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Focusing on Glycemic Control

Randomized, controlled clinical trials (RCTs), recently completed or

currently underway, are defining the scientific basis of contemporary

diabetes care.

In terms of glycemic control, RCTs have shown that meticulous control

reduces the risk of microvascular and neurological complications. Studies in

pre-diabetes

have shown that early intervention slows progression to diabetes. Ongoing

studies are examining the effects of glycemic interventions on macrovascular

complications, the impact of early treatment on the course of diabetes, and

the differences among various types of interventions. Jay S. Skyler, MD,

reviews

these studies and discusses their implications in the most recent issue of

Clinical Diabetes.

Learn more>>

Adoption of Diabetes Care Management Processes Low in Physician

Organizations

A new survey revealed that 48% of physician organizations do not use any or

use only one of four diabetes care management processes, despite evidence

that

these processes may improve clinical outcomes.

Researchers used data from the National Survey of Physician Organizations

and the Management of Chronic Illness, a national telephone survey conducted

between

the years 2000 and 2001, which assessed physicians utilization of four care

management processes--clinical practice guidelines plus physician reminder

systems, case management, performance feedback to individual physicians or

disease registries. A total of 987 physician organizations that treat

patients

with diabetes were identified from the survey.

Learn more>>

Insulin Decisions Based on Instinct, Not Science

Healthcare professionals use instinct over science when deciding when to put

patients with diabetes on to insulin, diabetes specialist nurses heard at

their

annual conference last week.

The way caregivers make decisions about their patients has not changed since

the 1980s despite a surge in the amount of relevant information available to

them, the RCN diabetes nursing forum annual conference was told.

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