-Learn to eat well-balanced meals that include healthful food choices (vegetables, fruits, whole grains, etc.) and watch your portion sizes. Even foods that are good for you can add pounds to your waistline, if you consume too much of them. Losing those extra pounds will help you manage not only your diabetes, but also other health problems you may have.
Like my customers, I use an insulin pump to control my diabetes because it allows me to be spontaneous and flexible in managing my diabetes while reducing hypoglycemia. Reaching target blood glucose levels is not always easy, but being a Pharmacist, as well as a Certified Diabetes Educator and Certified Pump Trainer, I know the importance of managing my blood glucose to reduce long-term complications. You are welcome to contact me about any aspect of insulin pump therapy or with any questions about specific insulin pump supplies.

The main treatment effect on the primary outcome is presented in table 2. The reduction in HbA1c from baseline to nine month follow-up was significantly greater in the intervention group than in the control group (mean −8.85 mmol/mol (standard deviation 14.84) v −3.96 mmol/mol (17.02), adjusted mean difference −4.23 (95% confidence interval −7.30 to −1.15), P=0.007). The adjusted mean difference on change in HbA1c at three and six months were −4.76 (−8.10 to −1.43), P=0.005) and −2.36 (−5.75 to 1.04), P=0.17), respectively (table 2).
We summarised the primary and secondary outcomes using descriptive statistics at each scheduled visit. A random effects mixed model was used to evaluate the effect of intervention on HbA1c at three, six, and nine months’ follow-up, adjusting for baseline HbA1c and stratification factors and accounting for repeated measures over time. Model adjusted mean differences in HbA1c between the two groups were estimated at each visit, by including an interaction term between treatment and month. Missing data on the primary outcome were taken into account in modelling based on the missing at random assumption. Both 95% confidence intervals and P values were reported. Treatment effects sizes were also compared between important subgroups considered in stratification, including diabetes type (1 and 2), ethnicity (Māori/Pacific and non-Māori/non-Pacific), and region (urban and rural). For other secondary outcomes measured at nine months, we used generalised linear regression models with same covariate adjustment using a link function appropriate to the distribution of outcomes. Model adjusted estimates on the treatment difference between the two groups at nine months were reported, together with 95% confidence intervals and P values. No imputation was considered on secondary outcomes.
Māori Health Services at Tauranga and Whakatāne hospitals delivers health initiatives under the philosophy of Tangata Whenua Realities, Ngā Pou Mana o Io. The health model of Mana Atua, Mana Tūpuna, Mana Whenua, Mana Tangata, operates alongside clinical and rehabilitation services, Mental Health & Addiction Services and Regional Community Services.
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