) were measured...
May 31, 2017: Primary Care Diabetes
https://www.readbyqxmd.com/read/28579057/insulin-initiation-status-of-primary-care-physicians-in-turkey-barriers-to-insulin-initiation-and-knowledge-levels-about-insulin-therapy-a-multicenter-cross-sectional-study
#6
Elif Ates, Turan Set, Zuhal Saglam, Nil Tekin, Irep Karatas Eray, Erdinc Yavuz, Mustafa Kursat Sahin, Engin Burak Selcuk, Dursun Cadirci, Mahcube Cubukcu
AIMS: Our aim was to evaluate the insulin initiation status, barriers to insulin initiation and knowledge levels about treatment administered by primary care physicians (PCP). METHODS: We conducted our study in accordance with a multicenter, cross-sectional design in Turkey, between July 2015 and July 2016. A questionnaire inquiring demographic features, status of insulin initiation, obstacles to insulin initiation and knowledge about therapy of the PCPs was administered during face-to-face interviews...
May 31, 2017: Primary Care Diabetes
https://www.readbyqxmd.com/read/28576662/comparison-of-very-long-term-clinical-and-angiographic-outcomes-of-bare-metal-stent-implants-between-patients-with-and-without-type-2-diabetes
#7
Cheng-Hui Lu, Ming-Lung Tsai, Chun-Chi Chen, Ming-Jer Hsieh, Shang-Hung Chang, Chao-Yung Wang, Cheng-Hung Lee, Dong-Yi Chen, Chia-Hung Yang, I-Chang Hsieh
BACKGROUND: Data on a large patient population regarding very long-term outcomes after bare metal stent (BMS) implantation in diabetic patients are lacking. The aim of this study was to evaluate the very long-term (8-17 years) clinical and 6-month angiographic outcomes of BMS implantations in patients with and without type 2 diabetes. METHODS AND RESULTS: A total of 2391 patients (579 with and 1812 without diabetes) who received BMS implantations between November 1995 and May 2004 were enrolled from the Cardiovascular Atherosclerosis and Percutaneous TrAnsluminal INterventions (CAPTAIN) registry into this study...
May 30, 2017: Primary Care Diabetes
https://www.readbyqxmd.com/read/28576661/knowledge-and-practice-related-to-gestational-diabetes-among-primary-health-care-providers-in-morocco-potential-for-a-defragmentation-of-care
#8
Bettina Utz, Bouchra Assarag, Amina Essolbi, Amina Barkat, Alexandre Delamou, Vincent De Brouwere
INTRODUCTION: The objective of this study was to assess knowledge and practices of general practitioners, nurses and midwives working at primary health care facilities in Morocco regarding screening and management of gestational diabetes (GDM). METHODS: Structured interviews with 100 doctors, midwives and nurses at 44 randomly selected public health care centers were conducted in Marrakech and Al Haouz. All data were descriptively analyzed. Ethical approval for the study was granted by the institutional review boards in Belgium and Morocco...
May 30, 2017: Primary Care Diabetes
https://www.readbyqxmd.com/read/28545843/diabetes-and-lifetime-risk-of-coronary-heart-disease
#9
Tanvir Chowdhury Turin, Tomonori Okamura, Nahid Rumana, Arfan Raheen Afzal, Makoto Watanabe, Aya Higashiyama, Yoko M Nakao, Michikazu Nakai, Misa Takegami, Kunihiro Nishimura, Yoshihiro Kokubo, Akira Okayama, Yoshihiro Miyamoto
INTRODUCTION: Epidemiological estimate lifetime risk (LTR) is a measure that expresses the probability of disease in the remaining lifetime for individuals of a specific index age. These estimates can be useful for general audience targeted knowledge translation activities against diabetes. There are only a few reports on lifetime of impact of diabetes on coronary heart disease (CHD) events. METHODS: The Suita Study, a cohort study of cardiovascular diseases (CVD), was established in 1989...
May 22, 2017: Primary Care Diabetes
https://www.readbyqxmd.com/read/28545842/haemoglobin-a1c-as-a-screening-tool-for-type-2-diabetes-and-prediabetes-in-populations-of-swedish-and-middle-east-ancestry
#10
Margareta Hellgren, Kristin Hjörleifsdottir Steiner, Louise Bennet
AIMS: To explore and compare sensitivity and specificity for HbA1c ≥48mmol/mol as a predictor for type 2 diabetes mellitus (T2DM) in two populations with different ethnicity and to examine the predictive value of two levels of HbA1c (≥42mmol/mol, ≥39mmol/mol) for prediabetes in these populations. METHODS: Four cohorts were examined with an oral glucose tolerance test. (1) The MEDIM Study (n=1991 individuals of Swedish and Iraqi ancestry); (2) The Skaraborg Project (n=1327 individuals of Swedish ancestry); (3) The 4-D study (n=424 individuals of Swedish, Iraqi and Turkish ancestry); (4) The Flemingsberg study (n=212 participants of Turkish ancestry)...
