Diabetes

diabetic retinopathy

New guidelines for the management of diabetic retinopathy

How diabetic retinopathy manifests itself Diabetic retinopathy is an ophthalmological disease that develops against the background of diabetes mellitus. The consequences of this disease are very severe, with a neglected condition, blindness occurs. How to recognize the first signs of pathology? Let’s consider the degree of diabetic retinopathy and the existing methods of its treatment. …

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Possible benefits of insulin pumps compared with multiple daily injections

Possible benefits of insulin pumps compared with multiple daily injections

An appraisal of a 2010 systematic review of continuous subcutaneous insulin infusion (CSII, or insulin pumps) has been published in DARE. Research question: In diabetes, does CSII as compared with multiple daily injections (MDI), improve the clinical or cost-effectiveness of care? The review included both adults and children with type 1 or type 2 diabetes.  …

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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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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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Disease management programmes may improve glycaemic control

Disease management programmes may improve glycaemic control

Disease management programmes are multi-faceted interventions to improve standards of care.  Diabetes disease management often comprises a combination of patient education, psychological support, lifestyle support, self-monitoring and telemedicine.  This review looked at how effective they are at controlling blood sugar levels. Clinical question: In diabetes care, do disease management programmes lead to better glycaemic control? …

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