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Primary Care Diabetes

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https://www.readbyqxmd.com/read/28511962/interventions-for-prevention-of-type-2-diabetes-in-relatives-a-systematic-review
#1
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
#2
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
#3
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
#4
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
#5
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
#6
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
#7
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
#8
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
#9
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
#10
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
https://www.readbyqxmd.com/read/28389199/weight-change-patterns-and-healthcare-costs-in-patients-with-newly-diagnosed-type-2-diabetes-in-sweden
#11
Ugne Sabale, Johan Bodegard, Bodil Svennblad, Carl Johan Östgren, Gunnar Johansson, Mattias Ekman, Martin Henriksson, Peter Nilsson
AIMS: To describe weight-change pathways in patients with type 2 diabetes (T2D) and associated healthcare costs using repeated BMI measurements and healthcare utilization data. METHODS: Patients with newly-diagnosed T2D with body mass index (BMI, kg/m(2)) at diagnosis and subsequent measures at year 1-3 were identified. Based on three-year BMI change, patients were assigned to one of 27 BMI change pathways defined by annual BMI change: BMI↗ (≥1 BMI unit increase), BMI→ (<1 BMI unit change), and BMI↘ (≥1 BMI unit decrease)...
June 2017: Primary Care Diabetes
https://www.readbyqxmd.com/read/28363425/the-prevalence-of-hypertension-in-relation-with-the-normal-albuminuria-range-in-type-2-diabetes-mellitus-within-the-south-korean-population-the-korean-national-health-and-nutrition-examination-survey-2011-2012
#12
Koh-Eun Shin, Yong-Kyun Roh, Kyung-Hwan Cho, Kyung-Do Han, Yong-Gyu Park, Do-Hoon Kim, Yang-Hyun Kim
AIMS: The coexistence of hypertension (HTN) and diabetes mellitus (DM) increases the risk of cardiovascular disease. In some studies, normal albuminuria has also been associated with cardiovascular disease and HTN. Therefore, we examined the relationships between albuminuria and the prevalence of HTN and its control rate in type 2 DM patients. RESULTS: We analyzed data from the 2011-2012 Korea National Health and Nutrition Examination Survey, and 1188 subjects with type 2 DM were included in the study...
June 2017: Primary Care Diabetes
https://www.readbyqxmd.com/read/28343902/stepwise-strategies-to-successfully-recruit-diabetes-patients-in-a-large-research-study-in-mexican-population
#13
Niels H Wacher, Mario Reyes-Sánchez, Héctor Raúl Vargas-Sánchez, Mireya Gamiochipi-Cano, Ramón Alberto Rascón-Pacheco, Rita A Gómez-Díaz, Svetlana V Doubova, Adán Valladares-Salgado, Martha Catalina Sánchez-Becerra, Araceli Méndez-Padrón, Leticia A Valdez-González, Rafael Mondragón-González, Miguel Cruz, Ana María Salinas-Martinez, María Guadalupe Garza-Sagástegui, Jaime Hernández-Rubí, Arturo González-Hermosillo, Víctor H Borja-Aburto
AIMS: Describe stepwise strategies (electronic chart review, patient preselection, call-center, personnel dedicated to recruitment) for the successful recruitment of >5000 type 2 diabetes patients in four months. METHODS: Twenty-five family medicine clinics from Mexico City and the State of Mexico participated: 13 usual care, 6 specialized diabetes care and 6 chronic disease care. Appointments were scheduled from 11/3/2015 to 3/31/2016. Phone calls were generated automatically from an electronic database...
June 2017: Primary Care Diabetes
https://www.readbyqxmd.com/read/28330680/screening-for-and-subsequent-participation-in-a-trial-for-depression-and-anxiety-in-people-with-type-2-diabetes-treated-in-primary-care-who-do-we-reach
#14
Corinne H Stoop, Giesje Nefs, Victor J Pop, François Pouwer
AIMS: This study investigated (factors related to) (a) the response to a screening procedure for depression and anxiety in people with type 2 diabetes in primary care, and (b) participation in a subsequent randomised controlled trial targeting depressive or anxiety symptoms. METHODS: People with type 2 diabetes (n=1837) received a screening questionnaire assessing depressive symptoms (PHQ-9) and anxiety symptoms (GAD-7). Eligible persons who scored above the cut-off score (PHQ-9≥7 or GAD-7≥8) were offered to participate in the trial...
