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Beliefs, practices, perceptions and motivations of healthcare professionals on medication deprescribing during end-of-life care: A systematic review Prim. Care Diabetes (IF 2.9) Pub Date : 2024-03-05 Elizabeth Hickman, Abdullah Almaqhawi, Clare Gillies, Kamlesh Khunti, Samuel Seidu
Conduct a systematic review to investigate current beliefs, practices, perceptions, and motivations towards deprescribing practices from the healthcare professional perspective in older adults residing in long term care facilities with cardiometabolic conditions, using a narrative approach. Studies were identified using a literature search of MEDLINE, CINAHL and Web of Science from inception to June
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Racial and ethnic differences in uncontrolled diabetes mellitus among adults taking antidiabetic medication Prim. Care Diabetes (IF 2.9) Pub Date : 2024-02-29 Kristen A. Berg, Nazleen Bharmal, Larisa G. Tereshchenko, Phuc Le, Julia Y. Payne, Anita D. Misra–Hebert, Michael B. Rothberg
To examine whether racial and ethnic disparities in uncontrolled type 2 diabetes mellitus (T2DM) persist among those taking medication and after accounting for other demographic, socioeconomic, and health indicators. Adults aged ≥20 years with T2DM using prescription diabetes medication were among participants assessed in a retrospective cohort study of the National Health and Nutrition Examination
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Association of collaborative care intervention features with depression and metabolic outcomes in the INDEPENDENT study: A mixed methods study Prim. Care Diabetes (IF 2.9) Pub Date : 2024-02-15 Saria Hassan, Star Liu, Leslie C.M. Johnson, Shivani A. Patel, Karl M.F. Emmert-Fees, Kara Suvada, Nikhil Tandon, Gumpeny Ramachandra Sridhar, Sosale Aravind, Subramani Poongothai, Ranjit Mohan Anjana, Viswanathan Mohan, Lydia Chwastiak, Mohammed K. Ali
The INtegrating DEPrEssioN and Diabetes treatmENT (INDEPENDENT) trial tested a collaborative care model including electronic clinical decision support (CDS) for treating diabetes and depression in India. We aimed to assess which features of this clinically and cost-effective intervention were associated with improvements in diabetes and depression measures. Post-hoc analysis of the INDEPENDENT trial
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National treatment guidelines poorly achieved among older subjects with type 2 diabetes – call to action! Prim. Care Diabetes (IF 2.9) Pub Date : 2024-02-10 Maika Kummel, Emma Luther-Tontasse, Jaana Koskenniemi, Tero Vahlberg, Matti Viitanen, Jouni Johansson, Päivi Korhonen, Laura Viikari, Marika Salminen
To assess risk factors and factors associated with nonachievement of the treatment target levels among 75-year-old Finns with type 2 diabetes (T2D). Cross-sectional study. Outpatient Seventy-five-year-old participants of the Turku Senior Health Clinic Study (N = 1296) with T2D (n = 247). Nonachievement rates of FBG, BP and LDL-C were 47%, 85%, and 47%, respectively. Non-usage of T2D medication was
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The assessment of quality of care of patients with type 2 diabetes mellitus in a population-based cohort in the District of Landeck in Austria Prim. Care Diabetes (IF 2.9) Pub Date : 2024-02-09 Mag Veronika Haslwanter, Ursula Rochau, Lára R. Hallsson, Uwe Siebert, Hans-Robert Schönherr, Monika Lechleitner, Willi Oberaigner
Structured diabetes care based on evidence-based guidelines is one of the main strategies to improve glycemic control and to reduce long-term complications in diabetes mellitus. This study is based on the “Diabetes-Landeck Cohort”, a population-based cohort of patients with diabetes mellitus type 2 (T2DM). We assessed the quality of diabetes care and compared it between three groups of care units,
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Multicausal analysis of mortality due to diabetes mellitus in Spain, 2016-2018 Prim. Care Diabetes (IF 2.9) Pub Date : 2024-02-06 Fernando Álvarez-Guisasola, José A. Quesada, Adriana López-Pineda, Rauf Nouni García, Concepción Carratalá-Munuera, Vicente F. Gil-Guillén, Domingo Orozco-Beltrán
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Beyond diagnosis: Investigating factors influencing health-related quality of life in older people with type 2 diabetes in Slovenia Prim. Care Diabetes (IF 2.9) Pub Date : 2024-02-06 Matic Mihevc, Tina Virtič Potočnik, Črt Zavrnik, Marija Petek Šter, Zalika Klemenc-Ketiš, Antonija Poplas Susič
To examine the present state of health-related quality of life (HRQOL) among elderly individuals with type 2 diabetes (T2D) receiving integrated care and identify risk factors associated with low HRQOL. A multi-centre cross-sectional survey among elderly individuals with T2D, treated in Slovenian urban and rural primary care settings was performed. HRQOL was investigated using EuroQol 5-dimension (EQ-5D)
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Therapeutic inertia in treatment of older adults with type II diabetes at high risk for hypoglycemia Prim. Care Diabetes (IF 2.9) Pub Date : 2024-02-06 Brittany Ricci, Jane Lee, Minjia Xie, Alexander Turchin
Patients 80 years or older with HbA1c <7.0% (53 mmol/mol) treated with multiple daily insulin injections had low rates of rapid-acting insulin deprescription and initiation of diabetes medications with lower risk of hypoglycemia. Further investigation is needed to elucidate factors contributing to potentially inappropriately aggressive treatment of these patients.
