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Behavioural interventions for diabetes yield modest benefits, reviews find

BMJ 2015; 351 doi: https://doi.org/10.1136/bmj.h5193 (Published 01 October 2015) Cite this as: BMJ 2015;351:h5193
  1. Michael McCarthy
  1. 1Seattle

Patients with type 1 diabetes enrolled in behavioural programmes achieve only modest, short term improvements in glycaemic control, although patients with type 2 diabetes can achieve clinically important reductions in glycated haemoglobin (HbA1c) if enrolled in more intensive programmes, two new systematic reviews and meta-analyses have found. The studies were published in the Annals of Internal Medicine.

In the first study1 Jennifer Pillay, lead author, of the University of Alberta in Edmonton, Canada, analysed 35 prospective controlled trials that compared behavioural programmes with usual care, active controls, and other behavioural programmes. For the purpose of this study behavioural programmes were defined as diabetes specific programmes using repeated interactions with trained personnel, lasting at least four weeks, and including diabetes self management …

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