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2014 evidence based guideline for the management diabetes

Kazuomi Kario
Asians have specific characteristics of hypertension and related cardiovascular disease. Stroke is more common than coronary artery disease in Eastern Asian countries, while the coronary artery disease is more common than stroke in Western countries. The association slope between higher blood pressure (BP) and the risk of cardiovascular events is steeper in Asians than in Caucasians. This may partly explained by the recent result demonstrating that the morning BP surge in Asians is more extended (Hoshide, Kario, Parati et al...
September 2016: Journal of Hypertension
Kazuomi Kario
Asians have specific characteristics of hypertension and related cardiovascular disease. Stroke is more common than coronary artery disease in Eastern Asian countries, while the coronary artery disease is more common than stroke in Western countries. The association slope between higher blood pressure (BP) and the risk of cardiovascular events is steeper in Asians than in Caucasians. This may partly explained by the recent result demonstrating that the morning BP surge in Asians is more extended (Hoshide, Kario, Parati et al...
September 2016: Journal of Hypertension
Ohad Cohen, William Valentine
BACKGROUND: Continuous subcutaneous insulin infusion (CSII) is used less for type 2 than for type 1 diabetes because of inconsistencies in evidence of effectiveness. We reviewed published guidelines on intensive insulin therapy in type 2 diabetes to assess whether updating of guidance is needed with respect to evidence used and recommendations for CSII in diabetes management. METHODS: A literature review was performed to identify published national and international guidelines on type 2 diabetes management...
November 2016: Journal of Diabetes Science and Technology
Shi-Jun Xia, Xin Du, Chao Li, Jia-Hui Wu, Ri-Bo Tang, San-Shuai Chang, Xue-Yuan Guo, Rong-Hui Yu, De-Yong Long, Rong Bai, Nian Liu, Cai-Hua Sang, Song-Nan Li, Xiao-Hui Liu, Jian-Hong Pan, Jian-Zeng Dong, Gregory Y H Lip, Chang-Sheng Ma
BACKGROUND: Atrial fibrillation (AF) is associated with increased incidence of cardiovascular disease, and hence, statin therapy is indicated in majority of AF patients. METHODS AND RESULTS: We analyzed data from the Chinese Atrial Fibrillation Registry (CAFR) involving 11,496 AF patients from 2011 to 2014. Practice patterns of statin therapy and factors associated with statin underuse were analyzed. Based on the 2013 ACC/AHA cholesterol management guidelines, statins should be recommended for 67...
October 1, 2016: International Journal of Cardiology
Stephanie L Shimada, Jeroan J Allison, Amy K Rosen, Hua Feng, Thomas K Houston
BACKGROUND: Personal health records (PHRs) have the potential to improve patient self-management for chronic conditions such as diabetes. However, evidence is mixed as to whether there is an association between PHR use and improved health outcomes. OBJECTIVE: The aim of this study was to evaluate the association between sustained use of specific patient portal features (Web-based prescription refill and secure messaging-SM) and physiological measures important for the management of type 2 diabetes...
2016: Journal of Medical Internet Research
Joshua Schulman-Marcus, Dmitriy N Feldman, Sunil V Rao, Abhiram Prasad, Lisa McCoy, Kirk Garratt, Luke K Kim, Robert M Minutello, Shing-Chiu Wong, Amit N Vora, Harsimran S Singh, Daniel Wojdyla, Amr Mohsen, Geoffrey Bergman, Rajesh V Swaminathan
IMPORTANCE: Many patients undergo cardiac catheterization and/or percutaneous coronary intervention (PCI) before noncardiac surgery even though these procedures are not routinely indicated. Data on this cohort of patients are limited. OBJECTIVE: To describe the characteristics, angiographic findings, and treatment patterns of clinically stable patients undergoing cardiac catheterization and/or PCI before noncardiac surgery in a large national registry. DESIGN, SETTING, AND PARTICIPANTS: This study is a retrospective, descriptive analysis of National Cardiac Data Registry CathPCI Registry diagnostic catheterization and PCI data from July 1, 2009, through December 31, 2014...