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HbA1c and systolic blood pressure variation to predict all-cause mortality in patients with type 2 diabetes mellitus Prim. Care Diabetes (IF 2.9) Pub Date : 2024-02-02 Yun-Chi Lee, Chwen-Tzuei Chang, Rong-Hsing Chen, Tzu-Yuan Wang, Ching-Chu Chen
Glycated hemoglobin A1c (HbA1c) variation or blood pressure (BP) variation was known to be an independent predictor of all-cause mortality in patients with type 2 diabetes mellitus (T2DM). This study aimed to investigate the combined effect of HbA1c and systolic blood pressure (SBP) variation on all-cause mortality and if there was a gender difference in patients with T2DM. Patients with T2DM who had
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Tobacco smoking and diabetes. A comparative survey among diabetologists and smoking cessation specialists Prim. Care Diabetes (IF 2.9) Pub Date : 2024-02-01 Ivan Berlin, Vincent Durlach, Daniel Thomas, Bruno Vergès, Anne-Laurence Le Faou
Aims Because tobacco smoking is a major risk factor of mortality in diabetes and guidelines suggest evaluating smoking behavior among individuals with diabetes and helping smokers quit, we aimed to assess knowledge about the tobacco smoking – diabetes relationship among diabetologists and smoking cessation specialists (SCS). Methods An online cross sectional survey was conceived by the Working Group
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Methods, rationale, and design for a remote pharmacist and navigator-driven disease management program to improve guideline-directed medical therapy in patients with type 2 diabetes at elevated cardiovascular and/or kidney risk Prim. Care Diabetes (IF 2.9) Pub Date : 2024-02-01 Alexander J. Blood, Lee-Shing Chang, Caitlin Colling, Gretchen Stern, Daniel Gabovitch, Guinevere Feldman, Asma Adan, Fanta Waterman, Emily Durden, Carol Hamersky, Joshua Noone, Samuel J. Aronson, Paul Liberatore, Thomas A. Gaziano, Lina S. Matta, Jorge Plutzky, Christopher P. Cannon, Deborah J. Wexler, Benjamin M. Scirica
Describe the rationale for and design of Diabetes Remote Intervention to improVe use of Evidence-based medications (DRIVE), a remote medication management program designed to initiate and titrate guideline-directed medical therapy (GDMT) in patients with type 2 diabetes (T2D) at elevated cardiovascular (CV) and/or kidney risk by leveraging non-physician providers. An electronic health record based
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Effect of exercise training on glycemic control in diabetic peripheral neuropathy: A GRADE assessed systematic review and meta-analysis of randomized-controlled trials Prim. Care Diabetes (IF 2.9) Pub Date : 2024-01-28 Farhad Gholami, Aynollah Naderi, Asal Saeidpour, Jean Pascal Lefaucheur
Aims We conducted a systematic review and meta-analysis to investigate the effect of exercise training on HbA1c, and on fasting and postprandial plasma glucose concentrations in patients with diabetic peripheral neuropathy (DPN). Methods Two independent researchers performed a systematic search in the electronic databases of PubMed, Web of Science and Scopus. Studies investigating the effect of exercise
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Type 2 diabetes-related health measures during the initial COVID-19 surge at an academic internal medicine practice Prim. Care Diabetes (IF 2.9) Pub Date : 2024-01-25 Lawrence Ma, Joseph Diaz, Jennifer Deconde, Melissa Wong, Bernice Ruo
The COVID-19 pandemic disrupted chronic disease management in the United States and across the world. This study reports minimal effects of the initial COVID-19 surge on body mass index, blood pressure, cholesterol, and blood glucose control in ambulatory general internal medicine patients with Type 2 diabetes at a single academic center.
