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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
Arshad M Channanath, Jaakko Tuomilehto, Thangavel Alphonse Thanaraj
AIMS: To evaluate the influence of age at diabetes diagnosis, diabetes duration, BMI, comorbidity with hypertension and medication regimen on glycaemic control in native Kuwaiti Arab patients with T2D. METHODS: This cross-sectional study considered 7657 patients from Kuwait Diabetes Registry and analysed data from their laboratory and hospital records. RESULTS: HbA1c and prevalence of hypertension increased significantly with diabetes duration...
August 13, 2018: Primary Care Diabetes
Jing Li, Junhong Leng, Wei Li, Cuiping Zhang, Lingyan Feng, Peng Wang, Juliana C N Chan, Gang Hu, Zhijie Yu, Xilin Yang
AIMS: The aim was to examine associations of insulin resistance and beta cell dysfunction with macrosomia in Chinese women with gestational diabetes mellitus (GDM). METHODS: We performed a secondary analysis of 923 women with GDM enrolled in a randomized controlled trial in 2010-2012 in Tianjin, China. Insulin resistance and beta-cell function were estimated using Homeostasis model assessment. Binary logistic regression was used to obtain adjusted odds ratios (ORs) and 95% confidence intervals (CIs)...
August 13, 2018: Primary Care Diabetes
Rula Ghandour, Nahed Mikki, Niveen M E Abu Rmeileh, Lars Jerdén, Margareta Norberg, Jan W Eriksson, Abdullatif Husseini
BACKGROUND: Type 2 diabetes mellitus (T2DM) is a growing pandemic that will lead, if not managed and controlled, to frequent complications, poor quality of life, and high rates of disability and death. Little is known about T2DM complications in Palestine. The aim of this study is to estimate the prevalence of T2DM complications in Ramallah and al-Bireh governorate of Palestine. METHODS: The study was conducted in eleven primary healthcare clinics offering services for persons with T2DM...
July 30, 2018: Primary Care Diabetes
Ehsan Shabani, Korosh Sayemiri, Mohammadtaghi Mohammadpour
PURPOSE: Several studies have been published about the effect of garlic on lipid profile and blood glucose in diabetic patients. Which, the results mostly contradict with each other. This study aimed to investigate the effect of garlic on lipid profile and serum glucose levels in diabetic patients using a systematic review and meta-analysis. METHODS: This study was a systematic review and meta-analysis of articles published between 1988 and 2016. For this purpose, two independent researchers searched SID medical information databases including MagIran, Irandoc, Medlib, Iran Medex, Science Direct, Scopus, Google and PubMed using keywords...
July 23, 2018: Primary Care Diabetes
John P Twarog, Aditya M Charyalu, Maham R Subhani, Prayank Shrestha, Elizabet Peraj
AIMS: To assess differences in HbA1C% screening by health care providers (HCP's) in U.S. adults with previously diagnosed diabetes using nationally representative survey data collected during the National Health and Nutrition Examination Survey (NHANES). METHODS: Cross-sectional analysis of 1725 adults from the 2011-2016 NHANES. Logistic regression was used to calculate the adjusted odds ratios for having received HbA1C% screening from a health care provider in the past year for the entire population, as well as separately based on an individual's self-reported health insurance status...
July 23, 2018: Primary Care Diabetes
P Jordan Davis, Mengling Liu, Farrokh Alemi, Ashley Jensen, Sanja Avramovic, Esther Levy, Richard B Hayes, Mark D Schwartz
BACKGROUND: Exposure to antibiotics may increase the risk of type 2 diabetes. Veterans are at increased risk for diabetes and for exposure to antibiotics. OBJECTIVE: To determine the impact of antibiotic exposure for risk of diabetes. DESIGN: Retrospective cohort study. PARTICIPANTS: Veterans at the New York Harbor Healthcare System enrolled in primary care, 2004-2014, with ≥2 glycosylated hemoglobin test results <6...
July 16, 2018: Primary Care Diabetes
Carla Torre, José Pedro Guerreiro, Sónia Romano, Ana Miranda, Patrícia Longo, Sílvia Alão, João Conceição, Pedro Laires
AIMS: This study aimed to characterize and estimate prevalence and frequency of mild to moderate hypoglycemia and potentially associated factors in a population of type 2 diabetes mellitus (T2DM) patients treated at ambulatory care level. METHODS: HIPOS-PHARMA was a nationwide observational, cross-sectional, multicenter study conducted in community pharmacies, which surveyed T2DM patients treated for at least 3 months. RESULTS: Overall, 233 pharmacies recruited 1890 patients (males: 50...
July 14, 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
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