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Primary Care Diabetes

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https://www.readbyqxmd.com/read/29102500/medicare-utilization-screening-and-costs-among-participants-in-the-southeastern-diabetes-initiative-a-population-based-evaluation
#1
Courtney H Van Houtven, Melissa A Greiner, Brooke Heidenfelder, Susan E Spratt, Bradi B Granger, Ashley A Dunham, Laura G Qualls, Lesley H Curtis
AIMS: Type 2 diabetes mellitus imposes significant burdens on patients and health care systems. Population-level interventions are being implemented to reach large numbers of patients at risk of or diagnosed with diabetes. We describe a population-based evaluation of the Southeastern Diabetes Initiative (SEDI) from the perspective of a payer, the Centers for Medicare & Medicaid Services (CMS). The purpose of this paper is to describe the population-based evaluation approach of the SEDI intervention from a Medicare utilization and cost perspective...
November 1, 2017: Primary Care Diabetes
https://www.readbyqxmd.com/read/29100717/primary-care-physician-perspectives-on-basal-insulin-initiation-and-maintenance-in-patients-with-type-2-diabetes-mellitus
#2
Samaneh Kalirai, Judith Stephenson, Magaly Perez-Nieves, Michael Grabner, Irene Hadjiyianni, Caroline Geremakis, Roy Daniel Pollom, Beverly Reed, Lawrence Fisher
AIMS: To describe primary care physicians' (PCPs) perceptions of patient reactions and concerns about insulin initiation and identify opportunities for increased support. METHODS: Cross-sectional, online survey of PCPs prescribing basal insulin to adults with type 2 diabetes mellitus (T2DM). PCPs were identified from administrative claims of a large commercial health plan and descriptive results of PCP responses were reported. RESULTS: PCPs (N=100) treated an average of 17 patients receiving insulin during a typical week...
October 31, 2017: Primary Care Diabetes
https://www.readbyqxmd.com/read/29089247/factors-associated-with-non-adherence-among-type-2-diabetic-patients-in-primary-care-setting-in-eastern-bosnia-and-herzegovina
#3
Olga Horvat, Jelena Popržen, Ana Tomas, Milica Paut Kusturica, Zdenko Tomić, Ana Sabo
AIMS: The aims of this study were to assess patients' non-adherence and associated factors to antidiabetic medication in the primary care setting in the eastern part of Bosnia and Herzegovina (BiH). METHODS: We conducted a retrospective chart review of 323 patients with type 2 diabetes mellitus (T2DM) attending the primary health care center of the Foča municipality in eastern part of BiH and measured adherence to antidiabetic medication. Adherence was measured using a pill count method...
October 28, 2017: Primary Care Diabetes
https://www.readbyqxmd.com/read/29029862/hidden-dangers-revealed-by-misdiagnosed-diabetic-neuropathy-a-comparison-of-simple-clinical-tests-for-the-screening-of-vibration-perception-threshold-at-primary-care-level
#4
Kurt Azzopardi, Alfred Gatt, Nachiappan Chockalingam, Cynthia Formosa
AIM: Diabetic peripheral neuropathy is an important complication and contributes to the morbidity of diabetes mellitus. Evidence indicates early detection of diabetic peripheral neuropathy results in fewer foot ulcers and amputations. The aim of this study was to compare different screening modalities in the detection of diabetic peripheral neuropathy in a primary care setting. METHOD: A prospective non-experimental comparative multi-centre cross sectional study was conducted in various Primary Health Centres...
October 10, 2017: Primary Care Diabetes
https://www.readbyqxmd.com/read/28993141/therapeutic-inertia-amongst-general-practitioners-with-interest-in-diabetes
#5
Samuel Seidu, Tun Than, Deb Kar, Amrit Lamba, Pam Brown, Azhar Zafar, Rizwan Hussain, Ahmed Amjad, Mathew Capehorn, Elizabeth Martin, Kevin Fernando, Jim McMoran, David Millar-Jones, Shahzada Kahn, Nigel Campbell, Richard Brice, Rahul Mohan, Mukesh Mistry, Naresh Kanumilli, Joan St John, Richard Quigley, Colin Kenny, Kamlesh Khunti
INTRODUCTION: As the therapeutic options in the management of type 2 diabetes increase, there is an increase confusion among health care professionals, thus leading to the phenomenon of therapeutic inertia. This is the failure to escalate or de-escalate treatment when the clinical need for this is required. It has been studied extensively in various settings, however, it has never been reported in any studies focusing solely on primary care physicians with an interest in diabetes. This group is increasingly becoming the focus of managing complex diabetes care in the community, albeit with the support from specialists...