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A prospective, multicentre, randomized, open-label comparison of a long-acting basal insulin analog glargine plus glulisine with premixed insulin in insulin naïve patients with Type 2 diabetes – A study from India Prim. Care Diabetes (IF 2.9) Pub Date : 2024-01-23 Arun Raghavan, Arun Nanditha, Krishnamoorthy Satheesh, Priscilla Susairaj, Ramachandran Vinitha, Dhruv Rajesh Nair, Chamukuttan Snehalatha, Ambady Ramachandran
Aims We aimed to compare the effectiveness of Glargine plus Glulisine to premixed insulin analogue, as measured by HbA1c ≤ 7.0% in insulin naive Type 2 Diabetes (T2D) patients with elevated fasting and/or postprandial plasma glucose. Methods Insulin-naive T2D patients (116 men, 84 women) on ≥ 2 oral hypoglycemic agents with inadequate glycemic control were randomized either to group 1 (insulin Glargine
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Association of metabolic syndrome components and NAFLD with quality of life: Insights from a cross-sectional study Prim. Care Diabetes (IF 2.9) Pub Date : 2024-01-23 Marta Borges-Canha, Ana Rita Leite, Tiago Godinho, Rodrigo Liberal, Joana Correia-Chaves, Inês Mariana Lourenço, Madalena von Hafe, Catarina Vale, Mariana Fragão-Marques, Pedro Pimentel-Nunes, Adelino Leite-Moreira, Davide Carvalho, Paula Freitas, João Sérgio Neves
Aim Metabolic syndrome (MetS) is associated with higher cardiovascular and metabolic risks, as well as with psychosocial disorders. Data regarding quality of life (QoL) in patients with MetS, point towards a significative association between MetS and a worse QoL. It remains unclear whether MetS components and non-alcoholic fatty liver disease (NAFLD) are associated with QoL in these individuals. We
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Acanthosis nigricans independently predicts hepatic fibrosis in people with type 2 diabetes in North India Prim. Care Diabetes (IF 2.9) Pub Date : 2024-01-19 Koel Dutta, Surya Prakash Bhatt, Swati Madan, Irshad Ahmad Ansari, Kanika Tyagi, Shivam Pandey, Anoop Misra
Background Acanthosis nigricans (AN) is a skin condition characterized by hyperpigmentation and thickening, often found in individuals with insulin resistance. Despite this well-established association, the potential link between AN and hepatic fibrosis in people with type 2 diabetes (T2D) has yet to be thoroughly explored. Methodology We recruited a total of 300 people with T2D, half of whom had AN
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Association between polyunsaturated fatty acids and progression among patients with diabetic kidney disease Prim. Care Diabetes (IF 2.9) Pub Date : 2024-01-18 Wu Liu, Shiyi Liu, Qiuyue Ren, Ronglu Yang, Shanshan Su, Xiaoyu Jiang
Aims Diabetic kidney disease (DKD) is the major complication of diabetes mellitus (DM) and one of the leading causes of end-stage renal disease. Early detection and treatment are contributing to delay the progression of DKD. Dietary management has potential benefits for DKD, especially the intake of polyunsaturated fatty acids (PUFAs). However, there is a lack of sufficient evidence, so we aimed to
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Trends in the prevalence of gestational diabetes in Catalonia from 2010 to 2019 Prim. Care Diabetes (IF 2.9) Pub Date : 2024-01-15 Berta Soldevila, Lourdes Alarcón, Bogdan Vlacho, Jordi Real, Marta Hernández, Xavier Cos, Josep Franch-Nadal, Dídac Mauricio
Introduction Gestational diabetes mellitus (GDM) is globally increasing due to changes in risk factors such as gestational age, obesity, and socioeconomic status (SES). This study examined trends of GDM prevalence over ten years using a real-world Primary Health Care database from Catalonia (Spain). Methods: A retrospective analysis of pregnant women screened for GDM was conducted, using clinical and
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Deintensification of potentially inappropriate medications amongst older frail people with type 2 diabetes: Protocol for a cluster randomised controlled trial (D-MED study) Prim. Care Diabetes (IF 2.9) Pub Date : 2024-01-13 Lauren O’Mahoney, Patrick Highton, Ruksar Abdala, Helen Dallosso, Clare L. Gillies, Seema Ragha, Fiona Munday, John Robinson, Andrew Marshall, James P. Sheppard, Kamlesh Khunti, Samuel Seidu
Aims Amongst elderly people with type 2 diabetes (T2D) over prescribing can result in emergency ambulance call-outs, falls and fractures and increased mortality, particularly in frail patients. Current clinical guidelines, however, remain focused on medication intensification rather than deintensification where appropriate. This study aims to evaluate the effectiveness of an electronic decision-support
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Reliability and validity of the Turkish version of the problem areas in diabetes (PAID) survey: Results from diabetes MILES – Turkey Prim. Care Diabetes (IF 2.9) Pub Date : 2024-01-13 Dilara Karşıdağ Altıkardeş, Giesje Nefs, Hülya Hacışahinoğulları, Tom Smeets, Frans Pouwer
