Saturday, 27 August 2011

Diabetes articles of interest to 27th August 2011

Some articles of note indexed on PubMed in the past few weeks.

Training augments the glucose lowering effect of exercise. [1]

People with diabetes from ethnic minority groups may benefit from additional support between visits. However, a study of telephone support in this particular patient group failed to show any benefit. [2]

A study by Diabetes UK and the Department of Health published in The Lancet suggests that adding exercise to a dietary intervention soon after the diagnosis of Type 2 Diabetes confers no additional benefit. [3] The exercise activity was a pedometer-based intervention. This says more about pedometers than 'exercise' in general.

Early intensive multi-factorial treatment in newly diagnosed Type 2 Diabetes detected by screening does not seem to significantly reduce the risk of cardiovascular events after 5 years. [4]

Cochrane review of Chinese herbal medicine for diabetic peripheral neuropathy - no evidence of an effect. [5]

"Education programmes appear to have beneficial effects on improving patients' knowledge of diabetes and some self-management behavioural changes for patients with diabetes on dialysis or with microalbuminuria. Educational programmes appear to have beneficial effects on improving patients' self-efficacy and result in some beliefs changes for patients with diabetes and microalbuminuria. However, only two studies with small sample sizes and inadequate quality were included in this review. There is, therefore, inadequate evidence to support the beneficial effects of education programmes for people with DKD." [6]

Food insecurity has been linked to obesity. In this study researchers "found an association between food insecurity and obesity only among women not receiving food assistance suggesting a possible protective role for food assistance. Providers should consider food insecurity in similar populations when trying to address obesity." [7]

1. Hordern MD, Marwick TH, Wood P, Cooney LM, Prins JB, Coombes JS. Acute response of blood glucose to short-term exercise training in patients with type 2 diabetes. J Sci Med Sport 2011 May;14(3):238-242. Available from:

2. Anderson DR, Christison-Lagay J, Villagra V, Liu H, Dziura J. Managing the space between visits: a randomized trial of disease management for diabetes in a community health center. J Gen Intern Med 2010 Oct;25(10):1116-1122. Available from:

3. Andrews RC, Cooper AR, Montgomery AA, Norcross AJ, Peters TJ, Sharp DJ, Jackson N, Fitzsimons K, Bright J, Coulman K, England CY, Gorton J, McLenaghan A, Paxton E, Polet A, Thompson C, Dayan CM. Diet or diet plus physical activity versus usual care in patients with newly diagnosed type 2 diabetes: the Early ACTID randomised controlled trial. Lancet 2011 Jul;378(9786):129-139. Available from:

4. Griffin SJ, Borch-Johnsen K, Davies MJ, Khunti K, Rutten GEHM, Sandbæk A, Sharp SJ, Simmons RK, van den Donk M, Wareham NJ, Lauritzen T. Effect of early intensive multifactorial therapy on 5-year cardiovascular outcomes in individuals with type 2 diabetes detected by screening (ADDITION-Europe): a cluster-randomised trial. Lancet 2011 Jul;378(9786):156-167. Available from:

5. Chen W, Zhang Y, Liu JP. Chinese herbal medicine for diabetic peripheral neuropathy. Cochrane Database Syst Rev 2011;(6):CD007796. Available from:

6. Li T, Wu HM, Wang F, Huang CQ, Yang M, Dong BR, Liu GJ. Education programmes for people with diabetic kidney disease. Cochrane Database Syst Rev 2011;(6):CD007374. Available from:

7. Karnik A, Foster BA, Mayer V, Pratomo V, McKee D, Maher S, Campos G, Anderson M. Food insecurity and obesity in New York City primary care clinics. Med Care 2011 Jul;49(7):658-661. Available from:

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