October 6, 2017: Primary Care Diabetes
https://www.readbyqxmd.com/read/28988658/impact-of-depression-and-or-anxiety-on-the-presentation-of-cardiovascular-events-in-a-cohort-with-metabolic-syndrome-strex-project-five-years-of-follow-up
#6
Yolanda Ortega, Enric Aragonès, Josep L Piñol, Josep Basora, Alvaro Araujo, Juan J Cabré
OBJECTIVES: To determine the role of anxiety and depression on the incidence of cardiovascular events (CVE) in a Catalonian population with metabolic syndrome (MetS) over a five-year follow-up according to the number/type of MetS criteria. METHODS: Prospective study to determine the incidence of CVE according to the presence of anxiety and depression disorders among individuals with different combinations of clinical traits of the MetS. SETTING: Primary Care, Catalonia (Spain)...
October 4, 2017: Primary Care Diabetes
https://www.readbyqxmd.com/read/28965886/extended-honeymoon-period-in-a-type-1-diabetic-child-by-iranian-traditional-medicine-treatments-a-case-report
#7
Zahra Aghanouri, Mansour Siavash, Hafizollah Mombeini, Maryam Monfared, Mortaza Mojahedi, Reza Ilkhani
We present a 4-year-old newly diagnosed T1DM boy who presented with sever polyuria and polydipsia and HbA1C of 9.3%. Coincident with onset of ITM program insulin doses were tapered and the baby got free from insulin soon. Only three months after traditional anti-diabetic medications, his HbA1C improved to 5.8%.
September 28, 2017: Primary Care Diabetes
https://www.readbyqxmd.com/read/28964673/resources-and-organisation-in-primary-health-care-are-associated-with-hba1c-level-a-nationwide-study-of-230958-people-with-type-2-diabetes-mellitus
#8
Rebecka Husdal, Andreas Rosenblad, Janeth Leksell, Björn Eliasson, Stefan Jansson, Lars Jerdén, Jan Stålhammar, Lars Steen, Thorne Wallman, Ann-Marie Svensson, Eva Thors Adolfsson
AIMS: To examine the association between personnel resources and organisational features of primary health care centres (PHCCs) and individual HbA1c level in people with Type 2 diabetes mellitus (T2DM). METHODS: People with T2DM attending 846 PHCCs (n=230958) were included in this cross-sectional study based on PHCC-level data from a questionnaire sent to PHCCs in 2013 and individual-level clinical data from 2013 for people with T2DM reported in the Swedish National Diabetes Register, linked to individual-level data on socio-economic status and comorbidities...
September 27, 2017: Primary Care Diabetes
https://www.readbyqxmd.com/read/28964672/predictors-of-undiagnosed-prevalent-type-2-diabetes-the-danish-general-suburban-population-study
#9
Andreas Heltberg, John Sahl Andersen, Håkon Sandholdt, Volkert Siersma, Jakob Kragstrup, Christina Ellervik
AIMS: To investigate how self-reported risk factors (including socioeconomic status) predict undiagnosed, prevalent type 2 diabetes mellitus (T2DM). To externally validate Leicester Risk Assessment Score (LRAS), Finnish Diabetes Risk Score (FINDRISC) and Danish Diabetes Risk Score (DDRS), and to investigate how these predict a European Heart SCORE≥5% in a Danish population study. METHODS: We included 21,205 adults from the Danish General Suburban Population Study...
