New Survey Uncovers Significant Food Economising Amongst Type 2 Diabetes Population

March 7, 2009

Source: PR Newswire

Link here to view selected item

Year of publication: 2009

In a nutshell:  Results of a new Pan-European survey have uncovered alarming new information regarding the eating habits of people with Type 2 diabetes. More than a third of the sample surveyed (37%) stated that rising food prices and the so called “credit crunch” had affected their ability to balance their diet and had caused them to eat less. Specifically, 26% of respondents stated having only one main meal a day and fewer than half (43%) were eating three or more meals a day.

Length of Publication: 1 page

Some important notes:  None

Acknowledgements: NHS Diabetes


Web-Based Collaborative Care for Type 2 Diabetes

March 7, 2009

Source: Diabetes Care  32:234-239

For abstract link here 

For fulltext link here  (Login with NHS Athens)

Year of publication: 2009

In a nutshell:

OBJECTIVE— To test Web-based care management of glycemic control using a shared electronic medical record with patients who have type 2 diabetes.

RESEARCH DESIGN AND METHODS— a trial of 83 adults with type 2 diabetes randomized to receive usual care plus Web-based care management or usual care alone between August 2002 and May 2004. All patients had GHb 7.0%, had Web access from home, and could use a computer with English language–based programs. Intervention patients received 12 months of Web-based care management. The Web-based program included patient access to electronic medical records, secure e-mail with providers, feedback on blood glucose readings, an educational Web site, and an interactive online diary for entering information about exercise, diet, and medication. The primary outcome was change in GHb.

RESULTS— GHb levels declined by 0.7% (95% CI 0.2–1.3) on average among intervention patients compared with usual-care patients. Systolic blood pressure, diastolic blood pressure, total cholesterol levels, and use of in-person health care services did not differ between the two groups.

CONCLUSIONS— Care management delivered through secure patient Web communications improved glycemic control in type 2 diabetes.

Length of Publication: 1 page [Full document – 6 page pdf]

Some important notes:  Use your NHS Athens username to access the full text of this article. If you have any problems, contact your NHS Library.

 Acknowledgements: None


Medical management of hyperglycaemia in type 2 diabetes: A consensus algorithm for the initiation and adjustment of therapy

March 7, 2009

Source: Diabetes Care  32: 193-203 –

Link here to view selected item

Year of publication: 2009

In a nutshell: The consensus algorithm for the medical management of type 2 diabetes was published in August 2006 with the expectation that it would be updated, based on the availability of new interventions and new evidence to establish their clinical role. The authors continue to endorse the principles used to develop the algorithm and its major features. An update to the consensus algorithm published in January 2008 specifically addressed safety issues surrounding the thiazolidinediones. In this revision, the authors focus on the new classes of medications that now have more clinical data and experience.

Length of Publication: 11 page pdf

Some important notes:  None

Acknowledgements: NHS Diabetes Specialist Library 


New website launched for the Diabetes Patient Experience Project (DPEP)

March 7, 2009

Source: NHS Diabetes

Link here to view selected item

Year of publication: 2009

In a nutshell:  This information this will then be used by commissioners and providers for service improvement.  Until recently, such a project was considered unfeasible and health professionals were not able to measure patients’ views on their support and treatment.  The National Patient Survey Programme 2006 and the Healthcare Commission Diabetes Survey have demonstrated that patient experience can be measured effectively. 
Enabling patient experience to be captured, analysed and acted upon, will be beneficial not only to the NHS, but also to diabetes patients across the country.
This project is governed by the National Diabetes Information Service.

Length of Publication: 1 page

Some important notes:  None

Acknowledgements: NHS Diabetes


Individual patient education for people with type 2 diabetes mellitus

March 7, 2009

Source: Cochrane Database of Systematic Reviews, Issue 1, 2009  –

Link here to view selected item

Year of publication: 2009

In a nutshell:  Background – Type 2 diabetes is a common and costly chronic disease which is associated with significant premature mortality and morbidity. Although patient education is an integral component of diabetes care, there remain uncertainties regarding the effectiveness of different methods and modes of education.
Objectives – To evaluate the effectiveness of individual patient education on metabolic control, diabetes knowledge and psychosocial outcomes.
Authors’ conclusions – This systematic review suggests a benefit of individual education on glycaemic control when compared with usual care in a subgroup of those with a baseline HbA1c greater than 8%. However, overall there did not appear to be a significant difference between individual education and usual care. In the small number of studies comparing group and individual education, there was an equal impact on HbA1c at 12 to 18 months. Additional studies are needed to delineate these findings further.

Length of Publication: 50 page pdf full text available

Some important notes:  None

Acknowledgements: NHS Diabetes Specialist Library


Oxfordshire PCT example equality impact assessment (EIA)

March 7, 2009

Source: NHS Diabetes

Link here to view selected item

Year of publication: 2009

In a nutshell: This form is designed to help you to consider the needs and assess the positive, adverse or neutral impact of your policy, protocol, proposal or service on all groups within our local communities, and to record the evidence that you have done so.

Length of Publication: 1 page

Some important notes:  Includes links to pdf version of the form [6 pages] and NHS Diabetes commissioning web pages

Acknowledgements: None


Development of a planning and evaluation methodology for assessing the contribution of theory to a diabetes prevention lifestyle intervention

March 7, 2009

Source: Health Promotion Practice

For Abstract link here

Year of publication: 2008

Publication type: Case study

In a nutshell: The benefits of utilizing and measuring application of theory for behavior change programs are numerous, including the emergence of new theories and theoretically bound strategies. Despite recent attempts to make theory use more salient, there remains a dearth of practical frameworks for the development and evaluation of theory-based programs. Without literature documenting how theories have been specifically applied to interventions and their evaluation, health educators may not be well prepared to utilize theory for the design, implementation, or as a focus of the evaluation. Using a case study example of a diabetes prevention program, this article describes how theory was used for the program design and the evaluation and provides a framework for using theory in other programs. Issues discussed include: the challenges in successfully utilizing theory for intervention development and the processes of developing theoretically based instruments.

Some important notes: If you would like to obtain the full text of this article, please contact your local NHS Library.

Acknowledgement: Cinahl

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