Search Results for: hypoglycaemia

Possible benefits of insulin pumps compared with multiple daily injections

Possible benefits of insulin pumps compared with multiple daily injections

An appraisal of a 2010 systematic review of continuous subcutaneous insulin infusion (CSII, or insulin pumps) has been published in DARE. Research question: In diabetes, does CSII as compared with multiple daily injections (MDI), improve the clinical or cost-effectiveness of care? The review included both adults and children with type 1 or type 2 diabetes.  …

Possible benefits of insulin pumps compared with multiple daily injections Read More »

exercise on HbA1c in type 1 diabetes

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

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 …

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

experiences of stigma associated with diabetes

Review: experiences of stigma associated with diabetes

People with diabetes often experience stigma in association with the disease.  However, this is an under-researched area compared with stigma associated with other conditions.  Therefore this narrative review is particularly welcome. The review encompasses stigma enacted by others, stigma that is perceived by people with diabetes, and internalized stigma or “self-stigma”. Causes of stigma Often, …

Review: experiences of stigma associated with diabetes Read More »

Pre-pregnancy care for diabetic women

Pre-pregnancy care for diabetic women substantially reduces the risk of foetal malformations or death

Maternal diabetes can be a cause of congenital malformations and death in infants.  Diabetic mothers planning pregnancy need to be able to minimise these risks through good information, advice and care.  What forms of care are most effective? This systematic review set out to examine the evidence on giving specific pre-pregnancy care (PPC) in preventing …

Pre-pregnancy care for diabetic women substantially reduces the risk of foetal malformations or death Read More »

Intensive glycaemic control does not reduce mortality in type 2 diabetes

Intensive glycaemic control does not reduce mortality in type 2 diabetes

More isn’t necessarily better. This seems true in respect of glycaemic control in type 2 diabetes. More intensive control risks additional hypoglycaemia, where less intensive control risks long term complications. Read why more is not necessarily better More isn’t necessarily better.  This seems true in respect of glycaemic control in type 2 diabetes. More intensive …

Intensive glycaemic control does not reduce mortality in type 2 diabetes Read More »