September 27, 2017: Primary Care Diabetes
https://www.readbyqxmd.com/read/28941578/hypoglycaemia-in-the-over-75s-understanding-the-predisposing-factors-in-type-2-diabetes-t2dm
#10
Adrian Hugh Heald, Simon George Anderson, Gabriela Janet Cortes, Videlina Cholokova, Marcos Narajos, Adnan Khan, Gemma Donnahey, Mark Livingston
INTRODUCTION: Hypoglycaemia has been recognised as a problem in the treatment for type 2 diabetes. Here we describe how levels of HbA1C and treatment with a sulphonylurea or insulin relate to risk of significant hypoglycaemia. METHODS: Incident hypoglycaemia as recorded for the previous 10 years was determined from the GP records for patients with T2DM aged 75 years or more. RESULTS: The anonymised GP records of 5974 T2DM patients (2934 men and 3040 women) aged 75 years or more were analysed...
September 20, 2017: Primary Care Diabetes
https://www.readbyqxmd.com/read/28919055/antimicrobial-resistance-in-women-with-urinary-tract-infection-in-primary-care-no-relation-with-type-2-diabetes-mellitus
#11
Johanna E M Vinken, Helen E Mol, Theo J M Verheij, Sanne van Delft, Marion Kolader, Miquel B Ekkelenkamp, Guy E H M Rutten, Berna D L Broekhuizen
AIMS: To determine if type 2 diabetes mellitus (T2DM) is associated with the spectrum of uropathogens and antimicrobial resistance in urinary tract infections (UTI) in primary care. METHODS: A cross-sectional study in female outpatients ≥30 years with positive urine cultures. T2DM patients were 1:1 matched to controls by age group and general practitioner (GP). GPs were sent questionnaires for additional data. Uropathogens and resistance patterns were compared between patients with and without T2DM...
September 14, 2017: Primary Care Diabetes
https://www.readbyqxmd.com/read/28918199/psychosocial-barriers-to-healthcare-use-among-individuals-with-diabetes-mellitus-a-systematic-review
#12
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
#13
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/29150012/rethinking-the-accuracy-of-75g-glucose-used-in-the-oral-glucose-tolerance-test-in-the-diagnosis-and-management-of-diabetes
#14
Sun Hee Kim, Tae Sun Park, Heung Yong Jin
AIMS: We investigated the specificity of the 75g oral glucose tolerance test (OGTT) and the clinical usefulness of the 2h post loading glucose (2h PLG) value in the clinical care of diabetes patients. METHODS: The 75g OGTT data of 1755 subjects were analyzed. The relationships and degrees of consistency among 2h PLG, fasting plasma glucose (FPG), and HbA1c values were assessed. We also investigated the degree of contribution of 2h PLG in the prescription of glucose-lowering agents and in the pitfall group for use of 75g OGTT...
December 2017: Primary Care Diabetes
https://www.readbyqxmd.com/read/28705697/overcoming-clinical-inertia-in-insulin-initiation-in-primary-care-for-patients-with-type-2-diabetes-24-month-follow-up-of-the-stepping-up-cluster-randomised-controlled-trial
#15
Jo-Anne Manski-Nankervis, John Furler, David O'Neal, Louise Ginnivan, Sharmala Thuraisingam, Irene Blackberry
AIM: To examine the two-year impact of Stepping Up, a general practice based model of care intervention for insulin initiation and titration in Australia. METHODS: 266 participants from 74 general practices participated in the Stepping Up cluster randomised controlled trial between 2012-2014. Control practices received training in the model of care on completion of the 12-month trial. Patients were followed for 24 months. Participant baseline characteristics, insulin and non-insulin medication use were summarised for each study group...
October 2017: Primary Care Diabetes
https://www.readbyqxmd.com/read/28583425/dapagliflozin-therapy-for-type-2-diabetes-in-primary-care-changes-in-hba1c-weight-and-blood-pressure-over-2-years-follow-up
#16
J Wilding, C Bailey, U Rigney, B Blak, M Kok, C Emmas
AIMS: To investigate prescribing patterns and effect of dapagliflozin among individuals with T2DM using UK primary care data. METHODS: Adult patients with T2DM initiating dapagliflozin treatment were identified from the Clinical Practice Research Datalink. Changes in HbA1c, body weight and systolic blood pressure were assessed in subgroups defined by glucose lowering treatment at baseline and compliance with the Summary of Product Characteristics. Logistic regression examined the association of baseline characteristics with achievement of target HbA1c (≤53mmol/mol) and weight reduction (by ≥3...
October 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
#17
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
#18
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
#19
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
#20
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
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