Educational multimedia may improve care for people with type 2 diabetes

Pointing at a computer

Clinical question: In people with type 2 diabetes with low income, does providng educational multimedia, as compared with a printed  educational leaflet, lead to improvements in glycaemic control, self-care or diabetes knowledge? This randomised controlled trial set out to determine whether a multimedia educational package in the doctor’s waiting room could improve outcomes at 3 [read the full story…]

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Counselling did not prevent gestational diabetes

Taking a blood test during pregnancy

Clinical question: In women at risk of developing gestational diabetes, does a counselling programme focused on diet and exercise reduce the risk of progression? Gestational diabetes can usually be controlled through changes to diet and lifestyle.  This study looked at whether they can be prevent it from developing in the first place. The evidence The [read the full story…]

In type 2 diabetes, individualised education may be better than group education

An image of a doctor surrounded by patients.

It’s difficult to tell how education improves health.  If you education someone, they behave in a certain way, and it’s the behaviour that improves their health, not the education.  However, a properly controlled trial can investigate these matters, as long as there’s enough participants to enable randomisation to do its stuff and even out all [read the full story…]

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Podcast: no benefit for early detection of type 2 diabetes.

A blood sample

Current guidance on type 2 diabetes recommends a multifactorial approach to management, addressing diet, lifestyle, blood glucose, blood pressure and blood lipids.  Given this, should we screen people for type 2 diabetes and get an early start on managing these risk factors? A recent randomised trial assessed the effectiveness of early intensive multifactorial management on [read the full story…]

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Adults, type 1 diabetes: high HbA1c predicted benefit from pump therapy.

Insulin Pump with sensor

The STAR trial investigated the benefits of sensor-augmented pump therapy compared with multiple daily injections (MDI) in adults with type 1 diabetes. This report of results from the trial tries to identify features of the patients who were more likely to experience improved glycaemic control in both group.  This might help us to identify patients [read the full story…]

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Herbal supplements may improve glycemic control in type 2 diabetes

Picture of a sweet potato, or Ipomoea batatas

This systematic review identified nine studies of the effects of various herbal supplement on glycemic control in type 2 diabetes.  The reviewers found significant benefits for Ipomoea batatas (sweet potato), Silybum marianum (milk thistle), and Trigonella foenum-graecum (fenugreek). The reviewers found nine randomised trials with a total of 487 patients that reported HbA1c after at [read the full story…]

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