04 May 2010 ~ Comments Off on Type 2 diabetes and impaired glucose tolerance in European children and adolescents with obesity — a problem that is no longer restricted to minority groups

Type 2 diabetes and impaired glucose tolerance in European children and adolescents with obesity — a problem that is no longer restricted to minority groups

BACKGROUND: The incidence of childhood obesity and type 2 diabetes is an increasing problem in Europe. We determined the prevalence of impaired glucose regulation in a predominantly Caucasian cohort of 491 children and adolescents with obesity. METHODS: Fasting glucose and insulin levels were determined in all 491 subjects. Patients with an abnormal fasting glucose or […]

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04 May 2010 ~ Comments Off on Glycemic control in a sample of black and white clinic patients with NIDDM

Glycemic control in a sample of black and white clinic patients with NIDDM

OBJECTIVE–To compare glycemic control of black and white patients under treatment for non-insulin-dependent diabetes mellitus (NIDDM). RESEARCH DESIGN AND METHODS–Medical records of patients with NIDDM were reviewed at 19 of 24 clinics or health centers in a specified area of north central Florida. Data were abstracted from the charts of all non-Hispanic black (n = […]

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04 May 2010 ~ Comments Off on Disparities in diabetes management practice between racial and ethnic groups in the United States

Disparities in diabetes management practice between racial and ethnic groups in the United States

PURPOSE: The purpose of this study was to evaluate the association between race/ethnicity and self-management practices of people with diabetes. METHODS: Analyses were based on data from the 2001 Behavioral Risk Factor Surveillance System. Contingency tables and multiple logistic regression were used to assess the data. RESULTS: Frequency distributions of selected diabetes management variables significantly […]

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04 May 2010 ~ Comments Off on Closing the gap: effect of diabetes case management on glycemic control among low-income ethnic minority populations: the California Medi-Cal type 2 diabetes study.[see comment]

Closing the gap: effect of diabetes case management on glycemic control among low-income ethnic minority populations: the California Medi-Cal type 2 diabetes study.[see comment]

OBJECTIVE: Disparities exist in the diabetes health status of ethnic minority and/or low-income populations relative to other groups. A primary objective of diabetes management is to improve glycemic control. The feasibility of implementing intensive diabetes case management in disparate populations remains largely untested. RESEARCH DESIGN AND METHODS: Clinical sites in three southern California counties serving […]

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04 May 2010 ~ Comments Off on Lowering the criterion for impaired fasting glucose: impact on disease prevalence and associated risk of diabetes and ischemic heart disease

Lowering the criterion for impaired fasting glucose: impact on disease prevalence and associated risk of diabetes and ischemic heart disease

OBJECTIVE: To determine the effect of lowering the fasting plasma glucose (FPG) criterion for impaired fasting glucose (IFG) on the prevalence of IFG, the risks of diabetes, and cardiovascular disease (CVD) associated with IFG. RESEARCH DESIGN AND METHODS: Three studies were used: 1). the 1998 National Health Survey (NHS98), a randomly selected cross-sectional sample of […]

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04 May 2010 ~ Comments Off on Homeostasis model assessment in a population with mixed ethnicity: the 1992 Singapore National Health Survey

Homeostasis model assessment in a population with mixed ethnicity: the 1992 Singapore National Health Survey

We studied insulin resistance and beta-cell function with reference to ethnic group, glucose tolerance and other coronary artery disease risk factors in a cross section of the Singapore population which comprises Chinese, Malays and Asian Indians. 3568 individuals aged 18-69 were examined. Blood pressure, anthropometric data, blood lipids, glucose and insulin were assayed in the […]

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04 May 2010 ~ Comments Off on Screening for diabetes mellitus–a two-step approach in individuals with impaired fasting glucose improves detection of those at risk of complications

Screening for diabetes mellitus–a two-step approach in individuals with impaired fasting glucose improves detection of those at risk of complications

AIMS: To compare the new American Diabetes Association (ADA) fasting plasma glucose (FPG) criteria to the 1985 World Health Organization (WHO) 2-h post glucose (2hPG) criteria when used for screening of those with no prior history of diabetes mellitus. METHODS: The study included 3,407 subjects without a history of diabetes in whom both FPG and […]

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04 May 2010 ~ Comments Off on Audit of primary care angina management in Sandwell, England

Audit of primary care angina management in Sandwell, England

This audit aimed to assess the identification and treatment of coronary risk factors, lifestyle advice given and use of drug therapy, among patients with angina in Sandwell. It was designed to help general practices evaluate their angina management, and highlight areas where practice could be improved. Criteria were based on Sandwell’s published angina audit and […]

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04 May 2010 ~ Comments Off on The performance of a risk score as a screening test for undiagnosed hyperglycemia in ethnic minority groups: data from the 1999 health survey for England

The performance of a risk score as a screening test for undiagnosed hyperglycemia in ethnic minority groups: data from the 1999 health survey for England

OBJECTIVE: To assess the performance of the Cambridge Risk Score (CRS) to predict undiagnosed hyperglycemia in Caribbean and South Asian people living in the U.K. RESEARCH DESIGN AND METHODS: The CRS uses routinely available data from primary care records to identify people at high risk for undiagnosed type 2 diabetes. The sensitivity, specificity, and area […]

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04 May 2010 ~ Comments Off on Association of health literacy with diabetes outcomes.[see comment]

Association of health literacy with diabetes outcomes.[see comment]

CONTEXT: Health literacy is a measure of patients’ ability to read, comprehend, and act on medical instructions. Poor health literacy is common among racial and ethnic minorities, elderly persons, and patients with chronic conditions, particularly in public-sector settings. Little is known about the extent to which health literacy affects clinical health outcomes. OBJECTIVES: To examine […]

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