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Primary Care Diabetes

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https://www.readbyqxmd.com/read/28918199/psychosocial-barriers-to-healthcare-use-among-individuals-with-diabetes-mellitus-a-systematic-review
#1
REVIEW
Andrea Paduch, Silke Kuske, Tim Schiereck, Sigrid Droste, Adrian Loerbroks, Monica Sørensen, Marina Maggini, Andrea Icks
PURPOSE: To conduct a systematic review regarding psychosocial barriers to healthcare use in individuals with diabetes mellitus, using a well-established model of health-service use as a theoretical framework. METHODS: We used database-specific controlled vocabularies and additional free text terms, and conducted searches via MEDLINE, EMBASE, PsycINFO, CINAHL, Web of Science, OVID Journals. Included studies were rated according to the UK National Institute for Health and Care Excellence (NICE) criteria...
September 13, 2017: Primary Care Diabetes
https://www.readbyqxmd.com/read/28918198/are-we-missing-hypoglycaemia-elderly-patients-with-insulin-treated-diabetes-present-to-primary-care-frequently-with-non-specific-symptoms-associated-with-hypoglycaemia
#2
Suzy V Hope, Phil J Taylor, Beverley M Shields, Andrew T Hattersley, Willie Hamilton
INTRODUCTION: We assessed if patients with known hypoglycaemia present on other occasions with non-specific symptoms associated with (but not diagnosed as) hypoglycaemia, potentially representing missed hypoglycaemia. METHODS: 335 primary care records (5/2/12-4/2/13) from patients aged >65 (79 on insulin, 85 on sulphonylureas, 121 on metformin only, 50 without diabetes) were assessed for hypoglycaemia episodes and consultations with non-specific symptoms, "hypo clues"...
September 11, 2017: Primary Care Diabetes
https://www.readbyqxmd.com/read/28823516/examining-sex-differences-in-glycemic-index-knowledge-and-intake-among-individuals-with-type-2-diabetes
#3
Hayford Mawuli Avedzi, Nonsikelelo Mathe, Kate Storey, Jeffrey Allen Johnson, Steven Thomas Johnson
AIM: We examined self-reported dietary behaviours and actual food intakes among adult men and women with type 2 diabetes participating in Alberta's Caring for Diabetes (ABCD) Study. METHODS: Participants completed 3-day food records and questions about glycemic index (GI) concept knowledge and dietary behaviours. Daily average GI and glycemic load (GL) were calculated for all carbohydrates consumed. Dietary intake was analyzed using ESHA FoodPro (version 10.13.1)...
August 16, 2017: Primary Care Diabetes
https://www.readbyqxmd.com/read/28807657/prediabetes-diabetes-and-unemployment
#4
LETTER
Jan Brož, Marek Brabec, Ondřej Lukáč, Denisa Janíčková Žďárská, Milan Kvapil
No abstract text is available yet for this article.
August 11, 2017: Primary Care Diabetes
https://www.readbyqxmd.com/read/28801192/evaluating-findrisc-as-a-screening-tool-for-type-2-diabetes-among-overweight-adults-in-the-preview-nz-cohort
#5
Marta Paulino Silvestre, Yannan Jiang, Katya Volkova, Hannah Chisholm, Wonjoo Lee, Sally Diana Poppitt
AIMS: This study aimed to evaluate the efficacy of a high (≥12) Finnish diabetes risk (FINDRISC) score in identifying undiagnosed prediabetes and type 2 diabetes (T2D) in an New Zealand population of overweight and obese individuals, across a variety of ethnic groups. METHODS: We estimated the efficacy of elevated FINDRISC scores in predicting prediabetes and T2D in 424 overweight adults with no prior diagnosis recruited for the PREVention of diabetes through lifestyle Interventions in Europe and Worldwide (PREVIEW) study...
August 8, 2017: Primary Care Diabetes
https://www.readbyqxmd.com/read/28797537/mortality-associated-with-less-intense-risk-factor-control-among-adults-with-diabetes-in-the-united-states
#6
Sharon H Saydah, Edward W Gregg, Henry S Kahn, Mohammed K Ali
AIMS: Determine the mortality experience among adults with diabetes in meeting and not meeting less intense control for glycated hemoglobin (HbA1c), blood pressure (BP), and cholesterol. METHODS: National Health and Nutrition Examination Survey 1999-2010 participants with self-report of diagnosed diabetes (N=3335), measured HbA1c, BP and non-HDL cholesterol were linked to the National Death Index through December 31, 2011. Proportional hazards models were used to estimate hazard ratios (HR) of meeting HbA1c<9% and BP<160/110, and non-HDL cholesterol<190mg/dL...
