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Primary Care Diabetes

Huizhen Chen, Qingtao Yao, Yang Dong, Zhimei Tang, Ruiying Li, Baochao Cai, Ruili Wang, Qiu Chen
Self-monitoring of blood glucose is recommended to monitor glycaemic levels for the prevention and treatment of diabetes mellitus.The accuracy of blood glucose monitoring systems (BGMS) directly affects the health of the patients. In this study, we evaluated the accuracy of four different blood glucose monitoring systems, including Gold-Accu Meter, Nova StatStrip Xpress® Glucose Hospital Meter, Freestyle Optium Neo H® and Accu-Chek Performa according to ISO15197:2003 and ISO15197:2013 criteria. We found that four brands of BGMS (eight BGMS) all met the minimum requirements for system accuracy performance of ISO 15197:2003 and the accuracy criteria of ISO 15197:2013...
February 12, 2019: Primary Care Diabetes
Dong Wang, Yanning Wang, Suneetha Madhu, Hong Liang, Christopher Lawrence Bray
BACKGROUND: Previous study showed A1C was affected by hemoglobin and gender in non-anemic Koreans. However, there was no other data to support those important findings. METHODS: Participants from National Health and Nutrition Examination Survey (NHANES) - 1999 to 2014 with age over 12 years were examined. After excluding participants with hypoglycemia and moderate to severe anemia, 22,974 participants were included in analysis. Both female and male were divided into three groups based on their hemoglobin level...
February 1, 2019: Primary Care Diabetes
Osamah M Alfayez, Majed S Al Yami, Mohannad Alshibani, Saad B Fallatah, Nasser M Al Khushaym, Razan Alsheikh, Nimer Alkhatib
The aim of this network meta-analysis (NMA) was to indirectly compare the cardiovascular (CV) safety of new antidiabetic medications in patients with type 2 diabetes mellitus (T2DM). DATA SYNTHESIS: A search of the Embase and MEDLINE databases was conducted systematically to identify cardiovascular outcome trials (CVOTs) of new antidiabetic medications (DPP-4 inhibitors, GLP-1 agonists and SGLT-2 inhibitors) in patients with T2DM. The primary outcomes were the composite endpoint of CV death, nonfatal MI, and nonfatal stroke (MACE), death from CV causes, nonfatal MI, nonfatal stroke and death from any cause...
January 31, 2019: Primary Care Diabetes
Punith Kempegowda, Joht Singh Chandan, Sahar Abdulrahman, Aneela Chauhan, Mujahid Ahmad Saeed
BACKGROUND: The pathophysiology of hypertension in people of African origin differs from other ethnicities. This effect may be exacerbated in people with type 2 diabetes mellitus (T2DM), hence control of hypertension is particularly important in this population. AIMS: The primary aim was to evaluate the adherence to National Institute of Clinical Excellence (NICE) guidance (National Guidelines NG28) for hypertension management in African origin patients with T2DM...
January 28, 2019: Primary Care Diabetes
Farah Naz, Elizabet Peraj, Austin P Davidow, Martin P McGrath, Prayank Shrestha, John P Twarog
No abstract text is available yet for this article.
January 25, 2019: Primary Care Diabetes
Tomoyuki Kawada
No abstract text is available yet for this article.
January 23, 2019: Primary Care Diabetes
Michael Pentzek, Sara Santos, Anja Wollny, Elisabeth Gummersbach, Oliver Rudolf Herber, Jürgen In der Schmitten, Andrea Icks, Heinz-Harald Abholz, Stefan Wilm
AIMS: To find factors that are associated with a general practitioner's (GP's) subjective impression of a patient being 'difficult' within a sample of patients with type 2 diabetes mellitus (T2DM). METHODS: Secondary cross-sectional analysis of a cohort of GP patients with T2DM. GP questionnaire on clinical data and GPs' subjective ratings of patient attributes (including 'patient difficulty'). Patient questionnaire on sociodemographics and illness perceptions. Bivariate and multivariate analyses, adjusted for cluster-effect of GP practice...
