More evidence needed on the benefits of CGM in children with type 1 and adults with type 2

SMBG

Previous systematic reviews and meta-analyses have failed to turn up clear evidence on the benefits and harms of continuous glucose monitoring (CGM) in children with type 1 diabetes and insulin-using patients with type 2 diabetes. This systematic review set out to update this state of affairs in the light of recent studies. In children with [read the full story…]

The Diabetes Elf is coming out of hibernation

Lock up your goblins!  The snow may still be on the ground, but it’s time for the Diabetes Elf to come out of his hibernation and get busy with the evidence. Thanks for your patience! What is The Diabetes Elf? The Diabetes Elf highlights important new evidence in diabetes care as it arises in journals, [read the full story…]

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Greater whole grain intake is associated with a lower risk of type 2 diabetes

Whole Grain

This systematic review set out to establish whether whole grains specifically contribute to a reduction in the risk of developing type 2 diabetes. Clinical question: In healthy indivduals, is consumption of whole grains associated with a reduced risk of type 2 diabetes. The reviewers were also interested in the effects on cardiovascular disease and weight. [read the full story…]

Disease management programmes may improve glycaemic control

A female doctor talking to a patient

Disease management programmes are multi-faceted interventions to improve standards of care.  Diabetes disease management often comprises a combination of patient education, psychological support, lifestyle support, self-monitoring and telemedicine.  This review looked at how effective they are at controlling blood sugar levels. Clinical question: In diabetes care, do disease management programmes lead to better glycaemic control? [read the full story…]

E-health may help to improve self-care in diabetes, but more research is still needed

Keyboard with health icons on the keys

E-health offers tremendous potential to improve self-management of diabetes.  The Centre for Reviews and Dissemination (CRD) has recently published an appraisal of a systematic review into the use of e-health in diabetes and other chronic conditions. Clinical question: In people with diabetes, do e-health interventions improve self-management? The reviewers looked at the use of interactive [read the full story…]

Hyaluric acid derivatives may promote healing of diabetic foot ulcers

Diabetic foot ulcer

A recent systematic review looked at whether hyaluronic acid derivatives can be effective in dressings to promote wound healing. Clinical question: In people with burns or surgical or chronic wounds, do hyaluronic acid derivatives improve healing? The outcomes of interest were the percentage of patients whose wounds healed completely and the reduction in wound size. [read the full story…]

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What is “culturally competent” diabetes education and is it effective?

Asian couple

Previous research has shown that structured diabetes education improves outcomes, and that education that is particularised to an individual patient’s cultural background is more effective than education that is not. This systematic review set out to identify what factors constitute “culturally competent” education, and what their long-term effects are. Clinical question: In ethnic minority patients [read the full story…]

Bariatric surgery improved HbA1c in obese type 2 diabetes with BMI < 35

A gastric band

A number of recent studies have found that bariatric surgery can improve diabetes or even reverse it.  This meta-analysis looked at its use in people with type 2 diabetes who are obese but not severely obese. Clinical question: In obese type 2 diabetics with BMI < 35, does bariatric surgery reduce improve glycaemic control? The [read the full story…]

TZDs may prevent type 2 diabetes

A colourful selection of pills

The Centre for Reviews and Dissemination (CRD) published an appraisal of a systematic review of drug interventions to prevent type 2 diabetes. Clinical question: In high risk patients do oral antidiabetic drugs prevent progression to type 2 diabetes? The scope included thiazolidinediones, biguanides, alpha-glucosidase inhibitors, sulphonylureas, glinides and dipeptidyl peptidase-4 inhibitors. The evidence: The reviewers [read the full story…]

Review: biphasic insulin was better than basal insulin in type 2 diabetes

Adjusting the dose

We report on a critical appraisal by the Centre for Reviews and Dissemination (CRD) of a systematic review of insulin regimens in type 2 diabetes. Clinical question: In type 2 diabetes inadequately controlled with oral agents, does biphasic insulin, compared with basal insulin, lead to better glycaemic control? The review defined the proportion of patients [read the full story…]