Background and Aims To 1) assess the reliability and validity of the Turkish version of the Problem Areas in Diabetes (PAID), PAID-5 and PAID-1 survey among Turkish adults with type 1 or type 2 diabetes, 2) estimate the level of elevated diabetes-specific distress (DD), and 3) determine the demographic and clinical correlates of DD-symptom severity. Methods and Results From 2017–2019, 252 adults with
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The effects of resistance exercises interventions on quality of life and glycemic control in patients with type 2 diabetes: Systematic review and meta-analysis of randomized controlled trials Prim. Care Diabetes (IF 2.9) Pub Date : 2024-01-12 Jun Jia, Yuping Xue, Yu Chen Zhang, Yue Hu, Siqi Liu
Aims The global burden of diabetes mellitus is escalating rapidly, and the complex comorbidities contribute to a marked decline in patients' quality of life. This review assesses the impact of resistance training on quality of life in type 2 diabetes patients, addressing the ongoing debate over its role in diabetes management and the potential to enhance clinical outcomes. Methods Systematic review
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Diabetes-related complications, glycemic levels, and healthcare utilization outcomes after therapeutic inertia in type 2 diabetes mellitus Prim. Care Diabetes (IF 2.9) Pub Date : 2024-01-07 Cassidi C. McDaniel, Wei-Hsuan Lo-Ciganic, Chiahung Chou
Aims To assess diabetes-related complications, glycemic levels, and healthcare utilization 12 months after exposure to therapeutic inertia among patients with type 2 diabetes mellitus (T2D). Methods This retrospective cohort study analyzed data from the OneFlorida Clinical Research Consortium (electronic health records from Florida practices/clinics). The cohort included adult patients (≥18 years old)
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Consistent service use before the COVID-19 pandemic predicted the continuity of face-to-face appointments during the lockdown among type 2 diabetes patients Prim. Care Diabetes (IF 2.9) Pub Date : 2024-01-06 Laura Inglin, Katja Wikström, Marja-Leena Lamidi, Tiina Laatikainen
Introduction The COVID-19 pandemic affected diabetes care among type 2 diabetes (T2D) patients. However, it is not known whether the observed changes in care concern all T2D patients equally. We examined the changes in health service usage and treatment outcomes among T2D patients according to the pre-pandemic follow-up activity. Methods We analysed electronic health records of 11 083 T2D patients
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Perceived stress and progression of cardiometabolic risk factors among South Asians with prediabetes in a lifestyle intervention trial Prim. Care Diabetes (IF 2.9) Pub Date : 2024-01-04 Nicole D. Fields, K.M. Venkat Narayan, Harish Ranjani, Lisa R. Staimez, Ranjit Mohan Anjana, Shivani A. Patel, Viswanathan Mohan, Mohammed K. Ali, Mary Beth Weber
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Primary care diabetes assessment when HbA1c and other measures of glycemia disagree Prim. Care Diabetes (IF 2.9) Pub Date : 2024-01-03 Jared G. Friedman, Eric P. Smith, Sanjana S. Awasty, Morgan Behan, Matthew T. Genco, Hannah Hempel, Sabih Jafri, Roman Jandarov, Tara Nagaraj, Robert S. Franco, Robert M. Cohen
Aims Although diabetes management decisions in primary care are typically based largely on HbA1c, mismatches between HbA1c and other measures of glycemia that are increasingly more available present challenges to optimal management. This study aimed to assess a systematic approach to identify the frequency of mismatches of potential clinical significance amongst various measures of glycemia in a primary
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Living alone increases the risk of developing type 2 diabetes mellitus: A systematic review and meta-analysis based on longitudinal studies Prim. Care Diabetes (IF 2.9) Pub Date : 2023-12-20 Jinrong Huang, Liping Xiao, Hui Zhao, Fuwei Liu, Lihui Du
Background Living alone is a prevalent psychological issue that has been found to have significant implications for lifestyle and health status. While considerable research has been conducted to explore the relationship between living alone and the risk of developing type 2 diabetes mellitus (T2DM), the majority of studies have been cross-sectional, leaving direct correlations elusive. Therefore, this
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Assessing psychometric properties of the Turkish version of the Diabetes Caregiver Activity and Support Scale (D-CASS) Prim. Care Diabetes (IF 2.9) Pub Date : 2023-12-13 Merve Günbaş, Dilek Büyükkaya Besen, Merve Dervişoğlu
Aim The study was a methodological conducted to evaluate the validity and reliability of the Turkish version of the Diabetes Caregiver Activity and Support Scale (D-CASS). Methods This study was included on 272 individuals who cared for patients diagnosed with type 2 diabetes at least one year ago. Language, content, internal criterion, construct-concept validity were used to test the validity of the
