Diabetes

Metformin appears to be safe in diabetic patients with heart failure

Metformin appears to be safe in diabetic patients with heart failure

Heart failure is more prevalent in diabetes than in the general population.  All too often, patients with such serious co-morbidities are excluded from clinical trials.  As a result, there remains uncertainty around the benefits of diabetes medications in these sub-groups of patients.  Often, we need to look at observational data to get the best available …

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The National Pregnancy in Diabetes Audit aims to improve pregnancy outcomes for women with diabetes

The National Pregnancy in Diabetes Audit aims to improve pregnancy outcomes for women with diabetes

We already know that women with diabetes have a substantially increased risk of adverse pregnancy outcomes.  We also know that improved glycaemic control can reduce these risks.  But are these messages being adequately addressed in current clinical practice? The NHS in England has recently started the National Pregnancy in Diabetes Audit, with the aim of …

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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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Collaborative Care improves outcomes for people with diabetes and depression

Collaborative Care improves outcomes for people with diabetes and depression

Today, our cousin the Mental Elf has posted an important blog about the management of people with diabetes and depression. Around 20% of patients with diabetes meet diagnostic criteria for depression.  NICE guidelines state that Collaborative Care (CC) should form part of a well-developed stepped-care programme for people with moderate to severe depression and a …

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NHS England: Action for Diabetes

NHS England: Action for Diabetes

NHS England has announced a new strategy document for diabetes care, called Action for Diabetes. The document is for Clinical Commissioning Groups (CCGs), to serve as a reference on the work that is going on across NHS England.It will also be of interest to the wider community interested in diabetes care to see what action …

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