Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Diabetes management: shared care or shared neglect.

J Overland1, M Mira, D K Yue

  • 1Diabetes Centre of Royal Prince Alfred Hospital, The Department of Medicine, The University of Sydney, Camperdown, NSW, Australia. jane@diab.rpa.cs.nsw.gov.au

Diabetes Research and Clinical Practice
|July 22, 1999
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Improving Weak Subgrade Soil Using Different Additives.

Materials (Basel, Switzerland)·2022
Same author

Saving time in the radiotherapy procedures for COVID-19 pneumonia treatment. A single-institution experience.

Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico·2021
Same author

Radioembolization of hepatocarcinoma with <sup>90</sup>Y glass microspheres: treatment optimization using the dose-toxicity relationship.

European journal of nuclear medicine and molecular imaging·2020
Same author

Young-onset type 2 diabetes and younger current age: increased susceptibility to retinopathy in contrast to other complications.

Diabetic medicine : a journal of the British Diabetic Association·2020
Same author

Adjuvant therapy for true ampullary cancer: a systematic review.

Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico·2020
Same author

ARCTIC CHANGE AND POSSIBLE INFLUENCE ON MID-LATITUDE CLIMATE AND WEATHER: A US CLIVAR White Paper.

US CLIVAR reports·2019
Same journal

Independent and combined effects of first-trimester elevated fasting blood glucose and high-normal blood pressure on pregnancy outcomes.

Diabetes research and clinical practice·2026
Same journal

Baseline levels and dynamic trajectories of fasting C peptide to blood glucose ratio predict the risk of combined vascular damage in type 2 diabetes: a longitudinal cohort study.

Diabetes research and clinical practice·2026
Same journal

Optimal screening practices for diabetic retinopathy in children and adolescents with type 1 diabetes: a systematic review to inform global screening guidance.

Diabetes research and clinical practice·2026
Same journal

GLP-1 receptor agonists in pediatric obesity and diabetes: a systematic review of efficacy, metabolic effects, and safety.

Diabetes research and clinical practice·2026
Same journal

Corrigendum to "Relationship between severe hypoglycemia or impaired awareness of hypoglycemia and diabetes-related health status, global cognition and executive functions in adults with type 1 diabetes without severe anxiety or depression" [Diabetes Res Clin Pract 221 (2025) 112004. doi: 10.1016/j.diabres.2025.112004. Epub2025 Jan 11. PMID:39805380].

Diabetes research and clinical practice·2026
Same journal

Macular microcirculation changes in incident type 2 diabetes without fundus Photography-Detectable diabetic Retinopathy: A 6-Year nested Case-Control study.

Diabetes research and clinical practice·2026
See all related articles

Shared care for diabetes management shows promise in real-world settings. Implementing specialist recommendations improved patient metabolic control, highlighting the effectiveness of this collaborative approach.

Area of Science:

  • Endocrinology
  • Public Health
  • Primary Care Medicine

Background:

  • Shared care models are increasingly promoted for diabetes management.
  • Real-world effectiveness of shared care for diabetes requires further investigation.
  • Potential for care fragmentation exists if responsibilities are unclear in shared care.

Purpose of the Study:

  • To evaluate the implementation of specialist recommendations in a 'real-life' shared care diabetes program.
  • To assess the impact of implemented recommendations on patient metabolic control.
  • To identify factors influencing the successful implementation of shared care recommendations.

Main Methods:

  • Retrospective follow-up of 200 patients attending a diabetes center between 1995-1998.
  • Analysis of primary care physician implementation rates for specialist recommendations.

Related Experiment Videos

  • Comparison of patient metabolic markers (HbA1c, cholesterol, triglycerides) based on recommendation implementation.

    • Main Results:

    • Primary care physicians implemented most recommendations for metabolic control (76%), ophthalmology referrals (73%), and blood pressure (76%), but less for lipids (55%).
    • Patients with implemented recommendations showed significantly lower median HbA1c, cholesterol, and triglyceride levels.
    • Doctors in the Diabetes Shared Care Programme and those writing longer referral letters demonstrated higher implementation rates.

    Conclusions:

    • Shared care appears to facilitate effective diabetes management in a real-world setting.
    • Successful implementation of specialist recommendations correlates with improved patient outcomes.
    • Further research into diverse shared care models is recommended to optimize diabetes care delivery.