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Editorial Board and Aims & Scopes Prim. Care Diabetes (IF 2.9) Pub Date : 2023-12-12
Abstract not available
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Advancing diabetes primary care education and knowledge in Nepal: A scoping review and case study discussion Prim. Care Diabetes (IF 2.9) Pub Date : 2023-12-07 Hester Lacey, Nityanand Jain, Mai Sugimoto, Masako Shimato, Shi Jia Zhou, Valdis Pirags, Rajani Shakya, Robin Man Karmacharya, Phanindra Prasad Baral
Aims Diabetes mellitus (DM) is a chronic disorder of insulin and glucose metabolism. It affects more than 463 million people worldwide and is expected to reach 700 million by 2045. In the Southeast Asian region, the prevalence of DM has tripled to 115 million due to rapid urbanization, unhealthy diet, sedentary lifestyles, and genetic factors. In Nepal, a developing country, DM affects 8.5% of adults
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Associations between physical activity and all-cause and cardiovascular mortality in adults with type 2 diabetes mellitus: A prospective cohort study from NHANES 2007–2018 Prim. Care Diabetes (IF 2.9) Pub Date : 2023-12-05 Jie Lu, Xiting Cao, Xinyu Chang, Guowei Zheng, Hao Zhu, Shuaijie Gao, Zhenwei Wang, Xiaocan Jia, Xuezhong Shi, Yongli Yang
Aims To investigate the dose-response association between physical activity and all-cause and cardiovascular mortality in adults with type 2 diabetes mellitus and the effects of replacing sedentary behavior with physical activity. Methods 4808 adults with type 2 diabetes mellitus were included in NHANES 2007–2018. Cox proportional hazards models were used to calculate hazard ratios and 95% confidence
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Barriers and solutions for the management of severe hypoglycaemia in people with diabetes in Spain: A Delphi survey Prim. Care Diabetes (IF 2.9) Pub Date : 2023-12-02 Domingo Orozco-Beltrán, Adriana López Pineda, José Antonio Quesada, Esther Artime, Silvia Díaz-Cerezo, Jennifer Redondo-Antón, Miriam Rubio-de Santos, Erik Spaepen, María Concepción Carratala Munuera
Background and objective Severe hypoglycaemia (SH) imposes a significant burden for people with diabetes (PwD), their caregivers (CGs), and the healthcare system. The study aimed to identify barriers and solutions in the management of SH in PwD in Spain, gathering consensus from physicians and nurses. Material and methods Expert opinion from physicians and nurses who manage PwD was collected via a
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Assessment of diabetes self-care behaviors and knowledge among Marshallese adults with type 2 diabetes in the Republic of the Marshall Islands Prim. Care Diabetes (IF 2.9) Pub Date : 2023-11-30 Jennifer A. Andersen, Brett Rowland, Erin Gloster, Holly C. Felix, Sheldon Riklon, Desiree Jenkins, Williamina Ioanna Bing, Philmar Mendoza Kabua, Jonell S. Hudson, Dinesh Edem, Jack Niedenthal, Pearl A. McElfish
Aims The aim of this study is to assess and document engagement in type 2 diabetes mellitus (T2DM) self-care behaviors and self-reported diabetes knowledge among Marshallese adults living in the Republic of the Marshall Islands (RMI). Methods The study uses data from a T2DM health screening study completed in the RMI; survey and biometric data were captured as part of the health screenings. Study objectives
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Retirement status and physical activity in US adults with type 2 diabetes mellitus: Influence of sex, race/ethnicity and acculturation level Prim. Care Diabetes (IF 2.9) Pub Date : 2023-12-01 Ruth Ndjaboue, Joel Desire Diendere, Fadila Bulver, Abigail Djossou, Stella Ruddy, Gerard Ngueta
Aims We aimed to assess the association between retirement status and recreational physical activity (rPA) in US adults with Type 2 diabetes mellitus (T2DM), while accounting for potential modification effects. Methods We extracted data from the 2007–2014 National Health and Nutrition Examination Survey. We used logistic regression models to evaluate the association between self-reported retirement
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The impact of community teaching sessions on onward referral to specialist diabetic foot services Prim. Care Diabetes (IF 2.9) Pub Date : 2023-11-29 Nina Al-Saadi, Nichola Beard, Khalid Al-Hashimi, Helen Suttenwood, Michael Wall, Steven Jones, Catherine Merriman
Introduction Prompt referral of patients with diabetic foot ulceration (DFU) to specialist services can lead to more timely assessment of these patients and subsequent improved rates of limb salvage and patient outcomes. In this study we wanted to determine the impact of education in the primary care setting on onward referrals to our specialist Diabetic Foot multi-disciplinary team (MDT) clinic. Methods
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Impact of continuous glucose monitoring on everyday life of young children with type 1 diabetes and their parents: An evaluation of 114 families Prim. Care Diabetes (IF 2.9) Pub Date : 2023-11-23 K. Aouchiche, D. Bernoux, E. Baechler Sadoul, E. Haine, F. Joubert, S. Epstein, N. Faure Galon, F. Dalla-Vale, J.C. Combe, M. Samper, G. Simonin, S. Castets, E. Marquant, J. Vergier, R. Reynaud