June 2017: Primary Care Diabetes
https://www.readbyqxmd.com/read/28314484/impact-of-health-policy-and-practice-on-finding-the-best-fit-for-patients-with-type-2-diabetes-after-metformin-failure-croatian-pilot-study
#15
Maja Cigrovski Berković, Davorka Herman Mahečić, Marina Gradišer, Ines Bilić-Ćurčić
AIM: We assessed the impact of clinical practice and health policy on the choice and efficacy of different second-line therapies for the treatment of type 2 diabetes (T2DM) after failure of metformin. METHODS: This retrospective database analysis included 200 patients with a follow-up period of 6 months. The primary end-point was achievement of HbA1c <7% and fasting (FBG) and postprandial glucose levels (PPG) <7.2mmol/L and <10mmol/L, respectively after three and six months of different add-on treatments...
June 2017: Primary Care Diabetes
https://www.readbyqxmd.com/read/28292571/health-literacy-and-quality-of-care-of-patients-with-diabetes-a-cross-sectional-analysis
#16
Emilie Zuercher, Ibrahima Dina Diatta, Bernard Burnand, Isabelle Peytremann-Bridevaux
BACKGROUND: Limited health literacy (HL) may lead to poor health outcomes and inappropriate healthcare use, particularly in patients with chronic diseases. We aimed to assess the association between functional HL (FHL) and quality of care, as measured by process- and outcome-of-care indicators, in patients with diabetes. METHODS: This cross-sectional study used data from the 2013 CoDiab-VD cohort follow-up, which included non-institutionalised adults with diabetes from canton of Vaud, Switzerland...
June 2017: Primary Care Diabetes
https://www.readbyqxmd.com/read/28291678/a-pilot-service-evaluation-examining-change-in-hba1c-related-to-the-prescription-of-internet-based-education-films-for-type-2-diabetes
#17
S Rice, H Cranch, K Littlemore, J Mortimer, J Platts, J W Stephens
We undertook a pilot service-evaluation of prescribed internet-based patient education films for patients with type 2 diabetes. The uptake was 28% and film watching was associated with a relative mean difference in HbA1c of -9.0mmol/mol in the film watchers compared to non-watchers over a three-month period (P=0.0008).
June 2017: Primary Care Diabetes
https://www.readbyqxmd.com/read/28161128/point-of-care-testing-improves-diabetes-management-in-a-primary-care-clinic-in-south-africa
#18
Lara A Motta, Mark D S Shephard, Julie Brink, Stefan Lawson, Paul Rheeder
INTRODUCTION: Diabetes is a major health problem in South Africa. DiabCare Africa found just 47% of diabetes patients had a hemoglobin A1c (HbA1c) test for their management in the previous year. METHODS: Patients attending an urban diabetes clinic near Johannesburg, run by Project HOPE, accessed HbA1c (and urine albumin:creatinine ratio) point-of-care testing (POCT) as part of a quality-assured international program called ACE (Analytical and Clinical Excellence)...
June 2017: Primary Care Diabetes
https://www.readbyqxmd.com/read/28126469/antidiabetic-medications-use-trends-in-an-andalusian-region-from-2001-to-2014
#19
Rocío López-Sepúlveda, María Ángeles García Lirola, Esther Espínola García, Jose María Jurado Martínez, Salvadora Martín Sances, Sonia Anaya Ordóñez, José Cabeza Barrera
PURPOSE: There is a widening range of antidiabetic medications available; however changes in consumption patterns remain poorly documented. The aim of this study is to analyze the evolution of consumption of antidiabetic medications during the period 2001-2014 in an Andalusian region. METHODS: All antidiabetic medicines on the market were selected for analysis. Consumption data were obtained for the 15-year period and were expressed in defined daily doses (DDD) per 1000 inhabitants per day (DHD)...
June 2017: Primary Care Diabetes
https://www.readbyqxmd.com/read/28017576/clinical-correlates-of-persistently-elevated-liver-enzymes-in-type-2-diabetic-outpatients
#20
Annalisa Giandalia, Elisabetta Lucia Romeo, Maria Concetta Ruffo, Marco Muscianisi, Letterio Giorgianni, Fiorella Forte, Domenico Cucinotta, Giuseppina Tiziana Russo
AIMS: To evaluate the prevalence and the clinical implication of persistently elevated liver enzymes in diabetic subjects, with no evidence of viral hepatitis infection or alcohol abuse. METHODS: Clinical, lifestyle, anthropometric data and laboratory test values were collected in 916 type 2 diabetic subjects, examined for alanine aminotransferase (ALT), aspartate aminotransferase (AST) and γ-glutamyltranspeptidase (γ-GT) levels at two different time points. RESULTS: Five hundred forty four patients (59...
June 2017: Primary Care Diabetes
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