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Glucose-lowering treatment patterns in patients with diabetic kidney disease
CONCLUSIONS: Real-world treatment of DKD in the United States is suboptimal. Inappropriate use of some GLD classes, especially in advanced DKD stages, was found along with lower than expected use of modern agents that are considered safe and effective to treat glycemic outcomes. Efforts may be needed to improve understanding of safety, glycemic efficacy, and overall clinical value of GLDs across DKD stages.PMID:35981131 | DOI:10.37765/ajmc.2022.89152
Source: The American Journal of Managed Care - August 18, 2022 Category: Health Management Authors: Neeraj N Iyer Surbhi Shah Michael L Ganz Tam Dang-Tan Cory Gamble Sherif Mehanna George Bakris Source Type: research

UK general practice: Continuing to fail in the care of people with epilepsy?
CONCLUSION: This study reveals poor annual review rates for PWE in UK primary care, which have fallen further since the removal of epilepsy from QOF. Unmet needs persist for people with poorly controlled epilepsy not under specialist care, bone health, and the care of women of child bearing age. This study, along with previous work, brings into question the concept of shared care for PWE. Clinical Commissioning Groups should consider investing in the training and employment of GPwSIe (GP with Special Interest in epilepsy) and ENS (Epilepsy Nurse Specialists) to work in the community. The Government should examine re-introd...
Source: Epilepsy and Behaviour - October 10, 2021 Category: Neurology Authors: Ian Minshall Laura Buckels Peter Cox Humaira Jamroze Tara Jeyam Amelia Newman Laura Williams Aiden Neligan Source Type: research

Trends in diabetes medication use in Australia, Canada, England, and Scotland: a repeated cross-sectional analysis in primary care
CONCLUSION: New drugs are displacing SUs. However, despite evidence of better outcomes, the adoption of SGLT2s lagged behind DPP4s.PMID:33619050 | DOI:10.3399/bjgp20X714089
Source: The British Journal of General Practice - February 23, 2021 Category: Primary Care Authors: Michelle Greiver Alys Havard Juliana Kf Bowles Sumeet Kalia Tao Chen Babak Aliarzadeh Rahim Moineddin Julian Sherlock William Hinton Frank Sullivan Braden O'Neill Conrad Pow Aashka Bhatt Fahurrozi Rahman Bernardo Meza-Torres Melisa Litchfield Simon de Lus Source Type: research