Research shows a better way to manage type 2 diabetes

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A recent study from Western Sydney University has shown that a simple change in how healthcare providers manage type 2 diabetes could make a big difference for patients.

The researchers found that a brief 15-20 minute discussion between a local endocrinologist and a general practitioner (GP) can lead to better control of the disease.

This approach, known as “patient-free” diabetes case conferencing, allows healthcare providers to collaborate on a patient’s care plan without the patient being present.

With the patient’s permission, an endocrinologist visits a GP’s office, often joined by a nurse or diabetes educator, to work together on a plan for the patient’s diabetes care.

The goal is to combine the specialist’s knowledge with the GP’s understanding of the patient’s overall health. This joint approach helps ensure the patient gets the best possible care, without needing to visit a hospital or specialist clinic.

The research team tested this model with over 600 people who have type 2 diabetes, from 40 different GP practices in southwestern Sydney.

The results were impressive. Over the three years from 2017 to 2020, patients’ blood sugar levels, blood pressure, and other important heart health factors showed significant improvement.

For example, before the study, only one in five patients had their blood glucose levels within the recommended range. By the end of the study, more than one-third of the patients had reached that target.

Additionally, more than three-quarters of the patients had their systolic blood pressure (the top number in a blood pressure reading) under control, compared to less than half when the study began.

This new model of care doesn’t just benefit patients. It’s also helpful for GPs and the overall healthcare system. Patients receive expert advice on their care without extra visits or costs.

GPs gain additional knowledge to help manage their patients’ diabetes more effectively. Meanwhile, the healthcare system experiences less pressure on hospital clinics, potentially preventing hospital stays for people with complicated diabetes cases.

If you or someone you know has type 2 diabetes, it might be worth asking your doctor about this type of care. It could provide more personalized, efficient management of the condition, leading to better overall health.

Managing Type 2 Diabetes

Type 2 diabetes is a long-term condition that requires ongoing attention and care. Here are some key strategies that can help manage it:

Monitor blood sugar levels: Regularly checking blood sugar is essential for managing diabetes. Your doctor can advise you on how often to check and what levels to aim for.

Eat a healthy diet: A balanced diet that includes fruits, vegetables, whole grains, lean proteins, and healthy fats can help control blood sugar and support a healthy weight. It’s also important to avoid sugary and highly processed foods.

Exercise regularly: Physical activity can lower blood sugar and improve your overall health. Aim for at least 30 minutes of moderate exercise on most days, such as walking, cycling, or swimming.

Take medication as prescribed: If your doctor has prescribed medication for your diabetes, it’s important to follow their instructions closely to keep your blood sugar in check.

Manage stress: Stress can cause blood sugar levels to rise. Finding ways to manage stress, like practicing deep breathing, meditation, or yoga, can help.

Quit smoking: Smoking increases the risk of complications from diabetes, so quitting can make a big difference in managing the disease.

Get enough sleep: Lack of sleep can affect blood sugar control. Aim for seven to eight hours of sleep each night to support better diabetes management.

Work with a healthcare team: Regular check-ups with your healthcare providers are important to monitor your condition and prevent complications. Make sure to follow their advice and adjust your care plan as needed.

Managing type 2 diabetes is an ongoing process, and what works for one person may not work for another. It’s important to be patient and keep trying different strategies until you find the right approach for you.

For more information about diabetes, recent studies suggest that certain foods, like blueberries, can benefit people with metabolic syndrome. Additionally, a keto diet has been shown to help control body weight and blood sugar in people with type 2 diabetes.

If you are looking for ways to manage diabetes and improve your health, talking to your healthcare provider about these strategies can be a good step forward.

This study was led by Professor David Simmons and published in the International Journal of Integrated Care.

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