May 1, 2016: JAMA Internal Medicine
Jian Wu, Xiaofang Li, Yao Song, Hui Shao, Qian Shi, Doudou Qin, Shuangbao Xie, Lizheng Shi
BACKGROUND: The strategy of health policy has been changed for improving the performances to meeting the increasing healthcare demands. However, limited evidences were found to prove that the bundled payment was valid for service delivering in public sector. This study was designed to evaluate the effectiveness of a bundled policy on strengthening the county-village communication and improving the quality of chronic disease management. METHODS: This is a retrospective cohort study using the data collected in 2011, 2012 and 2014 from the Rural Health Development Project in China...
2016: International Journal for Equity in Health
Marten A Lantinga, Niek F Casteleijn, Alix Geudens, Ruud G L de Sévaux, Sander van Assen, Anna M Leliveld, Ron T Gansevoort, Joost P H Drenth
BACKGROUND: Renal cyst infection is one of the complications faced by patients with autosomal dominant polycystic kidney disease (ADPKD). Cyst infection is often difficult to treat and potentially leads to sepsis and death. No evidence-based treatment strategy exists. We therefore performed a systematic review to develop an effective approach for the management of renal cyst infection in ADPKD patients based on the literature. METHODS: A systematic search was performed in PubMed (January 1948-February 2014), EMBASE (January 1974-February 2014) and the Cochrane Library (until February 2014) according to the PRISMA guidelines...
January 29, 2016: Nephrology, Dialysis, Transplantation
Bruno Rushforth, Carolyn McCrorie, Liz Glidewell, Eleanor Midgley, Robbie Foy
BACKGROUND: Despite the availability of evidence-based guidance, many patients with type 2 diabetes do not achieve treatment goals. AIM: To guide quality improvement strategies for type 2 diabetes by synthesising qualitative evidence on primary care physicians' and nurses' perceived influences on care. DESIGN AND SETTING: Systematic review of qualitative studies with findings organised using the Theoretical Domains Framework. METHOD: Databases searched were MEDLINE, Embase, CINAHL, PsycInfo, and ASSIA from 1980 until March 2014...
February 2016: British Journal of General Practice: the Journal of the Royal College of General Practitioners
Lisa A Owens, Aoife M Egan, Louise Carmody, Fidelma Dunne
We examined the cumulative impact of interventions in pregnant women with pre-gestational diabetes, including guidelines, pre-pregnancy care, an app, and a web site. We recorded decrease in HbA1C, congenital malformations, and stillbirths.
April 2016: Journal of Clinical Endocrinology and Metabolism
Kazuomi Kario
The Japanese Society of Hypertension (JSH) published the new JSH guidelines for the management of hypertension in 2014, which is the revision of the JSH guidelines of 2009. The primary objective of the guideline is to provide physicians the standard treatment strategy of hypertension to prevent the hypertension-related target organ damage and cardiovascular events. The management of hypertension should be performed in hypertensive patients with a blood pressure of ≥140/90 mm Hg. As Asians have a higher prevalence of stroke than of coronary artery disease and stroke is more steeply associated with the level of blood pressure, the target blood pressure should be lower than 130/80 mm Hg for high-risk patients such as those with diabetes or chronic kidney disease...
May 2015: Pulse (Basel, Switzerland)
Hao-Min Cheng, Chern-En Chiang, Chen-Huan Chen
The prevalence rate of hypertension in Asian countries grows faster than in other parts of the world, where stroke exceeds coronary heart disease in causing morbidities and mortalities. The optimal management of hypertension is therefore an especially important task in Asia. In a transparent and rigorous guideline development process, the most updated information available on the management of hypertension was summarized in the 2015 Taiwan Society of Cardiology (TSOC)/Taiwan Hypertension Society (TSH) hypertension guideline...
May 2015: Pulse (Basel, Switzerland)
Kelli Hale, Sandra Capra, Judith Bauer
BACKGROUND: This paper presents an approach to assist health professionals in recommending high quality apps for supporting chronic disease self-management. Most app reviews focus on popularity, aesthetics, functionality, usability, and information quality. There is no doubt these factors are important in selecting trustworthy apps which are appealing to users, but behavioral theory may be also be useful in matching the apps to user needs. OBJECTIVE: The framework developed aims to be methodologically sound, capable of selecting popular apps which include content covered by evidence-based programs, consistent with behavioral theory, as well as a patient-centered approach for matching apps to patients' individual needs...
