There are no comparisons of hypericum versus SSRIs. Side effects with hypericum were lower or similar compared with comparison drug. The authors point out that there is very little interest in hypericum among doctors in the English speaking world. Consequently, English language trials of hypericum have not been carried out or reported recently. Organising optimal diabetes care is difficult.
Recent research highlights the benefits of tight glycaemic control.
But achievement by real world patients and their carers of the level of control used in the DCCT trial is not easy in any setting. 5 Shared care, about which some have doubts, but which is a de facto standard and accepted by many people with diabetes, does not make the achievement of optimal glycaemic control easy. Given the tensions involved in diabetes care, the recent survey carried out in Poole is very welcome. Many of the structural requirements 7 for shared care diabetes were found to be in place. Of most concern was the degree of glycaemic control achieved.