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The 50g glucose challenge test does not diagnose gestational diabetes

The 50g glucose challenge test does not diagnose gestational diabetes

This systematic review found that the 50g test is not accurate enough to diagnose gestational diabetes on its own. Clinical question In pregnant women <32 weeks gestation, what is the sensitivity and specificity of the 50g glucose challenge test? The conventional test for diabetes is the oral glucose tolerance test (OGTT), in which a woman …

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FDA warns that pioglitazone may increase the risk of bladder cancer recurrence

FDA warns that pioglitazone may increase the risk of bladder cancer recurrence

The US Food and Drug Administration reports that use of the diabetes medication pioglitazone for more than one year may be associated with an increased risk of bladder cancer. Pioglitazone (known as Actos in the UK and US) is a thiazolidinedione or glitazone that is used in type 2 diabetes to reduce insulin resistance. Review …

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culturally competent

What is “culturally competent” diabetes education and is it effective?

Previous research has shown that structured diabetes education improves outcomes, and that education that is particularised to an individual patient’s cultural background is more effective than education that is not. This systematic review set out to identify what factors constitute “culturally competent” education, and what their long-term effects are. Clinical question: In ethnic minority patients …

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Hyaluric acid derivatives

Hyaluric acid derivatives may promote healing of diabetic foot ulcers

A recent systematic review looked at whether hyaluronic acid derivatives can be effective in dressings to promote wound healing. Clinical question: In people with burns or surgical or chronic wounds, do hyaluronic acid derivatives improve healing? The outcomes of interest were the percentage of patients whose wounds healed completely and the reduction in wound size. …

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E-health may help to improve self-care in diabetes

E-health may help to improve self-care in diabetes, but more research is still needed

E-health offers tremendous potential to improve self-management of diabetes.  The Centre for Reviews and Dissemination (CRD) has recently published an appraisal of a systematic review into the use of e-health in diabetes and other chronic conditions. Clinical question: In people with diabetes, do e-health interventions improve self-management? The reviewers looked at the use of interactive …

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