Primary Care Diabetes最新文献_第8页

The association between Ramadan, pre-Ramadan diabetes education (PRE) and metabolic parameters in people with type 2 diabetes: A longitudinal study using routine primary care data 2型糖尿病患者斋月、斋月前糖尿病教育（PRE）与代谢参数之间的关系：一项使用常规初级保健数据的纵向研究

IF 2.6 4区医学

Primary Care Diabetes Pub Date : 2025-08-01 Epub Date: 2025-05-05 DOI: 10.1016/j.pcd.2025.04.002

Siham Bouchareb , Peter P. Harms , Mohamed Hassanein , Giel Nijpels , Petra J.M. Elders

{"title":"The association between Ramadan, pre-Ramadan diabetes education (PRE) and metabolic parameters in people with type 2 diabetes: A longitudinal study using routine primary care data","authors":"Siham Bouchareb , Peter P. Harms , Mohamed Hassanein , Giel Nijpels , Petra J.M. Elders","doi":"10.1016/j.pcd.2025.04.002","DOIUrl":"10.1016/j.pcd.2025.04.002","url":null,"abstract":"<div><h3>Aims</h3><div>To assess the impact of Ramadan and pre-Ramadan diabetes education (PRE) on metabolic parameters in people with type 2 diabetes (T2D). Additionally, we described the proportion of Ramadan-related adverse events.</div></div><div><h3>Methods</h3><div>A retrospective longitudinal study utilising Dutch routine primary care data from 133 people with T2D who participated in a PRE session. Linear Generalized Estimating Equations models were used to assess the association of metabolic parameters with Ramadan and PRE. We analysed free-text notes and a questionnaire to identify Ramadan-related adverse events.</div></div><div><h3>Results</h3><div>Ramadan was associated with modest reductions in HbA1c (β −1.07 mmol/mol; p = 0.07), systolic blood pressure (β −1.89 mmHg; p = 0.04), weight (β −0.81 kg; p < 0.01), BMI (β −0.29 kg/m<sup>2</sup>; p < 0.01), and a slight increase in triglycerides (β 0.27 mmol/l; p = 0.04) compared to non-Ramadan periods. PRE demonstrated no significant impact on metabolic parameters. The number of medical notes regarding Ramadan was small, with the mentioning of some physical complaints and medication errors.</div></div><div><h3>Conclusions</h3><div>In our study, Ramadan is associated with temporary and marginal metabolic improvements in people with T2D. A single PRE session had no substantial impact on metabolic control. Healthcare professionals should more often discuss Ramadan and medication adjustments with their patients.</div></div>","PeriodicalId":48997,"journal":{"name":"Primary Care Diabetes","volume":"19 4","pages":"Pages 390-399"},"PeriodicalIF":2.6,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144048867","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Evaluating risk stratification according to Type 2 diabetes guidelines in primary care – Insights from the Danish DIAGRAM project 根据初级保健2型糖尿病指南评估风险分层——来自丹麦图表项目的见解。

IF 2.6 4区医学

Primary Care Diabetes Pub Date : 2025-08-01 Epub Date: 2025-05-07 DOI: 10.1016/j.pcd.2025.05.002

Morten H. Charles , Karoline Schousboe , Tanja Thybo , Esben Krogh Hall-Andersen , Søren Tang Knudsen

{"title":"Evaluating risk stratification according to Type 2 diabetes guidelines in primary care – Insights from the Danish DIAGRAM project","authors":"Morten H. Charles , Karoline Schousboe , Tanja Thybo , Esben Krogh Hall-Andersen , Søren Tang Knudsen","doi":"10.1016/j.pcd.2025.05.002","DOIUrl":"10.1016/j.pcd.2025.05.002","url":null,"abstract":"<div><h3>Aims</h3><div>To evaluate how Danish General Practitioners (GPs) apply Type 2 diabetes guideline recommendations for risk stratification and management across patient subgroups defined by existing chronic kidney disease (CKD), heart failure (HF), cardiovascular disease (CVD), or elevated risk of incident CVD.</div></div><div><h3>Methods</h3><div>131 GPs responded to a questionnaire on guideline usage and reviewed randomised patient electronic medical records (EMRs), noting demographics, treatment, comorbidities, and presence of six prespecified CVD risk factors. Patients without comorbidities but with ≥ 3 risk factors were deemed at Higher CVD Risk. When missing data prevented allocation to risk groups, CVD risk was Undefined.</div></div><div><h3>Results</h3><div>Of 1964 EMRs meeting inclusion criteria, 641 (33 %) had ≥ 1 cardiorenal comorbidity. Of 1307 without comorbidities, 513 (26 %) were at Higher CVD Risk; risk was Undefined for 668 (34 %). Organ-protective antihyperglycaemic agents were used in 1114/1964 (57 %), and more frequently (61–68 %) across comorbidity subgroups, while CVD risk group status did not correlate with guideline-directed organ-protective treatment. Finally, whereas GPs allocated 379 (19 %) patients to CKD, 596 (30 %) EMRs included laboratory data suggesting presence of CKD.</div></div><div><h3>Conclusions</h3><div>Organ-protective treatment patterns suggest that GPs distinguish patients by comorbidity status but find guideline-defined CVD risk challenging to apply. Additionally, CKD may be underdiagnosed in T2D patients.</div></div>","PeriodicalId":48997,"journal":{"name":"Primary Care Diabetes","volume":"19 4","pages":"Pages 368-374"},"PeriodicalIF":2.6,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144063774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Editorial Board and Aims & Scopes 编辑委员会和目标与范围

