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Primary Care Diabetes

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https://www.readbyqxmd.com/read/28420583/diabetes-medication-persistence-different-medications-have-different-persistence-rates
#1
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
#2
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...
April 7, 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
#3
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)...
April 7, 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
#4
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
#5
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
#6
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
#7
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
#8
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...
March 14, 2017: Primary Care Diabetes
https://www.readbyqxmd.com/read/28292571/health-literacy-and-quality-of-care-of-patients-with-diabetes-a-cross-sectional-analysis
#9
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...
March 11, 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
#10
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/28237628/trends-in-breast-cancer-incidence-among-women-with-type-2-diabetes-in-british-general-practice
#11
Heleen K Bronsveld, Paul J H L Peeters, Mark C H de Groot, Anthonius de Boer, Marjanka K Schmidt, Marie L De Bruin
AIMS: To quantify breast cancer incidence in women with type-2 diabetes and assess age-standardized trends in invasive breast cancer incidence over time and by age groups. METHODS: A population-based cohort study was conducted using the British general practice database (Clinical Practice Research Datalink) using data from 1989 to 2012. All adult women prescribed anti-hyperglycemic medication were selected and matched (1:1) on age and clinical practice to a reference cohort without diabetes...
February 22, 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
#12
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/28222959/clinical-inertia-time-to-reappraise-the-terminology
#13
EDITORIAL
Kamlesh Khunti, Melanie J Davies
No abstract text is available yet for this article.
April 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
#14
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...
April 2017: Primary Care Diabetes
https://www.readbyqxmd.com/read/28131651/type-2-diabetes-and-its-correlates-in-a-first-nationwide-study-among-cypriot-adults
#15
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...
April 2017: Primary Care Diabetes
https://www.readbyqxmd.com/read/28122691/depression-and-type-2-diabetes
#16
LETTER
Tomoyuki Kawada
No abstract text is available yet for this article.
April 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
#17
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...
April 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
#18
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)...
April 2017: 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
#19
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...
April 2017: 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
#20
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...
April 2017: Primary Care Diabetes
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