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Mobile App-Based Interventions To Support Diabetes Self-Management: A Systematic Review Of Randomized Controlled Trials To Identify Functions Associated With Glycemic Efficacy

Mobile App-Based Interventions to Support Diabetes Self-Management: A Systematic Review of Randomized Controlled Trials to Identify Functions Associated with Glycemic Efficacy

Mobile App-Based Interventions to Support Diabetes Self-Management: A Systematic Review of Randomized Controlled Trials to Identify Functions Associated with Glycemic Efficacy


Mobile App-Based Interventions to Support Diabetes Self-Management: A Systematic Review of Randomized Controlled Trials to Identify Functions Associated with Glycemic Efficacy
Reviewed by Stephen Agboola, Pin Wang, and Adam Powell
1 Department of Endocrinology and Metabolism, West China Hospital, Sichuan University, Chengdu, China
2 Department of Academic Affairs, West China School of Medicine, Sichuan University, Chengdu, China
3 Diabetes Unit, Madonna del Soccorso Hospital, San Benedetto del Tronto (AP), Italy
4 Center for Outcomes Research and Clinical Epidemiology, Pescara, Italy,
5 Chinese Evidence-Based Medicine Center, West China Hospital, Sichuan University, Chengdu, China
Sheyu Li, Department of Endocrinology and Metabolism, West China Hospital, Sichuan University, 37# Guoxue Road, Wuhou District, Chengdu, 610041, China, Phone: 86 13194874843, Fax: 86 2885422982, Email: [email protected] .
Author information Article notes Copyright and License information Disclaimer
Received 2016 Aug 22; Revisions requested 2016 Sep 11; Revised 2016 Oct 20; Accepted 2017 Feb 25.
Copyright Yuan Wu, Xun Yao, Giacomo Vespasiani, Antonio Nicolucci, Yajie Dong, Joey Kwong, Ling Li, Xin Sun, Haoming Tian, Sheyu Li. Originally published in JMIR Mhealth and Uhealth (http://mhealth.jmir.org), 14.03.2017.
This is an open-access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/2.0/ ), which permits unrestricted use, distribution, and reproduction in any medium, provided t Continue reading

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Should Diabetes Be Covered by Health Insurance?

Should Diabetes Be Covered by Health Insurance?


Should Diabetes Be Covered by Health Insurance?
Blaming patients for diabetes took a dangerous turn last week. Mick Mulvaney, Director of the Office of Management and Budget (OMB), said that diabetes should not be covered by health insurance.
Responding to a question about insurance, he stated That doesnt mean that we should take care of the person who sits at home, eats poorly and gets diabetes. Is that the same thing as Jimmy Kimmels kid [who was born with a pre-existing heart condition]? I dont think that it is.
The Democratic news website ShareBlue commented, Under Mulvaneys standard , an examination of [people with diabetes] eating habits and how their disease was triggered would have to be undertaken before it could be determined whether they are deserving of health insurance or not. In the meantime, people will suffer and possibly die from their illness.
Mulvaneys views may or may not wind up being incorporated in the new health-care plan just passed by the House of Representatives, but the ignorance didnt start with Trumpcare. Blaming people with Type 2 diabetes for their illness has long been mainstream opinion, which often spills over onto people with Type 1.
The American Diabetes Association (ADA) issued a strong statement that they were disappointed and saddened by Mulvaneys words.
Mr. Mulvaneys comments perpetuate the stigma that one chooses to have diabetes based on his/her lifestyle, ADA wrote. All of the scientific evidence indicates that diabetes develops from a diverse set of risk factors, genetics being a primary cause Nobody should be denied cove Continue reading