May 22, 2017: Primary Care Diabetes
https://www.readbyqxmd.com/read/28511962/interventions-for-prevention-of-type-2-diabetes-in-relatives-a-systematic-review
#11
REVIEW
Elena Dimcheva Dimova, Andrea Rene Mary Mohan, Vivien Swanson, Josie M M Evans
The relatives and partners of people with type 2 diabetes are at increased risk of developing type 2 diabetes. This systematic review examines randomized controlled trials, written in English that tested an intervention, which aimed to modify behaviors known to delay or prevent type 2 diabetes, among the relatives or partners of people with type 2 diabetes. Study quality was assessed using the Cochrane Collaboration's tool for assessing risk of bias. Seven studies met the inclusion criteria. The majority of studies were at low risk of bias...
May 13, 2017: Primary Care Diabetes
https://www.readbyqxmd.com/read/28479026/correlates-of-physical-activity-counseling-by-health-providers-to-patients-with-diabetes-and-hypertension-attended-by-the-family-health-strategy-in-the-state-of-pernambuco-brazil
#12
Jessyka Mary Vasconcelos Barbosa, Wayner Vieira de Souza, Renan Williams Marques Ferreira, Eduardo Maia Freese de Carvalho, Eduarda Angela Pessoa Cesse, Annick Fontbonne
AIMS: The aim of this study was to determine correlates of physical activity (PA) counseling by health providers of the Brazilian primary care delivery system, for hypertensive and diabetic subjects, as well as correlates of actual leisure-time PA of these subjects. METHODS: This was a cross-sectional study conducted in random samples of 785 hypertensive and 822 diabetic subjects, in the State of Pernambuco, Brazil. Relationships between PA counseling and leisure-time PA and explanatory variables were sought through multiple logistic regressions...
May 3, 2017: Primary Care Diabetes
https://www.readbyqxmd.com/read/28473191/anemia-in-diabetes-experience-of-a-single-treatment-center-in-kuwait
#13
Faisal Alsayegh, Mohammad Waheedi, Tania Bayoud, Asma Al Hubail, Faisal Al-Refaei, Prem Sharma
AIMS: Diabetes mellitus is the most common metabolic disorder in Kuwait. Anemia is a known outcome of diabetes and its related complications. This study examined the prevalence of anemia in diabetic subjects in Kuwait as well as any association between the presence of anemia with Hemoglobin A1c and diabetes complications. METHODS: The study subjects were diabetic patients with complete records and two or more visits at Dasman Diabetes Institute. Patient's data included demographics, complications, medications and laboratory results...
May 1, 2017: Primary Care Diabetes
https://www.readbyqxmd.com/read/28457898/pharmacological-control-of-diabetes-and-hypertension-comorbidity-in-the-elderly-a-study-of-real-world-data
#14
Quintí Foguet-Boreu, Concepción Violán, Tomás López Jiménez, Mariona Pons-Vigués, Teresa Rodríguez-Blanco, Jose M Valderas, Marina Guisado Clavero, Enriqueta Pujol-Ribera
AIMS: The study aimed to determine which drug combinations achieve better control in comorbid diabetes and hypertension in a pragmatic sample of primary health care patients. METHODS: Cross-sectional study. SETTING: 251 primary health care centres in Catalonia, Spain. PARTICIPANTS: individuals ≥65 years old with a dual diagnosis of hypertension and diabetes. MAIN OUTCOME MEASURES: good control criteria were established as glycated haemoglobin ≤7% and blood pressure <140/90mmHg...
April 27, 2017: Primary Care Diabetes
https://www.readbyqxmd.com/read/28457897/pok%C3%A3-mon-go-an-innovative-smartphone-gaming-application-with-health-benefits
#15
Amrit K Kamboj, Somashekar G Krishna
Obesity is a leading public health epidemic worldwide and its prevalence is increasing. While diet and exercise are the cornerstones in the prevention and treatment of obesity and its associated complications, patients often find it difficult to make lifestyle changes. Smartphones are increasingly becoming integrated into our society and can serve as a tool to improve health outcomes. Here, we illustrate the positive health impacts of an innovative smartphone gaming application, Pokémon GO (Niantic Incorporation, San Francisco, California), which is used by millions of users worldwide...