Introduction The prevalence of type 1 diabetes is increasing worldwide. The advent of new monitoring devices has enabled tighter glycemic control. Aim To study the impact of glucose monitoring devices on the everyday life of young children with type 1 diabetes (T1D) and their parents. Methods A questionnaire was addressed to parents of children with T1D under the age of 6 years with an insulin pump
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Characteristics of metabolic inflammatory syndrome among inpatients with type 2 diabetes: A cross-sectional study in China Prim. Care Diabetes (IF 2.9) Pub Date : 2023-11-22 Rumei Li, Bin Lu, Qiang Li, Ji Hu, Yun Huang, Yangang Wang, Guijun Qin, Weiwei Zhang, Qing Su, Jun Zhu, Yancheng Xu, Hongwei Jiang, Xinjun Wang, Keqing Zhang, Yuzhi Yang, Renming Hu
Background As meta-inflammation is a common feature for obesity, type 2 diabetes (T2D), nonalcoholic fatty liver disease and atherosclerosis, we have proposed a new concept, metabolic inflammatory syndrome (MIS), to cluster such diseases. We aimed to characterize MIS and explore its association with coronary heart disease (CHD) among T2D inpatients in China. Methods A total number of 8344 T2D participants
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Sodium glucose cotransporter2 inhibitors for type 1 diabetes mellitus: A meta-analysis of randomized controlled trials Prim. Care Diabetes (IF 2.9) Pub Date : 2023-11-18 Juanli Nan, Dekai Wang, Ruxian Zhong, Fen Liu, Jingmei Luo, Ping Tang, Xiaoxiao Song, Lihua Zhang
Aims Sodium glucose cotransporter2 (SGLT2) inhibitors are controversial in the treatment of type 1 diabetes mellitus (T1DM). This study is a systematic evaluation of the safety of SGLT2 inhibitors usage in T1DM. Methods Comprehensive literature search in six databases from inception to September 2022. Randomized controlled trials (RCTs) of T1DM treated with SGLT2 inhibitor vs. placebo were included
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All-cause mortality and risk factors in patients with type 1 diabetes in Castilla-La Mancha, Spain. DIACAM1 2010–2020 study Prim. Care Diabetes (IF 2.9) Pub Date : 2023-11-15 Pedro José Pinés Corrales, Julia Sastre Marcos, Gema López Gallardo, Jesús Moreno Fernández, Sandra Herranz Antolín, Iván Quiroga López, Florentino Del Val Zaballos, Javier González López, José Joaquín Alfaro Martínez
Introduction Despite better treatments and care for patients with type 1 diabetes (T1DM), all-cause and cardiovascular mortality still remains higher compared to the general population. We evaluated mortality and risk factors for mortality in a representative cohort of patients with T1DM. Methods DIACAM1 was a cross-sectional, multicenter study on adult patients (≥ 16 years old) and diabetes with at
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Effectiveness of RADAR on diabetes processes of care for First Nations communities in Alberta, Canada Prim. Care Diabetes (IF 2.9) Pub Date : 2023-11-10 Dean T. Eurich, Lisa A. Wozniak, Allison Soprovich, Cerina Lee, Jasjeet K. Minhas-Sandhu, Lynden Crowshoe, Jeffrey A. Johnson, Salim Samanani
The epidemic of type-2 diabetes in First Nations communities is tragic. Culturally-appropriate approaches addressing multiple components, focusing beyond glycemic control, are urgently needed. Using an intention-to-treat framework, 13 processes of care indicators were assessed to compare proportions of patients who received care at baseline relative to 2-year follow-up. Clinical improvements were demonstrated
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Editorial Board and Aims & Scopes Prim. Care Diabetes (IF 2.9) Pub Date : 2023-11-07
Abstract not available
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Diabetes specialist intervention in general practices in areas of deprivation and ethnic diversity: A qualitative evaluation (QUAL-ECLIPSE) Prim. Care Diabetes (IF 2.9) Pub Date : 2023-11-04 Peter Zeh, Annie Young, Nitin Gholap, Harpal Randeva, Timothy Robbins, Kam Johal, Shweta Patel, J. Paul O’Hare
Aim To assess patients’ and healthcare professionals’ perspectives of a specialist-led Diabetes Risk-based Assessment Clinic (DIRAC) for people with diabetes at high risk of complications (PWDHRC) in areas of deprivation in Coventry, UK. Methods A qualitative evaluation of a pilot trial, comprising a specialist team intervention (DIRAC), was undertaken in seven GP practices through observations of
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Point-of-Care testing of HbA1c levels in community settings for people with established diabetes or people at risk of developing diabetes: A systematic review and meta-analysis Prim. Care Diabetes (IF 2.9) Pub Date : 2023-11-02 Anna Gourlay, Calum Sutherland, Andrew Radley
