【摘 要】
：
The management of glycaemic control in people with type 2 diabetes is complex and requires people with diabetes to adjust and coordinate eating and physical activity around the demands of their daily
【机 构】
：
Metabolic Health Sheffield Hallam University UK
【出 处】
：
BIT`s 2nd Annual World Congress of Endobolism-2012(2012第二届内分
论文部分内容阅读
The management of glycaemic control in people with type 2 diabetes is complex and requires people with diabetes to adjust and coordinate eating and physical activity around the demands of their daily life in addition to those made by the timing and dosage of medication as part of empowered self care.All this requires interaction with many health care professionals for screening and visits due to any intercurrent illness.Some evidence exists to support individual components which are incorporated into routine practice and are considered a part of a health care delivery package or bundle in diabetes services.More frequent visits with a primary care provider (every 2 wk) leads to markedly rapid reductions in serum glucose, HbA 1 c, and LDL cholesterol levels.However, how such a strategy can work globally remains a challenge due to available resources and economic restrictions.Such medical decision-making requires the clinician to apply accumulated knowledge to a specific amount of patient information to introduce an appropriate course of therapy.In non specialist settings decisions may be based on limited knowledge, incomplete or imperfect information, with the further challenge of the decisions having to be made during a limited period of time.Clinical decision support, has been defined as "any computer program designed to help health professionals make clinical decisions, deal with medical data about patients or with the knowledge of medicine necessary to interpret such data".Current electronic medical records and decision systems do not provide decision support based on glycaemic burden.The use of decision support systems linked to an electronic health care record can realise benefits in adherence to clinical care pathways and achieving significant improvements in quality of care.
其他文献
It has been hypothesized that increased incidence of reproductive abnormalities in human males is related to increasing exposures in-utero to endocrine disrupters especially estrogens and androgen rec
Maternal obesity has become one of the most commonly occurring risk factors in obstetric practise in 2012.More than 20 % of women in early pregnancy have a BMI greater than 30.Each maternity unit in t
Atherosclerosis or vascular injury causes contractile smooth muscle cells (SMCs) to dedifferentiate and proliferate by re-entering the cell cycle, thus contributing to vascular pathology and dysfuncti
Many physiological events in mammals, including locomotor activity, sleep, blood pressure, circulating hormones and energy metabolism, exhibit rhythmic fluctuations over the 24-hour day.Recent studies
Cardiovascular system is regulated by divers array of hormones and neurotransmitters, which function both under physiological and pathological conditions of the organism.In the past decade it was show
Although fragility fractures are less common in men than in women, when they occur, these fractures are associated with higher morbidity and death during one year after fracture.Overall, one in five m
Glycosylation is but one of numerous ubiquitous post translational modification (PTM) of proteins and lipids.PTM plays a critical role in protein folding, stability and interactions.The transfer of in
Introduction: When we are faced an infertile patient it is necessary to perform a complete and accurate diagnosis before any kind of treatment: an accurate anamnesis, a complete physical examination (
Pancreastatin (PST) is one of the regulatory peptides derived from intracellular and/or extracellular processing of chromogranin A, the soluble acidic protein present in the secretory granules of the
The processes of membrane fusion and reshaping of subcellular organelles are disturbed in some types of endocrine disorders and mucolipidoses such as mucolipidosis Ⅳ (MLⅣ).This is a devastating neurol