2015: JMIR MHealth and UHealth
Mahmoud Werfalli, Peter Raubenheimer, Mark Engel, Nasheeta Peer, Sebastiana Kalula, Andre P Kengne, Naomi S Levitt
INTRODUCTION: Globally, an estimated 380 million people live with diabetes today--80% in low-income and middle-income countries. The Middle East, Western Pacific, Sub-Saharan Africa and South-East Asia remain the most affected regions where economic development has transformed lifestyles, people live longer and there is an increase in the adult population. Although peer support has been used in different conditions with varied results, yet there is limited evidence to date supporting its effectiveness, particularly for individuals with diabetes...
2015: BMJ Open
Michael D Miedema, Faye L Lopez, Michael J Blaha, Salim S Virani, Josef Coresh, Christie M Ballantyne, Aaron R Folsom
The recent 2014 Evidence-Based Guideline for the Management of High Blood Pressure in Adults from the Eight Joint National Committee Panel may significantly affect the aging US population. We performed a cross-sectional analysis of black and white participants in Atherosclerosis Risk in Communities who participated in the fifth study visit (2011-2013). Sitting blood pressure was calculated from the average of 3 successive readings taken after a 5-minute rest. Currently, prescribed antihypertensive medications were recorded by reviewing medication containers brought to the visit...
September 2015: Hypertension
Joel Handler
The 2014 Kaiser Permanente Care Management Institute National Hypertension Guideline was developed to assist primary care physicians and other health care professionals in the outpatient treatment of uncomplicated hypertension in adult men and nonpregnant women aged 18 years and older. A major practice change is the recommendation for goal systolic blood pressure less than 150 mmHg in patients aged 60 years and older who are treated for hypertension in the absence of diabetes or chronic kidney disease. This article describes the reasons for, evidence for, and consequences of the change, and includes the guideline...
2015: Permanente Journal
Abdul Hamid Zargar
The discovery of insulin by Banting and Best in 1922 changed the landscape of type 1 diabetes mellitus (T1DM). Guidelines on T1DM should be evidence based and should emphasize comprehensive risk management. Guidelines would improve awareness amongst governments, state health care providers and the general public about the serious long-term implications of poorly managed diabetes and of the essential resources needed for optimal care. T1DM requires lifelong daily medication, regular control as well as access to facilities to manage acute and chronic complications...
April 2015: Indian Journal of Endocrinology and Metabolism
Anurag Markanday
The diabetic foot infection remains a major cause of morbidity and mortality in many patients and remains a challenging diagnosis for most clinicians. Diagnosis is largely based on clinical signs supplemented by various imaging tests. Magnetic resonance imaging (MRI) is not readily available to many clinicians, and bone biopsy, which is the accepted criterion standard for diagnosis, is rarely performed routinely. This evidence-based review and the proposed diagnostic scoring pathway substratifies the current International Working Group on the Diabetes Foot guidelines for diagnosing diabetic foot osteomyelitis into a convenient 2-step diagnostic pathway for clinicians...
September 2014: Open Forum Infectious Diseases
José Javier Mediavilla Bravo
In the last few years, the publication of new studies in diabetes, together with the development of new classes of blood glucose-lowering medications, have led to updates of the most prestigious clinical practice guidelines for the treatment of diabetes. Thus, a consensus statement from the American Diabetes Association and the European Association for the Study of Diabetes on the management of hyperglycemia in type 2 diabetes was published in April 2012. An update of one of the evidence-based guidelines issued by the Canadian Diabetes Association appeared in 2013 and this year, 2014, saw the publication of the consensus document of the redGDPS, whose guidelines are those most closely followed by primary care physicians in Spain...
September 2014: Semergen
Hazel Forde, Monica Marshall, Damian Cohall, Anders Lassen Nielsen
PURPOSE: The purpose of our study was to assess the success in the public primary health care clinics in Barbados, a developing nation with a predominantly Afro-Caribbean population, of achieving the targets for the management of type 2 diabetes (T2D) set by local guidelines introduced in 2006. The targets are: A1C < 6.5% (48 mmol/mol), blood pressure (BP) ≤130/80 mm Hg and LDL cholesterol < 1.8 mmol/L. METHODS: A retrospective descriptive chart review of 499 (317 females, 182 males) T2D patients using random quota sampling...
2014: Ethnicity & Disease
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