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

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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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Moderate physical activity is associated with lower mortality in people with diabetes

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Physical exercise is beneficial to everyone, with or without diabetes. But how much actual benefit accrues from it?  A recent paper  measured the association between physical activity and mortality in diabetes. Clinical question: In people with diabetes, does physical activity reduce the risk of premature death? The evidence This paper reports the findings of a [read the full story…]

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

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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…]

Absence of evidence on whether exercise can prevent gestational diabetes

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Research has shown that light to moderate exercise during pregnancy is beneficial for mother and baby alike.  It has also been shown to prevent type 2 diabetes in men and non-pregnant women.  This Cochrane review looked at whether it can prevent diabetes in pregnant women. Clinical question: In pregnant women, does exercise prevent gestational diabetes? [read the full story…]