IF 2.6 4区医学

Primary Care Diabetes Pub Date : 2025-08-01 Epub Date: 2025-06-25 DOI: 10.1016/S1751-9918(25)00120-2

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Using glucometers to assess lifestyle-mediated prediabetes remission in health examinations for students and workers 使用血糖仪评估学生和工人健康检查中生活方式介导的前驱糖尿病缓解。

IF 2.6 4区医学

Primary Care Diabetes Pub Date : 2025-08-01 Epub Date: 2025-05-27 DOI: 10.1016/j.pcd.2025.05.008

Olaf Chresten Jensen , Nailet Delgado Mujica , Bishal Gyawali , Finn Gyntelberg

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The association between ethnicity and complications in individuals with early-onset type 2 diabetes: A systematic review 早发性2型糖尿病患者的种族与并发症之间的关系：一项系统综述

IF 2.6 4区医学

Primary Care Diabetes Pub Date : 2025-08-01 Epub Date: 2025-05-14 DOI: 10.1016/j.pcd.2025.05.006

Jonathan Goldney , Eka Melson , Ansh Verma , Kamlesh Khunti , Francesco Zaccardi , Melanie J. Davies , Samuel Seidu

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The German Diabetes Risk Score (GDRS) in action: Bridging risk stratification with cognitive behavioral lifestyle counseling 德国糖尿病风险评分（GDRS）在行动：连接风险分层与认知行为生活方式咨询。

IF 2.6 4区医学

Primary Care Diabetes Pub Date : 2025-08-01 Epub Date: 2025-05-24 DOI: 10.1016/j.pcd.2025.05.009

Riza Amalia, Ronal Surya Aditya, Rizka Apriani, Salmiati

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Impact on diabetes-related health outcomes using a digitally-enabled diabetes self-management platform in Somerset, UK: An interrupted time-series analysis 在英国萨默塞特使用数字化糖尿病自我管理平台对糖尿病相关健康结果的影响：中断时间序列分析。

IF 2.6 4区医学

Primary Care Diabetes Pub Date : 2025-08-01 Epub Date: 2025-05-14 DOI: 10.1016/j.pcd.2025.05.003

Mats Baxter , Nicholas Conway , Alex Bickerton , Scott Cunningham , Scott C. MacKenzie , Jane Dickson , Doogie Brodie , Christopher Sainsbury , Deborah J. Wake

{"title":"Impact on diabetes-related health outcomes using a digitally-enabled diabetes self-management platform in Somerset, UK: An interrupted time-series analysis","authors":"Mats Baxter , Nicholas Conway , Alex Bickerton , Scott Cunningham , Scott C. MacKenzie , Jane Dickson , Doogie Brodie , Christopher Sainsbury , Deborah J. Wake","doi":"10.1016/j.pcd.2025.05.003","DOIUrl":"10.1016/j.pcd.2025.05.003","url":null,"abstract":"<div><h3>Background</h3><div>The MyWay Diabetes (MWD) digital platform aims to improve diabetes management through personalised access to health records, structured education, and other self-management features.</div></div><div><h3>Purpose</h3><div>We aimed to assess health outcomes in MWD users with type 1 diabetes (T1DM) and type 2 diabetes (T2DM) over 6 years of use.</div></div><div><h3>Methods</h3><div>An interrupted time-series analysis in MWD users with T1DM or T2DM in Somerset, UK, compared pre- and post-MWD registration trends to estimate differences in health outcomes (HbA1c, blood pressure, lipids, BMI, weight). Generalised estimating equations modelling adjusted for participant baseline characteristics and identified significant predictors.</div></div><div><h3>Results</h3><div>A total of 7207 people (T1DM: n = 750 (52.3 % female, mean age 51.2 (SD15.8)), T2DM: n = 6457 (58.1 % male, mean age 64.7 (SD12.0))) were included in the analysis. The study showed some health outcomes improved significantly for T2DM between pre- and post-MWD registration. HbA1c reduced by 8.6 mmol/mol at 24 months post-MWD registration, with greatest improvements observed in users who were younger, had shorter diabetes durations and who were frequent MWD users. All health outcomes for T1DM were unchanged.</div></div><div><h3>Conclusion</h3><div>The large HbA1c reduction for T2DM is notable for a scalable digitally-enabled self-management intervention and adds to the evidence base for digital interventions for diabetes self-management.</div></div>","PeriodicalId":48997,"journal":{"name":"Primary Care Diabetes","volume":"19 4","pages":"Pages 360-367"},"PeriodicalIF":2.6,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Effectiveness of AI-driven interventions in glycemic control: A systematic review and meta-analysis of randomized controlled trials 人工智能驱动的血糖控制干预措施的有效性：随机对照试验的系统回顾和荟萃分析。

