Telehealth did not improve quality of life, anxiety and depressive symptoms in patients with diabetes

A stethoscope on a keyboard

As pressure increases on an over-burdened healthcare system, focusing on self-care has potential. Advances in technology have improved many aspects of healthcare: now its uses may be harnessed to reduce utilisation of health services by those with long term conditions. “Telehealth” is an assistive technology that allows individuals to exchange information with their healthcare professional [read the full story…]

Ethnicity, parenting, stress and self-efficacy are all associated with glycaemic control in young people with diabetes

Child with a megaphone

This review was motivated by the need to understand the barriers to achieving and maintaining good metabolic control among children and adolescents. From insulin pump (CSII) therapy to carbohydrate counting, technology has advanced rapidly since the Diabetes Control & Complications Trial.  However, this has not been matched with efforts to understand the impact of human [read the full story…]

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

Smiley feet

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, [read the full story…]

Weak evidence for radix astragali in treating diabetic retinopathy

Radix astragali

Radix astragali is a traditional Chinese medicine made from dried roots of  that has been widely used for the treatment of diabetes.  This systematic review set out to establish if there is any clinical evidence to support its use in treating diabetic retinopathy. Clinical question In people with diabetic retinopathy (DR), does radix astragali, compared [read the full story…]

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More evidence needed for ADP-antagonists to prevent CVD in type 2 diabetes

ECG readout

This Cochrane systematic review looked at whether adenosine-diphosphate (ADP) receptor antagonists such as clopidogrel and ticlopidine,  can prevent cardiovascular disease (CVD) in type 2 diabetes mellitus. These drugs have been shown to reduce the risk of cardiovascular outcomes in non-diabetic patients.  However, few studies have looked at the diabetic population.  As people with type 2 [read the full story…]

Repost from The Mental Elf: Depression increases risk of all cause mortality in diabetes

Today the Mental Elf reports on a systematic review and meta-analysis looking at whether depression in people with diabetes is associated withan increased risk of mortality. The reviewers combined the results of sixteen longitudinal studies comprising 109,046 individuals with diabetes.  They found a statistically significant increase in the risk of mortality amongst people with depression [read the full story…]

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Diabetes care involving pharmacists to prevent CHD: a win-win?

A pharmacist

Previous research has shown that pharmacist involvement in the management of type 2 diabetes can improve HbA1c as well as blood pressure and cholesterol. These models of care may be more costly to deliver, however, compared with conventional primary care. This economic evaluation looked at the cost-effectiveness of pharmacist management in preventing cardiovascular disease in [read the full story…]

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

Testing positive

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 [read the full story…]

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Review: experiences of stigma associated with diabetes

Singled out

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, [read the full story…]

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

Runners

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 [read the full story…]

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