Review: the effect of exercise on HbA1c in type 1 diabetes is still uncertain

Runners

Existing recommendations for exercise in diabetes are based largely on evidence from the general population or from people with type 2 diabetes.  This systematic review set out to look specifically at the effect of exercise on glycaemic control among people with type 1 diabetes. Clinical question In people with type 1 diabetes, does exercise improve [read the full story…]

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Review finds weak evidence favouring moderate blood sugar targets in diabetic women during pregnancy

Taking a blood test during pregnancy

Women with diabetes are known to have a higher risk of adverse pregnancy outcomes, including birth defects and pre-eclampsia, compared with non-diabetic women. NICE recommends that pregnant diabetic women aim for a fasting blood glucose between 3.5 and 5.9 mmol/litre and 1-hour postprandial blood glucose below 7.8 mmol/litre. However, this guidance was issued in 2008 and is [read the full story…]

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Review: insulin pumps may improve quality of life and glycaemic control in adults with type 1 diabetes

pump

What are the benefits of insulin pumps compared with multiple daily injections of insulin?  This report by the US Agency for Healthcare Quality and Research summarises what the evidence says. Clinical question: In diabetics using insulin, does continuous subcutaneous insulin infusion (CSII), compared with multiple daily injections (MDI), improve quality of life or glycaemic control? The [read the full story…]

Better evidence needed on the effectiveness of tailored interventions on self-management type 2 diabetes

A doctor and patient discuss medicines

This systematic review set out to establish whether treatment interventions that systematically tailor care according to an individual patient’s characteristics and objectives are more effective than usual care at influencing self-management behaviour. Clinical question: In type 2 diabetes, do tailored interventions improve self-management? The reviewers also looked at tailored interventions on self-management of hypertension and [read the full story…]