Glycaemic control and hypoglycaemia burden in patients with type 2 diabetes initiating basal insulin in Europe and the USA

March 3, 2017

Source: Diabetes, Obesity and Metabolism

Follow this link to read an abstract

Date of publication: Mar 17

Publication type: Journal article

In a nutshell: Initiating BI with or without OADs is associated with short- and long-term suboptimal glycaemic control: the majority of patients fail to achieve HbA1c target ≤7% in the first 3 months, or after 2 years’ BI treatment

Some important notes: This article may be available via NHS Athens or through your local NHS Library. To search for your nearest library, please see http://www.hlisd.org/


The Early ACTID randomised controlled trial

August 8, 2011

Title: Diet or diet plus physical activity versus usual care in patients with newly diagnosed type 2 diabetes: the Early ACTID randomised controlled trial

Source: The Lancet, Volume 378, Issue 9786, Pages 129 – 139, 9 July 2011

Follow this link to view the abstract

Date of publication:  July 2011

Publication type: Journal article

In a nutshell: Glycaemic control in newly diagnosed type 2 diabetes patients can be improved with intensive diet according to this RCT of 593 patients. After 6 months researchers found glycaemic control had worsened in patients assigned to usual care whilst an intensive diet intervention soon after diagnosis can improve glycaemic control. The addition of an activity intervention delivered no additional benefit.

Length of publication: 10 pages

Some important notes:  If you cannot access this article with your NHS Athens, please contact your local NHS Library using this link.


Targeting intensive glycaemic control versus targeting conventional glycaemic control for type 2 diabetes mellitus

August 8, 2011

Source: Cochrane Database of Systematic Reviews 2011, Issue 6. Hemmingsen B et al

Follow this link to view the full text

Date of publication:  June 2011

Publication type: Systematic review

In a nutshell: Authors concluded that “The included trials did not show significant differences for all-cause mortality and cardiovascular mortality when targeting intensive glycaemic control compared with conventional glycaemic control. Targeting intensive glycaemic control reduced the risk of microvascular complications while increasing the risk of hypoglycaemia. Furthermore, intensive glycaemic control might reduce the risk of non-fatal myocardial infarction in trials exclusively dealing with glycaemic control in usual care settings”

Length of publication: 240 pages

Acknowledgements: Cinahl


Active care management supported by home telemonitoring in veterans with type 2 diabetes

July 7, 2010

Source: Diabetes Care 2010;33:478–84.

Follow this link for full text
Follow this link for a commentary (NHS Athens required)

Date of publication: Mar 2010 (June 2010 for commentary)

Publication type: Journal article

In a nutshell: This article describes a randomized controlled trial of DiaTel, the Active Care Management Home Telemonitoring study.  The study compared the short-term efficacy of home telemonitoring coupled with active medication management by a nurse practitioner with a monthly care coordination telephone call on glycemic control in veterans with type 2 diabetes.  A commentary is also available: Evid Based Nurs doi:10.1136/ebn1072 (online first article).

Length of publication: 6 pages

Acknowledgement: DH Care Networks telecare LIN eNewsletter June 2010