DVLA monitoring requirements for diabetic drivers

A lorry driver

The NPC published this evidence summary to clarify the position regarding driving and diabetes.  In addition to existing publications, the summary was based on direct correspondence between the NPC and the UK Driver and Vehicle Licencing Agency (DVLA).  It includes a summary of the position and Q&A section for health professionals. Clinical question: In drivers [read the full story…]

In type 2 diabetes not on insulin, SMBG does not significantly reduce HbA1c

Self testing of blood glucose

This meta-analysis of individual patient data looked at whether self-monitoring of blood glucose improved glycaemic control in people with type 2 diabetes not on insulin. Clinical question: In type 2 diabetes not on insulin, does SMBG as compared to usual care, improve glycaemic control? The review also looked for improvements in blood pressure and cholesterol. [read the full story…]

Self monitoring of blood glucose may reduce HbA1c in type 2 diabetes not on insulin

Self testing of blood glucose

An updated Cochrane systematic review found inconsistent evidence of benefit for self-monitoring of blood glucose (SMBG) in people with type 2 diabetes who do not use insulin. Clinical question: In type 2 diabetes not on insulin, does SMBG, as compared with usual care, reduce HbA1c? The reviewers also looked at adverse events (including hypoglycemia), quality [read the full story…]

Continuous glucose monitoring may be effective and safe in type 1 diabetes compared with SMBG

CGM monitor

Clinical question In patients with type 1 diabetes, does Continuous glucose monitoring (CGM) compared with self-management of blood glucose (SMBG) lead to an improvement in glycaemic control or a reduction in hypoglycemia? Methods Systematic review of randomised trials.  14 trials were found, comprising 1,268 participants. Bottom line Real-time CGM was associated with a 0.26% (95% [read the full story…]

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Continuous glucose monitoring may improve glycaemic control

CGM monitor

This systematic review of randomised trials found nine studies that investigated whether continuous glucose monitoring (CGM) compared with self-monitoring of blood glucose (SMBG) led to improved glycaemic control or a reduction in hypoglycaemic episodes. The reviewers combined the results of the study in a meta-analysis to measure the benefit of CGM compared with conventional treatment [read the full story…]

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An internet-based glucose monitoring system did not improve glycemic control in type 1 diabetes

This randomised trial in Pediatric Diabetes looked at whether sending blood glucose levels over the internet to carers resulted in better glycemic control among adolescents with type 1 diabetes. However, the trial only had 70 participants, and around one third did not comply with the intervention, rendering the results almost meaningless.  Although the authors carried [read the full story…]

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