Background Glycated haemoglobin (HbA1c) measurement using Point of Care (POC) testing may be of huge utility, providing convenient testing for early diagnosis and regular monitoring of hard-to-reach patient groups. This systematic review aimed to identify evidence for the successful deployment of these devices to improve patient outcomes in diabetes. Methods A systematic review and meta-analysis was
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The effect of basic carbohydrate counting on HbA1c in type 2 diabetic patients: A non-randomized controlled trial Prim. Care Diabetes (IF 2.9) Pub Date : 2023-10-28 Hamide Vural, Arzu Uzuner, Pemra C. Unalan, Hayal Ozkan Sınav
Aim To evaluate the effect of basic carbohydrate counting (CC) on HbA1c in Type 2 Diabetes (T2D) patients using oral antidiabetic drugs in the primary care. Method The study is a non-randomized controlled clinical trial. T2D patients, aged between 18 and 75 years, HbA1c ≥ 6,5 %, using oral antidiabetic medication, were followed for three months in two groups: one intervention (IG) (n = 33), one control
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A comparison of continuous glucose monitors (CGMs) in diabetes management: A systematic literature review Prim. Care Diabetes (IF 2.9) Pub Date : 2023-10-28 Rosilla Edward, Ronny Priefer
Background and aims As diabetes prevalence has continued to increase in the United States, as well as globally, utilization of disease management techniques has also improved. The evolution in disease management for diabetes has adapted greatly from the initial dipstix method. Continuous glucose monitors have grown in popularity with its introduction to the market. After introduction of CGMs as part
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Time in uncontrolled hyperglycemia before insulin initiation in people living with type 2 diabetes: A systematic literature review Prim. Care Diabetes (IF 2.9) Pub Date : 2023-10-28 Stewart Harris, Samuel Seidu
Background This systematic literature review (PROSPERO registration: CRD42022327974) examined the duration of uncontrolled hyperglycemia (glycated hemoglobin [HbA1c] ≥ 7.0%; ≥ 53 mmol/mol) before basal insulin initiation in insulin-naive people with type 2 diabetes who were receiving concomitant oral glucose-lowering agents or injectable glucagon-like peptide-1 receptor agonist therapy. Methods Databases
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Chronic kidney disease stage is associated with the number of risk factors in type 2 diabetes patients (STages Of NEphropathy in type 2 diabetes and Heart Failure – STONE HF) Prim. Care Diabetes (IF 2.9) Pub Date : 2023-10-25 Kaj Metsärinne, Mikko Pietilä, Ilkka Kantola, Lotta K. Stenman, Aino Vesikansa, Lasse Ruokolainen, Leo Niskanen
Aims To study the association between risk factors and chronic kidney disease (CKD), and characterize medication use in Finnish primary care type 2 diabetes (T2D) patients. Methods Data on clinical characteristics, laboratory measurements, and medications were collected from medical records. The primary outcome measure was notable CKD (stage 3–5, eGFR <60 ml/min/1.73 m2) and/or increased albuminuria
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Cardiometabolic risk profile of young and old adults with diabetes: Pooled, cross-sectional analysis of 42 national health surveys Prim. Care Diabetes (IF 2.9) Pub Date : 2023-10-25 Rodrigo M. Carrillo-Larco, Wilmer Cristobal Guzman-Vilca, Antonio Bernabe-Ortiz
Aims To compare levels of cardiometabolic risk factors in young and old adults with diabetes. Methods Pooled analysis of 42 STEPS Surveys (n = 133,717). Diabetes was defined as self-reported diagnosis or fasting plasma glucose ≥ 126 mg/dl. There were two age groups: < 40 and ≥ 40 years. We summarized the mean levels of four cardiometabolic risk factors by country, sex and age group. Results In 11 (men)
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Association between initial continuity of care status and diabetes-related health outcomes in older patients with type 2 diabetes mellitus: A nationwide retrospective cohort study in South Korea Prim. Care Diabetes (IF 2.9) Pub Date : 2023-10-19 Hyun Woo Jung, Woo-Ri Lee
Background and aim Timely and continuous care is necessary for patients with diabetes to prevent hospitalization and complications. This study investigated the association between initial Continuity of Care Index (COCI) status after diagnosis of type 2 diabetes mellitus (T2DM) and short- and long-term diabetes-related health outcomes. Methods It targeted elderly patients aged 60 years and above diagnosed
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Patient-level factors associated with hemoglobin A1C testing in Alabama Medicaid beneficiaries with diabetes Prim. Care Diabetes (IF 2.9) Pub Date : 2023-10-17 Caroline A. Presley, Yulia Khodneva, Carrie R. Howell, Kevin R. Riggs, Lei Huang, Emily B. Levitan, Andrea L. Cherrington
Aim We evaluated patient-level factors associated with receipt of hemoglobin A1c (HbA1c) testing among Alabama Medicaid beneficiaries with type 2 diabetes. Methods We conducted a retrospective analysis of person-year observations from Medicaid claims data from 2011 to 2020. Adults aged 19–64 years with type 2 diabetes and continuous enrollment in Medicaid for study year and year prior were included
