Tailored care package fails to improve glycaemic control

摘要

Some cardiovascular benefits are achieved with an enhanced diabetes care package for UK residents of South Asian origin, but improving glycaemic control remains a major challenge, according to a study published in a diabetes special issue of The Lancet (2008;371:1769). A total of 1,486 newly diagnosed type 2 diabetes patients of South Asian origin from 21 inner city practices in the UK were randomised to receive enhanced care — including additional time with a practice nurse, support from an Asian link worker and input from a diabetes specialist nurse — or standard care. Primary outcomes were changes in blood pressure, total cholesterol and glycaemic control after two years.