Primary Care

Review of the role of podiatrists in diabetes care

Review of the role of podiatrists in diabetes care highlights the need for further research

Foot care is a cornerstone of diabetes care.  However, there is very little evidence about the impact of specialist foot care by podiatrists or chiropodists on the risk of amputation.  Current guidance recommends that podiatrists should be part of the multidisciplinary foot care team.  However, this recommendation is based on observational studies.  For this reason, …

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evidence of improved metabolic control in type 2 diabetes after treating periodontal disease

From our Dental Elf: evidence of improved metabolic control in type 2 diabetes after treating periodontal disease

Clinical question: In type 2 diabetes, does non-surgical treatment of periodontal disease lead to improved glycaemic control? Methods: An updated systematic review of randomised trials. Results: The review concluded there was evidence of a small reduction in HbA1c after treatment for gum disease.  However, the studies were of poor quality with some evidence of publication …

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Review finds no evidence for topiramate in treating neuropathic pain

Review finds no evidence for topiramate in treating neuropathic pain

Diabetic neuropathy is a common complication of diabetes.  This condition is very painful and substantially compromises quality of life.  Its progressive nature places a further burden on patients and their carers. Current guidance recommends a range of possible drug treatments, including the antidepressant drugs amitriptyline or duloxetine and the anti-convulsant pregabalin.  A recent Cochrane review …

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Evidence of improved cardiovascular risk for people with diabetes in England between 1994 and 2009

Evidence of improved cardiovascular risk for people with diabetes in England between 1994 and 2009

This study evaluated trends in cardiovascular risk factors among people with diabetes. Data obtained as part of the Health Survey for England (HSE) between 1994 and 2009 were examined with particular focus on the differences between men and women and between social classes. It was important to investigate possible trends so that the impact of …

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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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