How cultural and social norms affect the uptake of diabetes prevention messages.

Asian couple

Diabetes has a higher prevalence among some ethnic groups, particularly people of South Asian origin.  This systematic review looked for  qualitative evidence on the implementation of community based lifestyle behaviour interventions to reduce the risk of diabetes in black and minority ethnic (BME) groups in the UK. Clinical question: In ethnic minority populations, what cultural [read the full story…]

Quality of care for people with diabetes in England and Wales, 2009-10

Map of regions participating in this audit

The National Diabetes Audit reports on the quality of care for people with diabetes. Clinical question: What is the standard of diabetes care delivered by the NHS in England and Wales? The report looked at patient registrations, care processes, treatment targets and rates of complications.  Data were derived by surveying GP practices and health authorities. [read the full story…]

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Guidance on improving staff safety in injecting insulin.

A syringe

This new guidance has been developed by the European Medical Association to assist health care staff in minimising risk from injecting insulin for diabetes patients, principally through blood exposure. Clinical question: In health staff administering insulin to people with diabetes, what precautions should be taken to minimise their risk of needle injuries? The evidence This [read the full story…]

No evidence for new therapies in treating diabetic foot ulcers

Diabetic foot ulcer

Diabetic foot ulcers are very problematic and have poor prognosis.  This review set out to evaluate whether new treatments, emerging in recent years, offer better treatment options. Clinical question In diabetic foot ulcers, do new treatments, as compared with standard care, improve healing? This is an update of a previous review, and includes evidence published [read the full story…]

Lack of clear evidence on surgery to prevent amputation in diabetic foot ulcers

Diabetic foot ulcer

Peripheral arterial disease (PAD) is a risk factor for amputation in diabetes with foot ulcers. This systematic review set out to evaluate the effectiveness of revascularisation of the ulcerated foot in patients with diabetes and PAD. Clinical question: In patients with diabetes, PAD and ulcerated feet, does surgical revascularisation, as compared with medical treatment, reduce [read the full story…]

Better evidence needed to guide the treatment of diabetic foot infections

Feet

Foot infections are common in diabetes.  This systematic review compared different approaches to treating soft tissue and bone infections in diabetic patients’ feet. Clinical question: This was not clearly stated in the abstract and should be assessed carefully in appraising the applicability of this evidence to your situation. The evidence: The reviewers found 33 studies, [read the full story…]

Lack of good evidence for Ayurvedic medicine in treating diabetes.

Abstract illustration of Ayurvedic medicine

Ayurvedic practitioners treat diabetes with diet modification, Panchkarma, herbal preparations, yoga and breathing exercises.  This review set out to identify all published evidence about the effectiveness of this approach to treatment. Clinical question In diabetes, does Ayurvedic medicine, as compared with usual care, improve glycemic control or quality of life? The evidence The reviewers searched [read the full story…]

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Diabetes is associated with an increased incidence of cancer

A cancer cell

A systematic review of observational studies has been published in Endocrine Practice that concludes diabetes is associated with a small but signficant increased risk of cancer. Clinical question: In people with diabetes, what is the incidence of cancer compared to people without diabetes? The evidence The reviewers searched Medline and the Cochrane Library for relevant [read the full story…]

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Diabetes increasing among rural populations in developing countries

This systematic review reports that the prevalence of diabetes among rural populations in developing countries increased from 1.8% (1.0-2.6) of the population in 1985-1989 to 8.6% (6.4-10.7) of the population in 2005-2010. Clinical question In rural populations in low and middle income countries, is the prevalence of diabetes increasing over time? The evidence The reviewers [read the full story…]

Lack of evidence on the failure rate of dental implants

A dental implant

Clinical question: In people with diabetes receiving dental implants, is poor glycaemic control associated with a higher failure rate? Diabetes is associated with an increased risk of dental implant failure.  This systematic review collated the observational evidence to see whether there is an association with glycaemic control. The evidence The reviewers found 14 studies.  The [read the full story…]