Nutritional guidelines for diabetes

The logo of Diabetes UK

Diabetes UK has produced comprehensive nutritional guidelines for the prevention and management of type 1 and type 2 diabetes. They contain important advice for adults in: Prevention of type 2 diabetes in high risk populations Management of type 1 and 2 diabetes Management of diabetic complications. Appraisal hints Users of this guidance should consider: Whether [read the full story…]

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HbA1c may improve models of cardiovascular risk assessment in diabetes

A blood sample

Clinical question In people with diabetes, should HbA1c be included as a risk factor in assessments of cardiovascular risk? This large, prospective cohort study looked at how well individual HbA1c values performed as predictors of cardiovascular risk in combination with existing risk assessment guidelines. The evidence Over 35,000 patients were followed for cardiovascular events.  69% [read the full story…]

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Guidance: diet and nutrition for adults with type 1 or type 2 diabetes

Fruit slices

New guidelines by Diabetes UK describe how adults with type 1 or type 2 diabetes and adults at high risk of developing type 2 diabetes should manage their diet. The guidelines are intended to: support appropriate food choices, reduce the risk of type 2 diabetes and diabetes-associated complications, achieve optimal glycaemic control and quality of [read the full story…]

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Dietary guidelines for diabetes prevention in south Asian patients

Fruit slices

People with Indian Asian ethnicity have a particularly high risk of getting diabetes and suffering ill health from its complications.  Any guidelines that can help prevent the disease are to be welcomed. The Indian National Dietary Guidelines Consensus Group has just published guidance on preventing diabetes through a healthy diet, particularly among those residing in [read the full story…]

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Guidance for intensification of insulin therapy in type 2 diabetes.

Adjusting the dose

The Indian Journal of Endocrinology has recently publised a consensus statement on the intensification of insulin therapy in type 2 diabetes. The guidelines cover making the switch from a premix analog biphasic insulin aspart (BIAsp) 30 to a mid-/high-ratio premix regimen in patients who are failing to achieve good glycaemic control. The guidelines were produced [read the full story…]

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Managing high blood pressure should be a top priority in type 2 diabetes

Sphygmomanometer

This is a consensus statement from an expert review by the Canadian Hypertension Education Program and the Canadian Diabetes Association. The reviewers conducted a systematic search for randomised trials and systematic reviews about diabetes and hypertension. They conclude that “reducing blood pressure pharmacologically is single-handedly the most effective way to reduce rates of death and [read the full story…]

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