[Challenges and future perspectives of healthcare networks].

Healthcare networks play a central role in the French healthcare system. A reflection on their future and the evolutions to be envisaged is currently in progress. Moreover, the French Directorate General for Healthcare Provision should soon publish a methodological guide concerning these networks.

Improving diabetes management with electronic medical records.

Most primary-care physicians have adopted electronic medical records (EMRs) for the management of patients in ambulatory care. Observational trials suggest that the use of EMRs improves the achievement of the recommended standards of diabetes care and intermediate outcomes. A French group of general practitioners has shown, in a randomized controlled trial of diabetes care, the beneficial effects of a follow-up module integrated into an EMR.

Insulin therapy for diabetes mellitus: treatment regimens and associated costs.

Aims: To describe insulin therapy in patients with diabetes, to determine treatment costs and to compare costs among treatment regimens.

Methods: This observational study was performed by 734 French pharmacists. Adult patients filling an insulin prescription were invited to participate.

Can postprandial blood glucose excursion be predicted in type 2 diabetes?

Objective: We investigated the relationship between carbohydrate intake and postprandial blood glucose (BG) levels to determine the most influential meal for type 2 diabetic subjects treated with basal insulin and needing prandial insulin.

Research Design And Methods: Three-day BG profiles for 37 type 2 diabetic subjects, with A1C levels of 7.7%, treated with sulfonylurea and metformin, and well titrated on insulin glargine, were analyzed using a continuous glucose monitoring system.