Diabetes and glycaemic-control evidence summaries covering HbA1c, glucose monitoring, medication comparisons, hypoglycaemia, patient-reported outcomes, and clinical interpretation.
An RCT finds an eHealth app improves HbA1c at 4 months in older diabetes patients, but usage declines by 8 months, raising durability concerns. PICO summary and commentary.
A double-blind RCT finds a single intraoperative dexamethasone dose raises glucose significantly but below 180 mg/dL in diabetic and non-diabetic patients, supporting nausea prophylaxis. PICO summary and commentary.
A clamp study finds tirzepatide preserves the glucagon defence against hypoglycaemia but delays cortisol/noradrenaline and lowers symptom scores, while awareness is unchanged. PICO summary and commentary.
An RCT finds a grocery voucher modestly increases fruit and cuts refined grains in food-insecure diabetic patients, but does not significantly change diet quality or HbA1c. PICO summary and commentary.
A crossover trial finds a Palaeolithic and a diabetes diet give equal glycaemic control when weight is kept stable, suggesting food-group differences alone do not help. PICO summary and commentary.
A multicentre RCT finds a 12-month text-message programme modestly improves HbA1c and blood pressure in poorly controlled type 2 diabetes, but not LDL. PICO summary and commentary.
A pilot crossover study finds single- and multi-joint resistance exercise both lower glucose acutely in type 2 diabetes, but neither beats a no-exercise control. PICO summary and commentary.
An RCT finds a medical Internet-of-Things lifestyle model lowers fasting glucose and reduces adverse pregnancy outcomes in gestational diabetes. PICO summary and commentary.
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