New guidelines for the management of diabetic retinopathy

Retinopathy

The Canadian Ophthalmological Society has published new guidance for the management of diabetic retinopathy. The guideline provides explicit account of the methods used to identify and evaluate the evidence and arrive at consensus.  Recommendations for clinical practice are set apart from the text that describes the evidence. The guideline covers: Definitions of disease Epidemiologyof diabetes [read the full story…]

ACP guidance for treating type 2 diabetes with oral agents

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The American College of Physicians has issued updated guidance on managing type 2 diabetes with oral antidiabetic drugs (OADs). The guideline includes a systematic review of the evidence on efficacy regarding various comparisons of monotherapy and combined therapy. Scope: Methods Comparative Effectiveness of Type 2 Diabetes Medications on Intermediate Outcomes Comparative Effectiveness of Type 2 [read the full story…]

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Canadian guidelines for managing diabetic retinopathy

Retinopathy

The Canadian Journal of Opthalmology has recently published guidelines for managing diabetic retinopathy by the Canadian Ophthalmological Society. Coverage: Methodology Definitions Epidemiology Screening Telehealth and Teleophthalmology Risk Factors For And Prevention Of Progression Of Diabetic Retinopathy Treatment Modalities Pregnancy Neovascularization of The Iris Economic Considerations Support Appraisal hints: Does this guidance conform to AGREE principles? [read the full story…]

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New NICE guidance on preventing type 2 diabetes in high risk individuals

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The National Institute for Health and Clinical Excellence (NICE) has just published important guidance for everyone who is involved identifying people at high risk of type 2 diabetes and in preventing or delaying its onset. This includes GPs, nurses and other health professionals, as well as commissioners and managers within the NHS, local authorities and [read the full story…]

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Are diabetes guidelines valid for people with multiple conditions?

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Clinical practice guidelines tend to focus on diseases, not patients.  But what if, as is the case for more than 50% of people with a chronic condition, a patient has more than one thing wrong with them?  Is it safe to use the same tests or treatments?  Will they work in the same way?  Should [read the full story…]

Validated guidelines for diagnosing gestational diabetes

A pregnant woman

Gestational diabetes can cause serious complications for mother and baby.  Early detection and management of the condition is key to preventing harm.  But what if our diagnostic tools are not up to scratch? International Association of the Diabetes and Pregnancy Study Groups (IADPSG) Consensus Panel has recently issued an updated set of guidelines for diagnosing [read the full story…]