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Prevalence of pre-diabetes in adults aged 25 – 45 years in a Durban-based clinical setting, South Africa: A retrospective study Prim. Care Diabetes (IF 2.9) Pub Date : 2023-10-13 Aubrey M. Sosibo, Nomusa C. Mzimela, Phikelelani S. Ngubane, Andile Khathi
Aim Due to pre-diabetes being underexplored, its prevalence was investigated in study participants aged 25–45 years in a Durban-based tertiary-level clinical setting in South Africa. Methods The study was done using a retrospective study design. Fasting blood samples from consented patients with no previous diagnosis of diabetes and within the specified age range were collected from King Edward Hospital
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Urine ACR uptake in patients with a diagnosis of type 1 and 2 diabetes mellitus in a primary care setting: A cross sectional study Prim. Care Diabetes (IF 2.9) Pub Date : 2023-10-13 Arshi Baig, Azhar Zafar
Background and objectives A recent change in the diabetes Quality and Outcomes Framework (QOF) retired the mandatory testing of urinary ACR. We designed a study demonstrates the impact of this change in a primary healthcare setting. This is relevant as a significant proportion of the NHS budget is spent on managing microvascular and macrovascular complications that result from type 1 and 2 Diabetes
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Ethnic disparities of vascular complications in pre-diabetes, undiagnosed diabetes, and newly diagnosed diabetes Prim. Care Diabetes (IF 2.9) Pub Date : 2023-10-10 Yilin Yoshida, Yuanhao Zu, Vivian A. Fonseca
In the U.S., ethnic minorities with pre-diabetes, undiagnosed type 2 diabetes (T2D), and newly diagnosed T2D had a higher prevalence of microvascular complications than non-Hispanic Whites and exhibited distinct risk factors, whereas Whites had a higher rate of cardiovascular disease.
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Improved glycemic control after the use of flash glucose monitoring accompanied by improved treatment satisfaction in patients with non-insulin-treated type 2 diabetes: A post-hoc analysis of a randomized controlled trial Prim. Care Diabetes (IF 2.9) Pub Date : 2023-10-09 Ayaka Hayase, Takeshi Onoue, Tomoko Kobayashi, Eri Wada, Tomoko Handa, Tamaki Kinoshita, Ayana Yamagami, Yoshinori Yasuda, Shintaro Iwama, Yohei Kawaguchi, Takashi Miyata, Mariko Sugiyama, Hiroshi Takagi, Daisuke Hagiwara, Hidetaka Suga, Ryoichi Banno, Yachiyo Kuwatsuka, Masahiko Ando, Motomitsu Goto, Hiroshi Arima
Aims In our previously reported randomized controlled trial in patients with noninsulin-treated type 2 diabetes, the use of flash glucose monitoring (FGM) improved glycated hemoglobin (HbA1c), and the improvement was sustained after the cessation of glucose monitoring. In this post-hoc analysis, we examined data from our trial to identify the factors that influenced FGM efficacy. Methods We analyzed
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Associations of blood pressure with cardiovascular and mortality outcomes in over 2 million older persons with or without diabetes mellitus: A systematic review and meta-analysis of 45 cohort studies Prim. Care Diabetes (IF 2.9) Pub Date : 2023-10-06 Samuel Seidu, Clare E. Hambling, Setor K. Kunutsor, Pinar Topsever
Background The impact of blood pressure on cardiovascular disease (CVD) and mortality outcomes in older people with diabetes mellitus (DM) is not well quantified. Using a systematic review and meta-analysis of observational cohort studies, we aimed to compare the associations of blood pressure levels with cardiovascular and mortality outcomes in older people aged ≥ 65 years with or without DM. Methods
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The association between screen time and depression symptoms severity among adults with diabetes: A cross-sectional study Prim. Care Diabetes (IF 2.9) Pub Date : 2023-10-03 Layan Sukik, Bushra Hoque, Linda Boutefnouchet, Mohamed Elhadary, Hiba Bawadi, Mujahed Shraim
Objective To investigate the association between time spent on screen-based sedentary behavior (SBSB) and depression symptom severity (DSS) among adults with type 2 diabetes. Methods A cross-sectional study employing secondary data collected by Qatar Biobank (QBB) on 2386 adults with type 2 diabetes aged ≥ 18 years. Self-reported data on DSS measured using the Patient Health Quationnaire-9 and daily
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Reply to Siyu Tan: Associations of cardiovascular health assessed by life’s essential 8 with diabetic retinopathy and mortality in type 2 diabetes. The author’s reply Prim. Care Diabetes (IF 2.9) Pub Date : 2023-10-02 Ruihuan Shen, Xuantong Guo, Tong Zou, Lihong Ma
The present study is a reply of authors regarding the commentary from Siyu Tan. In this study, we paid specific attention to (1) highlight the inclusion criterion and diagnosis of Type 2 diabetes mellitus; (2) explain the assessments of cardiovascular health and diabetic retinopathy.