August 7, 2017: Primary Care Diabetes
https://www.readbyqxmd.com/read/28779981/patients-requests-and-needs-for-culturally-and-individually-adapted-supportive-care-in-type-2-diabetes-patients-a-comparative-study-between-nordic-and-non-nordic-patients-in-a-social-economical-vulnerable-area-of-link%C3%A3-ping-sweden
#7
Angelica Staff, Peter Garvin, Ann-Britt Wiréhn, Pia Yngman-Uhlin
AIMS: This study sought to determine and compare the metabolic control of type 2 diabetes mellitus (T2DM) in non-Nordic immigrants and native Nordics. The aim was also to describe and compare the request of supportive care between these two groups. METHODS: One hundred and eighty-four patients (n=184) coming to a routine check-up in a primary healthcare setting (PHC), were consecutively enrolled to the study during a period of one year. Data on therapeutic interventions, clinical measurements, healthcare consumption, and adherence to standard diabetes healthcare program were extracted from the patientś medical record...
August 2, 2017: Primary Care Diabetes
https://www.readbyqxmd.com/read/28778809/association-of-serum-25-hydroxyvitamin-d-and-diabetes-related-factors-in-korean-adults-without-diabetes-the-fifth-korea-national-health-and-nutrition-examination-survey-2010-2012
#8
Hyunah Kim, Hyunyong Lee, Hyeon Woo Yim, Hun-Sung Kim
AIMS: Vitamin D is associated with diabetes mellitus (DM) occurrence by affecting insulin secretion and resistance. However, variations exist due to differences in vitamin D sensitivity among individuals. We investigate the relationship between serum 25-hydroxyvitamin D [25(OH)D] status and various indices of DM in a Korean population without DM. METHODS: Large-scaled population-based analysis was conducted from the Korea National Health and Nutrition Examination Survey data (2010-2012) were analyzed...
August 1, 2017: Primary Care Diabetes
https://www.readbyqxmd.com/read/28754430/glycemic-control-and-health-related-quality-of-life-among-older-home-dwelling-primary-care-patients-with-diabetes
#9
Anna-Kaisa Aro, Merja Karjalainen, Miia Tiihonen, Hannu Kautiainen, Juha Saltevo, Maija Haanpää, Pekka Mäntyselkä
AIMS: To evaluate the health-related quality of life (HRQoL) and functional capacity in relation to glycemic control among older home-dwelling primary care patients. METHODS: Electronic patient records were used to identify 527 people over 65 years with diabetes. Of these, 259 randomly selected subjects were invited to a health examination and 172 of them attended and provided complete data. The participants were divided into three groups based on the HbA1c: good (HbA1c<48mmol/mol (N=95)), intermediate (HbA1c 48-57mmol/mol (N=48)) and poor (HbA1c>57mmol/mol (N=29)) glycemic control...
July 25, 2017: Primary Care Diabetes
https://www.readbyqxmd.com/read/28732655/assessing-variability-in-compliance-with-recommendations-given-by-the-international-diabetes-federation-idf-for-patients-with-type-2-diabetes-in-primary-care-using-electronic-records-the-apna-study
#10
Antonio Brugos-Larumbe, Pablo Aldaz-Herce, Francisco Guillen-Grima, Francisco Javier Garjón-Parra, Francisco Javier Bartolomé-Resano, María Teresa Arizaleta-Beloqui, Ignacio Pérez-Ciordia, Ana María Fernández-Navascués, María José Lerena-Rivas, Jesús Berjón-Reyero, Luisa Jusué-Rípodas, Ines Aguinaga-Ontoso
OBJECTIVE: Assess compliance with the IDF recommendations for patients with Diabetes Type2 (DM2), and its variability, by groups of doctors and nurses who provide primary care services in Navarre (Spain). MATERIALS AND METHODOLOGIES: A cross-sectional study of a population of 462,568 inhabitants, aged ≥18 years in 2013, attended by 381 units of doctor/nurse (quota). Clinical data were collected retrospectively through electronic records. Using cluster analysis, we identified two groups of units according to the score for each indicator...
