Disease management programmes may improve glycaemic control

A female doctor talking to a patient

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? [read the full story…]

Unclear evidence for chronic disease management interventions

An elderly male patient with a nurse

Chronic diseases such as diabetes inflict a huge burden of suffering on patients and costs on health systems worldwide. Increasingly, health systems are being encouraged to take an integrated approach to their management.  This systematic rewiew looked at what sorts of interventions work best in these chronic disease management models. Clinical question: In the delivery [read the full story…]

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Facilitating the transition from paediatric to adult care services.

Children may gradually shift gradually from diabetes care supervised by parents and other adults to self-care management. The actual change from paediatric to adult health care providers can be more abrupt. Clinical question: In children with diabetes, how should the transition to adult care be managed by care systems? This consensus statement provides a framework [read the full story…]

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Giving nurses more responsibility for diabetes care may improve cost-effectiveness

Enhancing the role of specialist nurses is one way to reduce cost pressures on health systems.  A recently-published study assessed the cost-effectiveness of using specialist diabetes care nurses instead of doctors to provide diabetes care. Clinical question In hospital diabetes care, does a model of care led by specialist nurses as compared with physicians, lead [read the full story…]

The impact upon patients’ quality of life of a community-based model of type 2 diabetes care

A pen ticking off a checklist

Health systems are under pressure to introduce new models of care, particularly less costly ones.  Often this means moving the locus of care into the community, away from specialist centres. But what is the impact on patients?  A new study looks at this question in the context of the UK health service. The study assessed [read the full story…]

A team-based telecare package improved cholesterol in diabetes patients.

Picture of a laptop and some tools

New technologies offer the possibility of improving the interaction between patients and the many health professionals that care for them.  One way they can do this is to help patients control risk factors for cardiovascular disease, such as blood pressure or cholesterol. This randomised trial looked at whether a team-based care package that include telecare [read the full story…]