Diabetic medicine : a journal of the British Diabetic Association
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Randomized Controlled Trial
Cognitive behavioural therapy (CBT) compared with blood glucose awareness training (BGAT) in poorly controlled Type 1 diabetic patients: long-term effects on HbA moderated by depression. A randomized controlled trial.
To test the effectiveness at 6 and 12 months' follow-up of group cognitive behavioural therapy (CBT) compared with blood glucose awareness training (BGAT) in poorly controlled Type 1 diabetic patients and to explore the moderating effect of baseline depression. ⋯ Our findings suggest that group CBT can effectively help Type 1 diabetic patients with co-morbid depression achieve and maintain better glycaemic outcomes.
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Multicenter Study
Children and young people with diabetes in Yorkshire: a population-based clinical audit of patient data 2005/2006.
To provide a population-based clinical audit of children and young people with diabetes, reporting outcomes, including glycaemic control, for named individual units. ⋯ Our population-based clinical audit of children with diabetes is the product of an effective collaboration between those who deliver care and health services researchers. High levels of recording the key care process measuring diabetes control, compared with national figures, suggests collaboration has translated into improved services. The interesting association between poor diabetes control and higher deprivation is noteworthy and requires further investigation. Future audits require recording of clinical management and clinic structures, in addition to resources to record, assemble and analyse data.
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To highlight the regional difference in the prevalence of diabetes mellitus (DM) and to explore determinants in variability in the Indian industrial population. ⋯ There are wide regional variations in the prevalence of DM in India. The high burden of undetected diabetes, even in settings with universal access to on-site health care, highlights the need for innovative prevention and control strategies.
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The care of pregnant women with disorders of glucose metabolism is a satisfying part of diabetes care but outcomes remain less than ideal. The evidence base to improve care has grown over subsequent decades and clinicians will welcome up-to-date NICE guidance on this topic. This review looks at the guidance from the perspective of a secondary care diabetes team.
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To determine the utility of finger-prick point-of-care testing (POCT) of blood glucose for the detection of dysglycaemia. ⋯ POCT significantly underestimated the true blood glucose at diagnostic levels for diabetes. POCT cannot be recommended as a means of screening for or diagnosing diabetes or pre-diabetes.