ISSN:1357-8170    

DOI:10.1002/pdi.1960160102

出版商:John Wiley&Sons, Ltd.    

年代:1999

数据来源: WILEY

ISSN:1357-8170    

DOI:10.1002/pdi.1960160104

出版商:John Wiley&Sons, Ltd.    

年代:1999

数据来源: WILEY

ISSN:1357-8170    

DOI:10.1002/pdi.1960160105

出版商:John Wiley&Sons, Ltd.    

年代:1999

数据来源: WILEY

ISSN:1357-8170    

DOI:10.1002/pdi.1960160106

出版商:John Wiley&Sons, Ltd.    

年代:1999

数据来源: WILEY

摘要:

AbstractOverweight diabetes patients have greater morbidity than those at or near their ideal weights. The aim of this study was to determine whether intensive dietetic support resulted in greater weight loss in a group of overweight diabetes patients over a period of 12 months.A randomized controlled study was set up in our general practice with 75 overweight diabetes patients aged up to 75 years. The control group had dietetic review at 0, 6 and 12 months. The intervention group had, in addition, further in tensive input in the first three months of the study. Results showed that intensive input did not result in greater weight loss over the study period and we concluded that additional dietetic input was not effective in promoting weight loss in this setting.

ISSN:1357-8170    

DOI:10.1002/pdi.1960160107

出版商:John Wiley&Sons, Ltd.    

年代:1999

数据来源: WILEY

ISSN:1357-8170    

DOI:10.1002/pdi.1960160108

出版商:John Wiley&Sons, Ltd.    

年代:1999

数据来源: WILEY

摘要:

AbstractResearch has highlighted the importance of individual dietary advice for people with type 1 and type 2 diabetes1. The purpose of this small study was to audit the impact of a recently established community‐based diabetes dietetic service by establishing both levels of awareness and rates of referral to the clinics by local general practitioners (GPs). Findings from an initial survey of 63 local GPs (71.4% response rate) revealed that 57.8% were aware of the service but only 55.6% had actually referred their diabetic patients to the clinics. Twenty (44.4%) GPs cited specific reasons for not referring to the clinic. These included a preference to use a practice nurse to dispense dietary advice (n=3) and opting for referral to the hospital diabetes clinic (n=11). However, no respondents indicated that they disapproved of this type of community‐based service. After implementing an action plan designed to raise both GP awareness of the service and the importance of dietary support and advice provided, the audit loop was closed by repeating the study six months after the initial survey. The repeat audit findings highlighted a significant increase in GP awareness of the service, rising from 57.8% to 94.0% (p<0.001) of respondents. Similarly, the number of GPs referring their diabetic patients increased from 55.6% to 76.0% (p<0.05). By identifying a specific problem with our service, we have used the audit process to evaluate and review our practices and so improve the level of shared care available to diabetic patients requiring diet ther

ISSN:1357-8170    

DOI:10.1002/pdi.1960160109

出版商:John Wiley&Sons, Ltd.    

年代:1999

数据来源: WILEY

摘要:

AbstractA 70 year old man with type 1 diabetes self‐monitored his blood glucose for 15 years by withdrawing capillary blood from the abdominal skin. The precision of this method was determined by simultaneously comparing the specific enzymatic glucose concentrations from the abdominal skin and the finger pad. Intra‐ and inter‐method differences and the means of self‐monitoring values from abdominal skin and finger pad, measured by reflectometers, did not differ statistically from their corresponding laboratory monitorings. Thus, self‐monitoring from abdominal skin is equal to and interchangeable with self‐monitoring from finger pads, provided a high monitoring standard is given. Bootstrap simulation with another 1,000 samples, accidentally fixed by a computer, confirmed the accuracy and reproducabilityof the new method.Blood glucose self‐monitoring from abdominal skin cannot generally be recommended, but after a quality check, this method might be an alternative to the well‐established method of the finger pad for some peopl

ISSN:1357-8170    

DOI:10.1002/pdi.1960160110

出版商:John Wiley&Sons, Ltd.    

年代:1999

数据来源: WILEY

ISSN:1357-8170    

DOI:10.1002/pdi.1960160111

出版商:John Wiley&Sons, Ltd.    

年代:1999

数据来源: WILEY

ISSN:1357-8170    

DOI:10.1002/pdi.1960160112

出版商:John Wiley&Sons, Ltd.    

年代:1999

数据来源: WILEY