IF 2.6 4区医学

Primary Care Diabetes Pub Date : 2025-08-01 Epub Date: 2025-05-12 DOI: 10.1016/j.pcd.2025.05.004

Khadija Elmotia, Oumaima Abouyaala, Soukaina Bougrine, Moulay Laarbi Ouahidi

{"title":"Effectiveness of AI-driven interventions in glycemic control: A systematic review and meta-analysis of randomized controlled trials","authors":"Khadija Elmotia, Oumaima Abouyaala, Soukaina Bougrine, Moulay Laarbi Ouahidi","doi":"10.1016/j.pcd.2025.05.004","DOIUrl":"10.1016/j.pcd.2025.05.004","url":null,"abstract":"<div><div>This systematic review aims to assess the effectiveness of AI-Driven Decision Support Systems in improving glycemic control, measured by Time in Range (TIR) and HbA1c levels, in patients with diabetes. Included studies were randomized controlled trials (RCTs) that evaluated AI interventions in diabetes management. Exclusion criteria included non-English studies, non-peer-reviewed articles. Studies were identified by searching electronic databases including PubMed, EMBASE, and <em>Cochrane</em> Library up to December 2024. Risk of bias was assessed using the Cochrane Risk of Bias tool for RCTs. Results were synthesized using a random-effects meta-analysis model. The review included 17 RCTs with a total of 3381 participants in the intervention group and 3176 in the control group. AI interventions were found to significantly improve TIR and reduce HbA1c levels. The meta-analysis for TIR yielded a mean difference of 0.54 (95 % CI: 0.05–1.03), and for HbA1c a standardized mean difference of –0.91 (95 % CI: –1.23 to –0.58). Evidence was limited by high heterogeneity (I² > 90 % for both outcomes) and indications of publication bias, which may overestimate the effectiveness reported. Despite limitations, the results support the potential of AI interventions in enhancing diabetes management, though variability in effectiveness suggests the need for personalized approaches.</div></div>","PeriodicalId":48997,"journal":{"name":"Primary Care Diabetes","volume":"19 4","pages":"Pages 345-354"},"PeriodicalIF":2.6,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144002267","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Validity and reliability of the Turkish version of the type 1 diabetes distress scale 土耳其版1型糖尿病痛苦量表的效度和信度。

IF 2.6 4区医学

Primary Care Diabetes Pub Date : 2025-08-01 Epub Date: 2025-05-06 DOI: 10.1016/j.pcd.2025.05.001

Tuğba Bi̇lgehan , Elif Gençer Şendur , Özlem Canbolat , Emre Dünder , William H. Polonsky

{"title":"Validity and reliability of the Turkish version of the type 1 diabetes distress scale","authors":"Tuğba Bi̇lgehan , Elif Gençer Şendur , Özlem Canbolat , Emre Dünder , William H. Polonsky","doi":"10.1016/j.pcd.2025.05.001","DOIUrl":"10.1016/j.pcd.2025.05.001","url":null,"abstract":"<div><h3>Aims</h3><div>This study aimed to examine the psychometric properties of the Turkish version of the Type 1 Diabetes Distress Scale</div></div><div><h3>Methods</h3><div>This methodological, descriptive, and correlational study was conducted with 292 individuals diagnosed with Type 1 diabetes. Data were collected between January 2024 and August 2024 using the \"Information Form for Individuals with Diabetes,\" the \"Type 1 Diabetes Distress Scale,\" and the \"Patient Health Questionnaire.\" The linguistic validity and content validity of the scale were evaluated, with content validity assessed using the Davis technique. The psychometric properties of the scale were analyzed through exploratory and confirmatory factor analyses, internal consistency reliability, test–retest reliability, and parallel-form reliability.</div></div><div><h3>Results</h3><div>The Turkish version of the Type 1 Diabetes Distress Scale consists of 21 items and two subdimensions (Factor 1: Concerns About Diabetes Management; Factor 2: Social Diabetes Perception and Pressure). The two-factor structure explained 66 % of the total variance. The overall Cronbach’s alpha coefficient for the scale was 0.96. Test–retest reliability analysis revealed a high, positive, and statistically significant correlation (r = 0.995, p < 0.05).</div></div><div><h3>Conclusions</h3><div>The questionnaire was demonstrated to be a valid and reliable instrument for evaluating diabetes distress in patients with type 1 diabetes.</div></div>","PeriodicalId":48997,"journal":{"name":"Primary Care Diabetes","volume":"19 4","pages":"Pages 383-389"},"PeriodicalIF":2.6,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144035270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Back Matter 2 : Society News 时事2：社会新闻

IF 2.6 4区医学

Primary Care Diabetes Pub Date : 2025-08-01 Epub Date: 2025-06-25 DOI: 10.1016/S1751-9918(25)00126-3

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