Diabetes in the Elderly
Diabetes is common in the elderly (1-3). At least 20% of elderly Caucasians have type 2 diabetes mellitus, and more than half of these individuals are not aware they have this disease. There is a substantially higher prevalence in other ethnic groups, most especially First Nations and East Asian populations.
Graydon Meneilly MD
Dr. David Cherney, Canadian Diabetes Association–KRESCENT Joint New Investigator Awardee
In 2010, Dr. David Cherney (Figure 1), a clinician–scientist at the University Health Network in Toronto, was awarded both a Canadian Diabetes Association Clinician–Scientist Award and a Kidney Research Scientist Core Education and National Training (KRESCENT) program New Investigator Award.
Polly VandenBerg BSc
Self-Monitoring of Blood Glucose Levels in Persons with Type 2 Diabetes Not Requiring Insulin: Routine Use Is Not Recommended
The time has come to question the benefit of one of our routine clinical practices in diabetes education and care. Are we guilty of “treatment creep” in teaching people with type 2diabetes who do not require insulin about self-monitoring of blood glucose (SMBG)? Why is SMBG perceived by health professionals as a valuable tool of empowerment for persons with type 2 diabetes who are not using insulin? Is this practice reinforced by the prominence of SMBG equipment in the diabetes displays of most pharmacies in Canada?
Heather J. Dean MD FRCPC
Diabetes Self-Management Education: More is Better
There has been a growing understanding about the benefits of diabetes self-management education (DSME) in recent years. One of the key findings guiding the most recent research and intervention efforts in this field is the growing evidence of the sustainability of improvements and behavioural changes made during DSME.
Martha M. Funnell MS RN CDE
Lifestyle and Care Indicators in Individuals with Major, Minor and No Depression: A Community-Based Diabetes Study in Quebec
To investigate the association between depression status (major, minor, no depression) and lifestyle and care indicators in adults with diabetes in Quebec.
Lyne Messier MSc RD, Norbert Schmitz PhD, Belinda Elisha MSc, Geneviève Garièpy MSc, Ashok Malla MBBS FRCPC, Alain Lesage PhD, Richard Boyer PhD, Jian Li Wang PhD, Irene Strychar EdD RD
Self-Monitoring of Blood Glucose: What Are Healthcare Professionals Recommending?
The clinical benefit and cost-effectiveness of selfmonitoring of blood glucose (SMBG) in adults with type 2 diabetes not using insulin has been questioned. The objective of this study was to gain insight into healthcare professionals’ recommendations, practices and beliefs with respect to SMBG in well-controlled adults (glycated hemoglobin ≤7.0%) with type 2 diabetes not using insulin.
Celeste Latter BSc MHI, Pam McLean-Veysey BSc(Pharm), Peggy Dunbar MED PDt, Dawn Frail BSc(Pharm) MSc, Ingrid Sketris PharmD MPA(HSA), Wayne Putnam MD FCFP
Dietary Self-Care in Adolescents with Type 1 Diabetes: Report from the Juvenile Diabetes and Dietary Study
This study had 3 aims: a) to examine the relationships between metabolic control, self-perceptions of dietary self-care, types of motivation and parental autonomy support toward dietary self-care in adolescents with type 1 diabetes; b) to explore gender differences in the above variables; and c) to verify the extent to which types of motivation and autonomy support from parents predict metabolic control and dietary self-care.
Stéphanie Austin MSc, Caroline Senécal PhD, Frédéric Guay PhD, Arie Nouwen PhD
The Efficacy of Diabetes Patient Education and Self-Management Education in Type 2 Diabetes
The goal of this randomized, controlled trial was to compare the 6-month efficacy of didactic diabetes patient education to a model that augmented this education with a self-management program.
Patrick McGowan PhD
Evaluation of a Nova Scotia Diabetes Assistance Program for People with Type 2 Diabetes
This study was intended to evaluate the impact of a province-wide Diabetes Assistance Program (financial and self-management support) in a representative sample of individuals with diabetes and unmet financial needs. The impact of the program was evaluated on individuals managed with insulin or oral antihyperglycemic agents alone and also on individuals with good, suboptimal or poor diabetes control.
Michael Vallis PhD RPsych, Peggy Dunbar MEd PDt CDE, Lisa Tay BA, Amy Nash MHs
Production of materials has been made possible through a financial contribution from the Public Health Agency of Canada.
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