January 23, 2019: Primary Care Diabetes
Jeonga Gim, Baiju R Shah
AIMS: To determine the proportion of adults with HbA1c ≥8.0% (64mmol/mol) at diabetes diagnosis, as an indicator of delayed diagnosis or less intensive screening. METHODS: We conducted a cross-sectional population-level study using clinical, administrative and immigration data from Ontario, Canada. We identified all individuals diagnosed with diabetes between June 2012 and June 2015, and determined the HbA1c between 60days prior to and 30days after diagnosis. Individuals were stratified based on many sociodemographic, clinical and primary care characteristics, and the proportion with HbA1c ≥8...
January 21, 2019: Primary Care Diabetes
Alfonso Barquilla García, Javier Sánchez Vega, Juan Carlos Romero Vigara, Leandro Fernández, María José Gamero Samino, Francisco Buitrago
AIMS: To analyze the prevalence of diabetes and the frequency of haemoglobin A1C (HbA1C ) monitoring in the population with diabetes in Extremadura (Spain). METHODS: Observational, longitudinal retrospective study in the population attended in the Extremadura Health System in 2012-2014. A total of 403,644 glycated haemoglobin determinations in 189,466 subjects (52.4% female) were studied. All patients with a prescription of antidiabetic drugs and those who, despite not having treatment, had any determination of HbA1C ≥6...
January 7, 2019: Primary Care Diabetes
Z A Sayiner, F I Can, E Akarsu
INTRODUCTION: Medical and surgical treatment options are available for patients with diabetic foot ulcers. In more severe cases, amputation decisions are determined by patient comorbidities, performance, imaging studies, and clinical examination results. However, an objective indicator that predicts how this amputation process will end has not yet been clarified. This study identifiies clinical characteristics that can be predictors of the need for diabetic foot amputation among patients...
December 29, 2018: Primary Care Diabetes
Eun-Hee Nah, Jieun Chu, Suyoung Kim, Seon Cho, Eunjoo Kwon
AIM: This study aimed to determine the efficacy of personalized lifestyle interventions on the reversion of a prediabetic state to normoglycemia compared with regular blood glucose testing alone in prediabetes. METHODS: A randomized, multicenter trial was conducted in prediabetes aged 30-70 with fasting blood glucose level of 5.6-6.9mmol/L (100-125mg/dL) and/or HbA1c level of 39-46mmol/mol (5.7-6.4%) recruited from health checkups at 16 health-promotion centers in Korea...
December 21, 2018: Primary Care Diabetes
Chantal Arditi, Anne Zanchi, Isabelle Peytremann-Bridevaux
AIMS: We aimed to assess the health status and quality of life (QoL) of patients with diabetes and explore the associated factors in a French-speaking region of Switzerland. METHODS: This cross-sectional study analyzed self-reported data from 585 patients with diabetes. We ran univariate and multivariate regressions analyses on health status (Physical and Mental Component Summary scores (PCS, MCS) of the SF-12) and diabetes-specific QoL (ADDQoL score). RESULTS: Mean PCS was 43...
December 21, 2018: Primary Care Diabetes
Radia Fahami, Nafeesa Dhalwani, Sam Seidu, Kamlesh Khunti, Melanie Davies
This was a cross-sectional analysis (1980-2017) in Leicester to examine the proportion of women with a history of gestational diabetes (GDM) who (a) attended the 13-week postpartum screening and (b) attended annual type 2 diabetes mellitus (T2DM) screening and assessed the association between screening rates and sociodemographic factors. We found that women with a history of GDM were not adequately screened for type 2 diabetes in primary care. 62% did not have postpartum screening and 84% did not have the recommended annual screening...
December 21, 2018: Primary Care Diabetes
Xiaona Liu, Laura Boogaard, Vicki Erasmus, Eric Sybrands, Hanneke Buijks, Johan Pieter Mackenbach, Suzanne Polinder
Over the last decades several self-report instruments have been developed to identify diabetes at risk for depression. In a sample of diabetes outpatients, we assessed the accuracy of three widely-used instruments, and recommend the instruments with the best sensitivity and specificity for identifying diabetes in need of early treatment for depression.
