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Diabetes and Primary Care

UK National Institute for Clinical Excellence recommends insulin pump therapy for some people with type 1 diabetes

UK National Institute for Clinical Excellence recommends insulin pump therapy for some people with type 1 diabetes The UK National Institute for Clinical Excellence (NICE) issued guidance to the National Health Service (NHS) on the 26th February 2003 on the use of insulin pump therapy recommending that insulin pumps be made available to some people […]

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Diabetes and Primary Care

Educating the ‘experts’: diabetes patient education programme

Educating the ‘experts’: diabetes patient education programme – Patient Education Helen Husband Introduction Education is an important part of diabetes management. An audit of the education provided to people with diabetes, carried out in Taff Ely, Wales, led to the development of an educational programme, which is described in this article. Evaluation of the programme […]

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Diabetes and Primary Care

Short exercise programmes benefit people with diabetes

Short exercise programmes benefit people with diabetes – Delivery of Care Robert Andrews Introduction Numerous trials have shown that regular exercise can benefit individuals with diabetes, but these trials have tended to be laboratory based and have included only small numbers of highly motivated individuals. This study set out to assess whether the findings from […]

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Diabetes and Primary Care

Childhood obesity: a big problem for small people

Childhood obesity: a big problem for small people – Survey Janet James Introduction Obesity is a major public health concern, with an ever-increasing prevalence in adult and child populations. The recent appearance of type 2 diabetes in children further emphasises the importance of the issue. As overweight children tend to become overweight adults, preventive strategies […]

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Diabetes and Primary Care

Obesity in adolescence

Obesity in adolescence John R Reilly ARTICLE POINTS 1 Adolescent obesity has reached epidemic levels in the UK. 2 Obesity in adolescence has many serious adverse effects, including increased risk of type 2 diabetes. 3 Obesity should be diagnosed using the BMI percentile, plotted on a chart. 4 Management of obesity in adolescence should focus […]

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Diabetes and Primary Care

Happy anniversary, metformin!

Happy anniversary, metformin! Roger Gadsby 2007 is the 50th Anniversary of the launch of metformin in Europe (Campbell et al, 1996). This article reviews its progress from humble beginnings to its place today as the initial monotherapy of choice for the oral treatment of type 2 diabetes. Key words – Metformin – Sustained release – […]

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Diabetes and Primary Care

Are prehospital care pathways a viable proposition? – Delivery of Care

Are prehospital care pathways a viable proposition? – Delivery of Care – treatment of hypoglycemia David Ellis KEY WORDS * Prehospital care pathway * Hypoglycaemia * Paramedics’ skills * Resource implications Introduction There is debate as to whether all patients suffering from hypoglycaemia need to be taken to hospital. Several studies suggest that rapid transfer […]

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Diabetes and Primary Care

A licence change for the glitazones

A licence change for the glitazones – Comment Roger Gadsby On 2nd September 2003, the European Agency for the Evaluation of Medicinal Products (EMEA) announced licence changes for thiazolidinediones (glitazones; EMEA, 2003) The main change is that the new licence allows glitazones to be prescribed as monotherapy if metformin is contraindicated or not tolerated. This […]

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Diabetes and Primary Care

Rosuvastatin is highly effective in patients with metabolic syndrome

Rosuvastatin is highly effective in patients with metabolic syndrome – Meetings Rosuvastatin (Crestor) is significantly more effective at lowering LDL cholesterol than atorvastatin, simvastatin and pravastatin, according to new research presented at the IDF Congress in August. In addition, significantly more patients treated with rosuvastatin reached their European and US LDL cholesterol goals than the […]

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Diabetes and Primary Care

Insulin pump therapy: a patient’s perspective

Insulin pump therapy: a patient’s perspective – Patient perspective Valerie L Wilson ARTICLE POINTS 1 Many studies have shown that insulin pump therapy is an excellent tool for the achievement of good glycaemic control. 2 Improved glycaemic control allows the prevention or delay of long-term diabetes complications. 3 Pump therapy offers the patient flexibility in […]