July 18, 2017: Primary Care Diabetes
https://www.readbyqxmd.com/read/28732654/effects-of-incretin-based-therapies-on-neurocognitive-function-in-humans-a-systematic-review-of-the-literature
#11
Jonathan L Dumbrill, Calum D Moulton
We performed a PRISMA systematic review of incretin-based therapies and effects on neurocognitive function in humans. There was observational evidence to support dipeptidyl peptidase-IV inhibitors in improving cognition, whilst glucagon-like peptide-1 had positive effects on cerebral glucose metabolism. Powered clinical trials are now needed in patients with- and without diabetes.
July 18, 2017: Primary Care Diabetes
https://www.readbyqxmd.com/read/28705696/muscle-grip-strength-is-associated-to-reduced-pulmonary-capacity-in-patients-with-diabetes
#12
Simon Lebech Cichosz, Esben Thyssen Vestergaard, Ole Hejlesen
AIM: This study investigates the role of muscle strength as a predictive factor for reduced pulmonary function in diabetes. METHODS: Data from the NHANES 2011-2012 were analyzed. Lung function was assessed with spirometry (FEV1, FVC). Diabetes was assessed with an oral glucose tolerance test (OGTT), glycated hemoglobin (HbA1c), or fasting plasma glucose (FPG). Muscle strength was measured by a grip test using a handgrip dynamometer. RESULTS: A total of 3521 people were suitable to be included for analysis in this study...
July 10, 2017: Primary Care Diabetes
https://www.readbyqxmd.com/read/28690088/a-cluster-randomized-trial-to-estimate-the-effect-of-mobile-screening-and-treatment-feedback-on-hba1c-and-diabetes-related-complications-in-tshwane-primary-health-care-clinics-south-africa
#13
Elizabeth Melanie Webb, Paul Rheeder
AIM AND OBJECTIVES: Our study had two primary objectives. The first was to evaluate the effect of an expert review with an individualised patient management plan on change in HbA1c. The second was to determine whether a mobile screening unit would increase the proportion of patients screened for glycaemic and lipid control, as well as diabetic complications as compared to the standard guideline-driven clinic care. METHODS: We conducted a cluster-randomised trial and enrolled 599 diabetic patients from twelve primary health care clinics in the Tshwane district of South Africa...
July 6, 2017: Primary Care Diabetes
https://www.readbyqxmd.com/read/28684227/self-knowledge-of-hba1c-in-people-with-type-2-diabetes-mellitus-and-its-association-with-glycaemic-control
#14
Hina Trivedi, Laura J Gray, Samuel Seidu, Melanie J Davies, Guillaume Charpentier, Ulf Lindblad, Christiane Kellner, John Nolan, Agnieszka Pazderska, Guy Rutten, Marina Trento, Kamlesh Khunti
OBJECTIVE: The aim of this study was to evaluate the prevalence of accurate self-knowledge of a patient's own HbA1c level (HbA1cSK), as a component of structural education (University Hospital's of Leicester (UHL), 2013) and its association with glycaemic control. METHODS: Data from the GUIDANCE study, a cross-sectional study involving 7597 participants from eight European countries was used. HbA1cSK was evaluated and compared with laboratory measured HbA1c levels (HbA1cLAB), which represented the measure of glycaemic control...
July 3, 2017: Primary Care Diabetes
https://www.readbyqxmd.com/read/28669625/clinical-risk-factors-predicting-genital-fungal-infections-with-sodium-glucose-cotransporter-2-inhibitor-treatment-the-abcd-nationwide-dapagliflozin-audit
#15
Ken Yan Thong, Mahender Yadagiri, Dennis Joseph Barnes, David Stuart Morris, Tahseen Ahmad Chowdhury, Ling Ling Chuah, Anthony Michael Robinson, Stephen Charles Bain, Karen Ann Adamson, Robert Elford John Ryder
INTRODUCTION: Treatment of type 2 diabetes with sodium-glucose cotransporter 2 (SGLT2) inhibitors may result in genital fungal infections. We investigated possible risk factors for developing such infections among patients treated with the SGLT2 inhibitor dapagliflozin. METHODS: The Association of British Clinical Diabetologists (ABCD) collected data on patients treated with dapagliflozin in routine clinical practice from 59 diabetes centres. We assessed possible associations of patient's age, diabetes duration, body mass index, glycated haemoglobin, renal function, patient sex, ethnicity and prior genital fungal infection, urinary tract infection, urinary incontinence or nocturia, with the occurrence of ≥1 genital fungal infection within 26 weeks of treatment...
