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Primary Care Diabetes

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https://www.readbyqxmd.com/read/28161128/point-of-care-testing-improves-diabetes-management-in-a-primary-care-clinic-in-south-africa
#1
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)...
February 1, 2017: Primary Care Diabetes
https://www.readbyqxmd.com/read/28132763/alternative-indices-of-glucose-homeostasis-as-biochemical-diagnostic-tests-for-abnormal-glucose-tolerance-in-an-african-setting
#2
Andre Pascal Kengne, Rajiv T Erasmus, Naomi S Levitt, Tandi E Matsha
AIMS: Accurate diabetes diagnosis is important in Africa, where rates are increasing, and the disease largely undiagnosed. The cumbersome oral glucose tolerance test (OGTT) remains the reference standard, while alternative diagnostic methods are not yet established in Africans. We assessed the ability of fasting plasma glucose (FPG), HbA1c and fructosamine, to diagnose OGTT-based abnormal glucose tolerance in mixed-ancestry South Africans. METHODS: Mixed-ancestry adults, residing in Cape Town were examined between February and November 2015...
January 26, 2017: Primary Care Diabetes
https://www.readbyqxmd.com/read/28131651/type-2-diabetes-and-its-correlates-in-a-first-nationwide-study-among-cypriot-adults
#3
Eleni Andreou, Dimitrios Papandreou, Photos Hajigeorgiou, Katia Kyriakou, Thalia Avraam, Georgia Chappa, Procopis Kallis, Christalleni Lazarou, Christiana Philippou, Christoforos Christoforou, Rebecca Kokkinofta, Christos Dioghenous, Savvas Savva, Antony Kafatos, Antonios Zampelas
Obesity rates in Cyprus are very high and epidemiological information on type 2 diabetes mellitus is limited. The correlates of type 2 diabetes among adults remain unknown in the Cypriot population. Thus, the purpose of this study is to provide the first national estimate of the prevalence of type 2 diabetes and investigate its correlates. A randomly stratified nationally sample of 1001 adults aged 18-80 participated in the study. Only 950 subjects completed the study. All subjects were free of any diseases (known diabetes, kidney, liver), medication and supplementation...
January 25, 2017: Primary Care Diabetes
https://www.readbyqxmd.com/read/28126469/antidiabetic-medications-use-trends-in-an-andalusian-region-from-2001-to-2014
#4
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)...
January 23, 2017: Primary Care Diabetes
https://www.readbyqxmd.com/read/28122691/depression-and-type-2-diabetes
#5
LETTER
Tomoyuki Kawada
No abstract text is available yet for this article.
January 22, 2017: Primary Care Diabetes
https://www.readbyqxmd.com/read/28122690/the-effect-of-the-bathe-interview-technique-on-the-empowerment-of-diabetic-patients-in-primary-care-a-cluster-randomised-controlled-study
#6
Selçuk Akturan, Çiğdem Apaydın Kaya, Pemra Cöbek Ünalan, Mehmet Akman
AIM: To investigate the effect of the BATHE therapeutic interview technique on the empowerment of diabetes mellitus patients in primary care. METHOD: A cluster randomised controlled study using the BATHE interview technique was conducted on diabetes mellitus patients in primary care. Physicians in the intervention group were trained in the BATHE interview technique and used it with their diabetic patients in addition to the usual care. In the control group physicians delivered only the usual care...
January 22, 2017: Primary Care Diabetes
https://www.readbyqxmd.com/read/28065677/multistrategic-approach-to-improve-quality-of-care-of-people-with-diabetes-at-the-primary-care-level-study-design-and-baseline-data
#7
Mariana Prestes, María Angelica Gayarre, Jorge Federico Elgart, Lorena Gonzalez, Enzo Rucci, Juan José Gagliardino
AIM: To test the one year-post effect of an integrated diabetes care program that includes system changes, education, registry (clinical, metabolic and therapeutic indicators) and disease management (DIAPREM), implemented at primary care level, on care outcomes and costs. METHODS: We randomly selected 15 physicians and 15 nurses from primary care units of La Matanza County to be trained (Intervention-IG) and another 15 physicians/nurses to use as controls (Control-CG)...
January 5, 2017: Primary Care Diabetes
https://www.readbyqxmd.com/read/28017576/clinical-correlates-of-persistently-elevated-liver-enzymes-in-type-2-diabetic-outpatients
#8
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...
December 22, 2016: Primary Care Diabetes
https://www.readbyqxmd.com/read/27916628/primary-care-visit-preparation-and-communication-for-patients-with-poorly-controlled-diabetes-a-qualitative-study-of-patients-and-physicians
#9
Richard William Grant, Andrea Altschuler, Connie Si Uratsu, Gabriela Sanchez, Julie Ann Schmittdiel, Alyce Sophia Adams, Michele Heisler
OBJECTIVE: The purpose of this study was to examine how patients with diabetes and their primary care physicians identify and discuss visit priorities prior to and during visits. METHODS: We conducted a qualitative study involving patients with diabetes (4 focus groups, n=29) and primary care physicians (6 provider practice meeting discussions, n=67). RESULTS: Four key themes related to prioritization were identified: 1) the value of identifying visit priorities before the visit; 2) challenges to negotiating priorities during the time-limited visit; 3) the importance of "non-medical" priorities; and 4) the need for strategies to help patients prepare for visits...
