OBJECTIVE The purpose of this study was to evaluate the impact of the employment of additional podiatry staff on patients with diabetes attending a community-based podiatry service. METHODS An audit was conducted to evaluate the intervention of two additional podiatry staff. All patients with diabetes referred to and attending community podiatry services in a specified area in the Republic of...

CONTEXT Although random blood glucose (RBG) values are common in clinical practice, the role of elevated RBG values as a risk factor for type 2 diabetes is not well described. OBJECTIVE This study aimed to examine nondiagnostic, RBG values as a risk factor for type 2 diabetes DESIGN This was a cross-sectional study of National Health and Nutrition Examination Surveys (NHANES) participants (...

The Diabetes Control and Complications Trial (DCCT) and the Epidemiology of Diabetes Interventions and Complications (EDIC) studies demonstrated that intensive diabetes management provides for marked reduction in risk for diabetic retinopathy (DR) (1,2). Nevertheless, guidelines for DR screening in the post-DCCT era have remained largely unchanged. Current American Diabetes Association guidelin...

The initiative taken by the PRIDE investigators is to be commended and fully supported (1). They correctly identify gaps in the knowledge of how to manage inpatient dysglycemia, in particular hyperglycemia. However, as discussed recently by one of us, while there is plenty of evidence to show that hyperglycemia is associated with poor outcomes in hospitalized patients, there is almost no data t...

OBJECTIVE To evaluate the barriers and facilitators to high-quality diabetes care as experienced by general practitioners (GPs) who participated in an 18-month quality improvement program (QIP). This QIP was implemented to promote compliance with international guidelines. METHODS Twenty out of the 120 participating GPs in the QIP underwent semi-structured interviews that focused on three ques...

OBJECTIVE To identify the number of drug-disease and drug-drug interactions for exemplar index conditions within National Institute of Health and Care Excellence (NICE) clinical guidelines. DESIGN Systematic identification, quantification, and classification of potentially serious drug-disease and drug-drug interactions for drugs recommended by NICE clinical guidelines for type 2 diabetes, he...

The objective of this document is to provide guidance to Canadian ophthalmologists regarding screening and diagnosis of diabetic retinopathy (DR), management of diabetes as it pertains specifically to DR, and surgical and nonsurgical approaches to the treatment of DR. These guidelines apply to all Canadians with type 1 or type 2 diabetes of all ethnic origins. Other health professionals involve...

The objective of this document is to provide guidance to Canadian ophthalmologists regarding screening and diagnosis of diabetic retinopathy (DR), management of diabetes as it pertains specifically to DR, and surgical and nonsurgical approaches to the treatment of DR. These guidelines apply to all Canadians with type 1 or type 2 diabetes of all ethnic origins. Other health professionals involve...

Introduction Current International Diabetes Federation (IDF) and American Diabetes Association (ADA) guidelines advocate investigation for coronary artery disease (CAD) in only those patients who have either typical/atypical cardiac symptoms or an abnormal resting ECG. As it is well established that diabetics with CAD may be asymptomatic, we hypothesised that a large proportion of asymptomatic ...

One of the commonest complications of type 2 diabetes is renal disease. Treatment guidelines emphasise the need for tight glycaemic control to reduce the development of future complications; however, with the development of renal impairment, the benefit of tight glycaemic control must be weighed against the potential for adverse effects from drugs or their metabolites which may accumulate. In t...