June 29, 2017: Primary Care Diabetes
https://www.readbyqxmd.com/read/28663023/epidemiological-trends-and-direct-costs-of-diabetes-in-a-northern-italy-area-2012-health-administrative-records-analysis-lht-n-20-verona
#16
J Demurtas, N Alba, G Rigon, M V Nesoti, C Bovo, A Vaona
OBJECTIVE: This analysis estimates type 1 and type 2 diabetes direct costs in 2012, in terms of hospital care, outpatient visits, diagnostics and medications, in a local healthcare trust in Northern Italy (ULSS n.20 Verona). METHODS: The Johns Hopkins Adjusted Clinical Group (ACG(®)) System was used to analyze data, including hospital discharges, emergency room admissions, medical encounter records, disease registries, copayment exemptions, home care services, psychiatric services, rehabilitation services, and medications...
June 26, 2017: Primary Care Diabetes
https://www.readbyqxmd.com/read/28663022/the-impact-of-an-intervention-to-improve-diabetes-management-in-primary-healthcare-professionals-practices-in-brazil
#17
Michelly Georgia da Silva Marinho, Annick Fontbonne, Jessyka Mary Vasconcelos Barbosa, Heloisa de Melo Rodrigues, Eduardo Freese de Carvalho, Wayner Vieira de Souza, Eduarda Angela Pessoa Cesse
AIMS: To evaluate the results of a structured intervention in primary healthcare to improve type 2 diabetes management. METHODS: The intervention was implemented in 2011-2012 in two cities in the State of Pernambuco, Brazil, and evaluated in 2013 by interviewing healthcare professionals about their practices in all primary care facilities of these two cities (intervention group), and of two paired control cities (control group). Comparisons between the intervention and control groups were made using standard parametric tests...
June 26, 2017: Primary Care Diabetes
https://www.readbyqxmd.com/read/28663021/comparative-analysis-of-diabetes-self-management-education-programs-in-the-european-union-member-states
#18
Sarama Saha, Henna Riemenschneider, Gabriele Müller, Diane Levin-Zamir, Stephan Van den Broucke, Peter E H Schwarz
Diabetes self-management education (DSME) is generally considered as an integral part of diabetes care. The availability of different types of self-management in the European Union Member States (EUMS) remains uncertain. The aim of this study is to perform a comparative analysis of existing DSME programs (DSMEP) implemented in EUMS. Unpublished data regarding DSME in the EUMS was assessed with Diabetes Literacy Survey using wiki tool (WT) targeting patients and different stakeholders. An additional literature review (LR) was performed in PubMed to identify published studies regarding DSMEP in the EUMS from 2004 to 2014...
June 26, 2017: Primary Care Diabetes
https://www.readbyqxmd.com/read/28648964/factors-associated-with-prolonged-inaction-in-the-hypoglycaemic-treatment-in-people-with-non-insulin-dependent-type-2-diabetes-and-elevated-glycated-haemoglobin-a-registry-based-cohort-study
#19
Geert Goderis, Bert Vaes, Marjan Van den Akker, Steven Elli, Chantal Mathieu, Frank Buntinx, Séverine Henrard
AIMS: To assess factors associated with Prolonged Inaction (PI) in insulin-naïve patients with Type 2 Diabetes Mellitus (T2DM). PI was defined as the absence of treatment initiation or intensification for ≥12 months despite HbA1c >7% (53mmol/mol). METHODS: A retrospective cohort study was conducted based on data from Intego, a Flemish General Practice registry. The study period ranged from January 1, 2006 to December 31, 2013. Patients with insulin therapy before the start of the study period were excluded from the analysis...
June 22, 2017: Primary Care Diabetes
https://www.readbyqxmd.com/read/28648963/the-association-between-diabetes-level-of-glycaemic-control-and-eye-infection-cohort-database-study
#20
Abdus Samad Ansari, Simon de Lusignan, William Hinton, Neil Munro, Andrew McGovern
AIM: To examine whether diabetes and the degree of glycaemic control is associated with an increased risk of acute eye infection, and prescribing of ocular antimicrobial agents. DESIGN AND SETTING: A retrospective cohort study was carried out using the Royal College of General Practitioners Research and Surveillance Centre database (RCGP RSC), a large primary care database in the United Kingdom. We compared ocular infection rates in people aged ≥15 years without diabetes to those with diabetes, both type 1 and type 2...
June 22, 2017: Primary Care Diabetes
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