Evidence Update: Preventing type 2 diabetes at the population and community level

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With the rate at which new evidence is published, it’s impossible for guidelines or even systematic reviews to keep pace.  That’s why NICE Evidence Updates are so, err, nice!  They summarise what’s new in relation to existing NICE guidelines since they were published. The NICE guidance This Evidence Update relates to NICE guideline 35 on [read the full story…]

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More evidence needed for direct telephone support in diabetes care

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There’s lots of interest in how we can use the increasingly ubiquitous telephone to improve diabetes care.  It’s important that we apply the same rigorous tests to these interventions as we do to others, and don’t just assume that “new” means “better“. In resource-poor settings this is all the more important, as we have to [read the full story…]

NHS England: Action for Diabetes

Stethoscope on a keyboard

NHS England has announced a new strategy document for diabetes care, called Action for Diabetes.  The document is for Clinical Commissioning Groups (CCGs), to serve as a reference on the work that is going on across NHS England. It will also be of interest to the wider community interested in diabetes care to see what [read the full story…]

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Diabetes education is more effective if it’s culturally sensitive

Asian couple

Another one to file under “stating the obvious”, you might think. Sadly, it’s not that obvious, as many patients would attest. This is also evidenced by the recent randomised controlled trial (RCT) on giving diet and lifestyle advice to try to prevent diabetes.  The paper in the Lancet reported a reduction in body weight in [read the full story…]

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Collaborative Care improves outcomes for people with diabetes and depression

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Today, our cousin the Mental Elf has posted an important blog about the management of people with diabetes and depression. Around 20% of patients with diabetes meet diagnostic criteria for depression.  NICE guidelines state that Collaborative Care (CC) should form part of a well-developed stepped-care programme for people with moderate to severe depression and a [read the full story…]

Intensive glycaemic control does not reduce mortality in type 2 diabetes

Lots of different pills

More isn’t necessarily better.  This seems true in respect of glycaemic control in type 2 diabetes. More intensive control risks additional hypoglycaemia, where less intensive control risks long term complications. An updated Cochrane systematic review looked at the impact of tighter or intensive glycaemic control on overall mortality. Methods The reviewers searched bibliographic databases, the [read the full story…]

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A diet containing low fat dairy may reduce the risk of type 2 diabetes

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It has been suggested that dairy products might have a preventive effect against type 2 diabetes.  However, the results of observational studies looking at the correlation between the consumption of dairy and incidence of type 2 have been inconclusive. A new systematic review set out to combine the evidence from these different studies into an [read the full story…]

The views of black and ethnic minority patients on self-management of type 2 diabetes

Asian couple

People in black and minority ethnic (BME) groups have a higher risk of type 2 diabetes than the population as a whole and often experience difficulty in managing their condition. A recent systematic review looked at their experiences of self-management of type 2.  This information will be extremely valuable to those running services for BME [read the full story…]

New guideline for bariatric surgery in type 2 diabetes

A gastric band

Bariatric surgery is increasingly seen as an effective and cost-effective treatment for obesity.  There is even some evidence that it can reverse type 2 diabetes. The American Association of Clinical Endocrinologists (AACE) have co-produced a guideline for bariatric surgery that includes within its scope, its use in patients with type 2 diabetes. The guideline covers: [read the full story…]

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Systematic review finds that vitamin D intake in early life may be associated with a reduced risk of type 1 diabetes

Cod liver oil

Vitamin D is suspected of having a role in the development of type 1 diabetes.  Previous studies have been small-scale and inconclusive. Now we have a systematic review of the observational evidence about the relationship between consumption of Vitamin D in early life (or during pregnancy) and the risk of developing type 1 diabetes later [read the full story…]