December 20, 2018: Primary Care Diabetes
Pragya Mangla, Aditi Chopra, Siddhnath Sudhanshu, Eesh Bhatia, Preeti Dabadghao, Suchit Gupta, Vijayalakshmi Bhatia
INTRODUCTION: Diabetes knowledge has a large impact on glycemic control. There is a pressing need for creation of validated tests of knowledge for different ethnic groups. OBJECTIVE: To create and validate a diabetes knowledge test (DKT) for young Indians with type 1 diabetes mellitus (T1DM). METHODS: We created a 34 item Hindi language DKT, with basic (19-questions) and advanced (15-questions) components. It was administered to 77 consecutive patients who had previously received in-hospital diabetes education...
December 20, 2018: Primary Care Diabetes
Elizabet Peraj, Maham R Subhani, Janet Jeong, Oren S Vaknin, John P Twarog
INTRODUCTION: According to the American Diabetes Association (ADA), patients with diabetes should receive annual foot exams from a HCP to identify and reduce risk factors for ulcers and other complications. Little is known regarding factors that may increase or decrease the likelihood of having an annual foot examination by a health care provider (HCP). METHODS: Cross-sectional analysis of 1830 patients age 20 years and older with a previous diagnosis of diabetes...
December 18, 2018: Primary Care Diabetes
Alfred Nassif, Maram Gamal Katoue, Deborah Jane Wake, Jacob George
AIMS: To evaluate the impact of clinical audit and focused interventions on reducing cardiovascular diseases risk by treating Low Density Lipoprotein Cholesterol (LDL-C) in patients with type 2 diabetes attending a primary care clinic in Kuwait. METHODS: Using LDL as a surrogate for cardiovascular risk, the audit team performed a clinical audit with focus on the care process indicator of statin prescription. The basic audit reviewed 100 patients' medical records retrospectively to assess patients' lipid profiles and statin prescription...
December 18, 2018: Primary Care Diabetes
Carla Torre, José Guerreiro, Patrícia Longo, João Filipe Raposo, Hubert Leufkens, Ana Paula Martins
AIMS: To assess baseline and change after 26-weeks in health-related quality of life (HRQoL) among adults with type 2 diabetes mellitus (T2DM) initiating one of the new glucose lowering drugs (GLD) in daily practice. METHODS: Inception cohort of patients who initiated one of dipeptidyl peptidase 4 inhibitors (DPP-4), glucagon-like peptide-1 analogues (GLP-1) or sodium-glucose cotransporter inhibitors (SGLT2) drugs. A baseline questionnaire collected socio-demographic and self-reported clinical data...
December 17, 2018: Primary Care Diabetes
Ji-Jun Zhang, Jie-Peng Jia, Quan Shao, Ying-Kai Wang
AIMS: The relationship between diabetes mellitus and pancreatic cancer risk from is uncertain based on the results of existing publications. The current report updated and re-evaluated the possible association between diabetes mellitus and pancreatic cancer risk in China. METHODS: Six databases (PubMed, Embase, Web of Science, the Cochrane Library, the Chinese Biomedical Database, and the Chinese National Knowledge Infrastructure) were used for the literature search up to October 2017...
December 12, 2018: Primary Care Diabetes
Mohammad Diab, Huda A Barhoosh, Balqis Daoudi, Sawsan I AlMukdad, Nancy Ha Zaghloul, Mayar Ashour, Iman A Abdelrahman, Bridget Paravattil, Kyle John Wilby
The aim of this review was to identify and appraise guidelines reporting recommendations for the screening and prevention of type 2 diabetes. Five guidelines were included for analysis and all were endorsed by national or international organizations. All guidelines were recommended for practice with or without modifications for both prevention and screening. The overall appraisal scores ranged from 62.5 to 91.7 for prevention and 62.5-83.3 for screening. The highest scored domain was 'clarity of presentation' and the lowest was 'rigor of development'...
December 12, 2018: Primary Care Diabetes
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