11 systematic reviews were included in this overview of review of periodontal disease and glycaemic control in diabetics. The primary studies that underlying these systematic reviews have important limitations. Therefore larger higher quality studies are needed.
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This review looked at the evidence linking carotid atherosclerosis with periodontal disease 15 studies involving 17,330 patients were included. The overall pooled result showed periodontal disease was associated with carotid atherosclerosis, OR=1.27 (95% C; 1.14–1.41; P = 0.001). However, once adjusted for smoking and diabetes mellitus, this reduced to borderline significance OR=1.08 (95% CI; 1.00–1.18; P = 0.05).
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In this blog, Tara Quinn-Cirillo considers a study which finds out if people with learning disabilities and with diabetes are getting access to eye screening tests.
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Kirsten Lawson explores the benefits of working across professional and therapeutic boundaries, highlighted beautifully by the recent COINCIDE RCT of collaborative care for patients with depression comorbid with diabetes or cardiovascular disease.
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This update of a 2010 Cochrane review found low quality evidence that periodontal treatment involving scaling and root planing does improve glycaemic control in people with diabetes, with a mean percentage reduction in HbA1c of 0.29% at 3-4 months, but there is insufficient evidence to demonstrate that this is maintained after 4 months.
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John Baker summarises the findings of a recent review of people with schizophrenia, bipolar disorder and depression. The study looks at the adverse effects on physical health of psychotropic drugs (antipsychotics, antidepressants and mood stabilisers).
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People with learning disabilities are more at risk of developing diabetes, but how prepared are learning disability nurses to support them?
Here, Paula Hopes looks at a pre- and post- test evaluation on a one-day workshop focusing on this very issue.
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Dr Kirsten Lawson reviews one of Dr Wayne Katons’ last cohort studies looking into depression and diabetes and it’s effect on the risk of dementia.
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Akshay Nair summarises a recent systematic review and meta-analysis of modifiable predictors of dementia in mild cognitive impairment. The meta-analysis finds that diabetes and the presence of any neuropsychiatric symptoms significantly predicted the conversion of mild cognitive impairment to dementia.
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People with learning disabilities may be at higher risk of developing type 2 diabetes, but often struggle with technical language and complicated explanations. Here we look at a new easy read booklet published as part of an ongoing research project into diabetes people with learning disabilities.
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