December 1, 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
#10
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/27914905/relationship-between-the-finnish-diabetes-risk-score-findrisc-vitamin-d-levels-and-insulin-resistance-in-obese-subjects
#11
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...
February 2017: Primary Care Diabetes
https://www.readbyqxmd.com/read/27727005/clinical-inertia-to-insulin-initiation-and-intensification-in-the-uk-a-focused-literature-review
#12
REVIEW
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...
February 2017: Primary Care Diabetes
https://www.readbyqxmd.com/read/27727004/a-colombian-diabetes-risk-score-for-detecting-undiagnosed-diabetes-and-impaired-glucose-regulation
#13
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...
February 2017: Primary Care Diabetes
https://www.readbyqxmd.com/read/27692850/hba1c-as-a-predictor-of-diabetes-after-gestational-diabetes-mellitus
#14
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...
February 2017: Primary Care Diabetes
https://www.readbyqxmd.com/read/27651320/diabetes-mortality-in-serbia-1991-2015-a-nationwide-study-a-joinpoint-regression-analysis
#15
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...
February 2017: Primary Care Diabetes
https://www.readbyqxmd.com/read/27633894/personalised-treatment-targets-in-type-2-diabetes-patients-the-dutch-approach
#16
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...
February 2017: Primary Care Diabetes
https://www.readbyqxmd.com/read/27595215/stages-of-change-concept-of-the-transtheoretical-model-for-healthy-eating-links-health-literacy-and-diabetes-knowledge-to-glycemic-control-in-people-with-type-2-diabetes
#17
Hsu-Min Tseng, Shu-Fen Liao, Yu-Ping Wen, Yuh-Jue Chuang
AIMS: Health literacy has been recognized as a key construct associated with clinical outcomes; however, few studies have explored the mechanism underlying the association. The transtheoretical model (TTM) has long been considered a useful conceptualization in the process of intentional behavior change. Stages of change lies at the heart of the TTM as studies of change have found that people move through a series of stages when modifying behavior. This study focuses on the role of knowledge and stages of change (SOC) as serial mediators linking health literacy to glycemic control...
February 2017: Primary Care Diabetes
https://www.readbyqxmd.com/read/27578488/resource-allocation-and-organisational-features-in-swedish-primary-diabetes-care-changes-from-2006-to-2013
#18
Rebecka Husdal, Andreas Rosenblad, Janeth Leksell, Björn Eliasson, Stefan Jansson, Lars Jerdén, Jan Stålhammar, Lars Steen, Thorne Wallman, Eva Thors Adolfsson
AIMS: To compare the resource allocation and organisational features in Swedish primary diabetes care for patients with type 2 diabetes mellitus (T2DM) between 2006 and 2013. METHODS: Using a repeated cross-sectional study design, questionnaires covering personnel resources and organisational features for patients with T2DM in 2006 and 2013 were sent to all Swedish primary health care centres (PHCCs) during the following year. In total, 684 (74.3%) PHCCs responded in 2006 and 880 (76...
February 2017: Primary Care Diabetes
https://www.readbyqxmd.com/read/27492797/help-seeking-behaviors-for-serious-psychological-distress-among-individuals-with-diabetes-mellitus-the-california-health-interview-survey-2011-2012
#19
Jinah K Shin, Eduard Poltavskiy, Tae Nyun Kim, Abdullah Hasan, Heejung Bang
AIM: To investigate patterns of and factors associated with help-seeking behaviors among individuals with diabetes mellitus (DM) and/or serious psychological distress (SPD). METHODS: The analysis was conducted with the California Health Interview Survey (CHIS) 2011-2012 of 40,803 adults. Logistic regression was used to examine the associations between the multiple facilitating/preventing factors and outcome, guided by the Andersen's Health Care Utilization Model...
February 2017: Primary Care Diabetes
https://www.readbyqxmd.com/read/27483996/diagnosed-diabetes-mellitus-and-in-hospital-stroke-mortality-in-a-major-sub-saharan-african-urban-medical-unit
#20
Alain Lekoubou, Nkoke Clovis, Anastase Dzudie, Andre Pascal Kengne
BACKGROUND: Estimates from developed countries show that early mortality after stroke is unaffected by diabetes status. Despite the high burden of both conditions in sub-Saharan Africa, data on the association between diabetes status and early mortality are lacking. OBJECTIVE: In a major referral hospital in the Capital city of Cameroon, among acute stroke patients diagnosed using the World Health Organization criteria, we compared mortality rates in patents with and without known diabetes...
February 2017: Primary Care Diabetes
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