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A practical framework for encouraging and supporting positive behaviour change in diabetes

A wide range of diabetes-directed interventions – including novel medications, devices and comprehensive education programmes – have been shown to be effective in clinical trials. But in the real world of diabetes care their efficacy is often dependent upon on how well a clinician is able to support personal engagement and motivation of the person with diabetes to use these new tools and knowledge consistently, and as directed . Although many person-centred motivational and behavioural strategie...

Socio-economic status and risk of gestational diabetes mellitus among Chinese women

Aims The relationship between socio-economic status and gestational diabetes mellitus has received little attention. The purpose of this study was to investigate the association between socio-economic status and risk of gestational diabetes. Methods Data were obtained from the ongoing Healthy Baby Cohort study in Hubei Province, China, in 2012–2014. Information on educational level and household income was collected using standard questionnaires during face-to-face interviews. Gestational diab...

Successful management of refractory diabetic gastroparesis with long-term Aprepitant treatment

Background People with gastroparesis who develop treatment-resistant (refractory) disease pose a difficult challenge, especially in the setting of end-stage renal disease (ESRD) or post pancreas transplant. Aprepitant (a neurokinin-receptor antagonist) is licensed for the short-term treatment of chemotherapy-induced nausea. There is lack of information on its long-term efficacy and safety in people with diabetic gastroparesis. Case report Case 1 was 73-year-old man with Type 2 diabetes of 25 y...

Comparison of different insulin pump makes under routine care conditions in adults with Type 1 diabetes

Aims To compare long-term HbA1c changes associated with different insulin pumps during routine care in a large cohort of adults with Type 1 diabetes representative of other clinic populations. Methods Observational, retrospective study of 508 individuals starting pump therapy between 1999 and 2014 (mean age, 40 years; 55% women; diabetes duration, 20 years; 94% Type 1 diabetes; median follow-up, 3.7 years). Mixed linear models compared covariate-adjusted HbA1c changes associated with different...

European diabetes research and its funding, 2002–2013

Aim This study examined the outputs of research papers in diabetes from 31 European countries between 2002 and 2013, and their funding. Methods Diabetes research papers in the Web of Science were identified by means of a filter based on journals and title words. For 2009–2013 papers, the funders were coded to show their sector and nationality. Results Europe published 40 547 diabetes papers in the 12 years between 2002 and 2013. Denmark, Sweden and Finland published the most relative to thei...

Annual direct medical costs associated with diabetes-related complications in the event year and in subsequent years in Hong Kong

Aim To develop models to estimate the direct medical costs associated with diabetes-related complicationsin the event year and in subsequent years. Methods The public direct medical costs associated with 13 diabetes-related complications were estimated among a cohort of 128 353 people with diabetes over 5 years. Private direct medical costs were estimated from a cross-sectional survey among 1825 people with diabetes. We used panel data regression with fixed effects to investigate the impact of...