Type 2

The Finnish Diabetes Risk Score did not perform well as a screening tool for type 2 diabetes

The Finnish Diabetes Risk Score did not perform well as a screening tool for type 2 diabetes

A recent UK Health Technology Assessment pointed out the problems with screening for type 2 diabetes.  However, research continues into the performance of tools to detect type 2.  On the basis of this paper, we won’t be changing that advice any time soon. Methods This community screening study was undertaken in urban settings in the …

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Intensive glycaemic control does not reduce mortality in type 2 diabetes

Intensive glycaemic control does not reduce mortality in type 2 diabetes

More isn’t necessarily better. This seems true in respect of glycaemic control in type 2 diabetes. More intensive control risks additional hypoglycaemia, where less intensive control risks long term complications. Read why more is not necessarily better More isn’t necessarily better.  This seems true in respect of glycaemic control in type 2 diabetes. More intensive …

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Diabetes education is more effective if it’s culturally sensitive

Diabetes education is more effective if it’s culturally sensitive

Another one to file under “stating the obvious”, you might think. Sadly, it’s not that obvious, as many patients would attest.This is also evidenced by the recent randomised controlled trial (RCT) on giving diet and lifestyle advice to try to prevent diabetes.  The paper in the Lancet reported a reduction in body weight in people …

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RCT finds that screening for type 2 diabetes in primary care did not improve clinical outcomes

RCT finds that screening for type 2 diabetes in primary care did not improve clinical outcomes

If we pick up a disease early, we can treat it early.  So screening tests must be a good thing, right? Not necessarily. Testing is only beneficial if it enables us to provide better care.  There are many examples from clinical practice that demonstrate how earlier is not necessarily better.  Sometimes “lead-time bias” can mislead …

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HTA recommends

HTA recommends against screening for type 2 diabetes in the UK

Following on from our report of the ADDITION trial last week, we can add that the UK Health Technology Assessment programme has updated its recommendation against screening for type 2 diabetes. Their recommendation to the National Screening Committee contains an analysis of new evidence published between 2009 and January 2012. Elves everywhere – coniferous, deciduous …

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