Douglas Badenoch

I am an information scientist with an interest in making knowledge from systematic research more accessible to people who need it. This means you. I've been attempting this in the area of Evidence-Based Health Care since 1995. So far the results have been mixed. For some reason we expected busy clinicians to search databases and appraise papers instead of seeing patients. We also expected publishers to make the research freely available to the people who paid for it.. Ha! Hence The National Elf service.

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 …

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National Diabetes Audit highlights the need to focus on prevention and treatment of heart failure

National Diabetes Audit highlights the need to focus on prevention and treatment of heart failure

In answering the question “Are we ‘doing things right’ in Diabetes care?”, a good place to start is to look at all the data we have about patients in the NHS.    The National Diabetes Audit does just that for NHS services in England and Wales. Over two million people have diabetes in England and …

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Collaborative Care improves outcomes for people with diabetes and depression

Collaborative Care improves outcomes for people with diabetes and depression

Today, our cousin the Mental Elf has posted an important blog about the management of people with diabetes and depression. Around 20% of patients with diabetes meet diagnostic criteria for depression.  NICE guidelines state that Collaborative Care (CC) should form part of a well-developed stepped-care programme for people with moderate to severe depression and a …

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Diabetes education is more effective if it’s culturally sensitive

Diabetes education is more effective if it’s culturally sensitive

Another one to file under “stating the obvious”, you might think. Sadly, it’s not that obvious, as many patients would attest.This is also evidenced by the recent randomised controlled trial (RCT) on giving diet and lifestyle advice to try to prevent diabetes.  The paper in the Lancet reported a reduction in body weight in people …

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RCT finds that screening for type 2 diabetes in primary care did not improve clinical outcomes

RCT finds that screening for type 2 diabetes in primary care did not improve clinical outcomes

If we pick up a disease early, we can treat it early.  So screening tests must be a good thing, right? Not necessarily. Testing is only beneficial if it enables us to provide better care.  There are many examples from clinical practice that demonstrate how earlier is not necessarily better.  Sometimes “lead-time bias” can mislead …

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