April 27, 2017: Primary Care Diabetes
https://www.readbyqxmd.com/read/28456438/accumulated-exposure-to-unemployment-is-related-to-impaired-glucose-metabolism-in-middle-aged-men-a-follow-up-of-the-northern-finland-birth-cohort-1966
#16
Nina Rautio, Tuulia Varanka-Ruuska, Eeva Vaaramo, Saranya Palaniswamy, Rozenn Nedelec, Jouko Miettunen, Jaro Karppinen, Juha Auvinen, Marjo-Riitta Järvelin, Sirkka Keinänen-Kiukaanniemi, Sylvain Sebert, Leena Ala-Mursula
AIMS: We explored whether registered unemployment is associated with impaired glucose metabolism in general population. METHODS: Based on Northern Finland Birth Cohort 1966 at 46 years, we analyzed the oral glucose tolerance tests of 1970 men and 2544 women in relation to their preceding three-year employment records in three categories of unemployment exposure: no (employed), low (≤1-year) and high exposure (>1-year). RESULTS: Among men, pre-diabetes was found in 19...
April 26, 2017: Primary Care Diabetes
https://www.readbyqxmd.com/read/28442341/impact-of-a-general-practitioner-led-integrated-model-of-care-on-the-cost-of-potentially-preventable-diabetes-related-hospitalisations
#17
Samantha A Hollingworth, Maria Donald, Jianzhen Zhang, Bharat Phani Vaikuntam, Anthony Russell, Claire Jackson
AIM: To estimate potential savings for Australia's health care system through the implementation of an innovative Beacon model of care for patients with complex diabetes. METHODS: A prospective controlled trial was conducted comparing a multidisciplinary, community-based, integrated primary-secondary care diabetes service with usual care at a hospital diabetes outpatient clinic. We extracted patient hospitalisation data from the Queensland Hospital Admitted Patient Data Collection and used Australian Refined Diagnosis Related Groups to assign costs to potentially preventable hospitalisations for diabetes...
April 23, 2017: Primary Care Diabetes
https://www.readbyqxmd.com/read/28420583/diabetes-medication-persistence-different-medications-have-different-persistence-rates
#18
Michal Shani, Alex Lustman, Shlomo Vinker
AIM: To assess the persistence of diabetic patients to oral medications. METHODS: The study included all type 2 diabetic patients over 40 years, members of one District of Clalit Health Services Israel, who were diagnosed with diabetes mellitus before 2008 and who filled at least one prescription per year during 2008-2010, for the following medications: metformin, glibenclamide, acarbose, statins, angiotensin converting enzyme inhibitors (ACEI) and angiotensin II receptor antagonists (ARBs)...
April 15, 2017: Primary Care Diabetes
https://www.readbyqxmd.com/read/28395938/perceptions-of-general-practitioners-on-initiation-and-intensification-of-type-2-diabetes-injectable-therapies-a-quantitative-study-in-the-united-kingdom
#19
Daniel Sterzi, Sébastien Auziere, Divina Glah, Marie Markert Jensen
Most diabetes care is done by general practitioners (GPs) in the UK. This study aimed to determine GPs' comfort level in initiating and intensifying injectable therapies, identifying any associated barriers, and assessing reasons for referral to specialists. This web-interview included 128 general practitioners (GPs) experienced in type 2 diabetes (T2D) management, as well as 57 specialists and 30 nurses who were studied for secondary objectives. GPs felt more comfortable initiating the 1st injectable therapy - typically the glucagon-like peptide-1 receptor agonists (GLP-1 RA) - than the 2nd...
June 2017: Primary Care Diabetes
https://www.readbyqxmd.com/read/28395937/risk-factors-for-diabetic-macular-oedema-in-type-2-diabetes-a-case-control-study-in-a-united-kingdom-primary-care-setting
#20
E Martín-Merino, J Fortuny, E Rivero-Ferrer, M Lind, L A Garcia-Rodriguez
AIM: To identify risk factors associated with the development of DMO among patients diagnosed with type 2 diabetes managed in a primary care setting in the UK. METHODS: A case-control study nested in a cohort of incident Type 2 diabetes identified in The Health Improvement Network database from 2000-2007. Cases were people with DMO (N=211) and controls were a DMO-free sample (N=2194). No age restrictions were applied. Adjusted odds ratios and 95%CIs were estimated (OR; 95%CI)...
June 2017: Primary Care Diabetes
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