Diabetes continues its relentless rise

Diabetes continues its relentless rise

HealthDay Reporter
(HealthDay News) -- Two new studies on diabetes deliver good and bad news, but the overall message is that the blood sugar disease remains a formidable public health burden.
The first study looked at the incidence of type 1 and type 2 diabetes in U.S. children, and uncovered this troubling trend: From 2002 to 2012, the rates for both types of diabetes increased, especially among racial and ethnic minorities.
But a bit of hope was offered up in the second study: Swedish researchers reported a drop in the incidence of heart disease and stroke in adults with both types of diabetes.
"These studies highlight our concerns about the increasing prevalence of diabetes. Every 23 seconds, another person is diagnosed with diabetes [in the United States]," said Dr. William Cefalu, chief scientific, medical and mission officer for the American Diabetes Association (ADA).
Cefalu added that the Swedish study was encouraging and shows that things are "trending in the right direction. Because of research in diabetes, we've been able to improve the lives of millions of people with diabetes around the world, but the disease is still increasing worldwide. We still have a lot of work to do."
In the United States, approximately 29 million people have diabetes, according to the ADA. The vast majority of those have type 2 diabetes. About 1.3 million people have type 1 diabetes.
In people with type 2 diabetes, the body doesn't use insulin properly. This is called insulin resistance. Insulin is a hormone that helps usher sugar from foods into the body's cells to be used as fuel. Wh Continue reading

New study finds that sitting for protracted periods increases the risk of diabetes, heart disease and death

New study finds that sitting for protracted periods increases the risk of diabetes, heart disease and death

Latest news from Loughborough University
A new study led by the University of Leicester, in association with colleagues at Loughborough University, has discovered that sitting for long periods increases your risk of diabetes, heart disease and death.
The study combined the results of 18 studies and included a total of 794,577 participants. It was led by Dr Emma Wilmot, a research fellow in the Diabetes Research Group at the University of Leicester, and carried out in collaboration with colleagues from the National Institute for Health Research (NIHR) Leicester – Loughborough Diet, Lifestyle and Physical Activity Biomedical Research Unit.
According to the study, those who sit for long periods have a two fold increase in their risk of diabetes, heart disease and death. Importantly, associations were independent of the amount of moderate-to-vigorous physical activity undertaken, suggesting that even if an individual meets typical physical activity guidelines, their health may still be compromised if they sit for long periods of time throughout the day.
Dr Wilmot, a Clinical Research Fellow in Diabetes and Endocrinology based at the Leicester Diabetes Centre, Leicester General Hospital, said: “The average adult spends 50-70% of their time sitting so the findings of this study have far reaching implications. By simply limiting the time that we spend sitting, we may be able to reduce our risk of diabetes, heart disease and death.
“Our study also showed that the most consistent associations were between sitting and diabetes. This is an important message because people with r Continue reading

The case for preventing diabetes over cure ― David Heber

The case for preventing diabetes over cure ― David Heber

NOVEMBER 14 ― As we mark World Diabetes Day today, it is timely to review the fight against diabetes, especially in Singapore.
“If you look at yourself, and at the person sitting to your left, person sitting to your right, most probably at least one of you will have diabetes one day,” said Prime Minister Lee Hsien Loong at the National Day Rally in August.
According to the International Diabetes Foundation (IDF), Singapore has one of the highest incidences of diabetes among developed countries, trailing behind only the United States. One in nine Singaporeans aged between 20 and 79 are diabetic, and this number increases further with age, with three in 10 Singaporeans aged over 60 suffering from the disease.
While worrying, these findings are hardly surprising, as Singaporeans have become more sedentary and less active over time, just like other high-income countries.
And contrary to popular belief, the more common type of diabetes is Type 2 diabetes ― a lifestyle disease arising from poor diets and the lack of exercise.
This marks a stark contrast against the cause of Type 1 diabetes ― an auto-immune condition where the body becomes resistant to insulin and loses its ability to produce enough insulin, leading to high blood sugar levels.
Type 1 diabetes is also largely believed to have genetic links, but the underlying cause still baffles scientists and researchers today.
In fact, over 90 per cent of diabetics suffer from Type 2 diabetes, which develops over a two to 10 year period after high levels of blood sugar are recorded.
Studies done at multiple US centres a Continue reading

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