[Better coordination between primary care, community settings and diabetes outpatient clinic for patients with type 2 diabetes].

Integrated care programmes for patients with type 2 diabetes can be successfully implemented by planning the programmes in coordination between the sectors primary care, community settings and diabetes outpatient clinic, and with involvement of leaders and employees. Our project has resulted in: 1) more patients with type 2 diabetes receiving diabetes management courses, 2) improved diabetes management of primary care, and 3) improved confidence and respect between sectors involved in diabetes care.

Characterisation of tannin-containing herbal drugs by HPLC.

INTRODUCTION: Herbal drugs containing tannins are characterised in the European Pharmacopoeia by their tannin content analysed by the old, nonspecific, colorimetric Folin-Ciocalteu method. The result of the analysis is a single figure relating to the content of tannins, but this does not provide much information on the identity or status of the herbal drug. OBJECTIVE: In the present paper methods for obtaining more detailed information of the constituents in these herbal drugs are described. METHODOLOGY: The methods developed are based on a reversed-phase gradient HPLC system coupled to DAD, fluorescence, electrochemical and MS detectors. RESULTS: The HPLC system developed provides characteristic fingerprints of the herbal drugs when using UV detection at 250 nm. The fingerprints may be used for identification of tannin-containing herbal drugs. Methanolysis of the herbal drug generated methyl gallate and ellagic acid, which were analysed in the HPLC system. The molar ratio between methyl gallate and ellagic acid may also be used for the identification of herbal drugs. CONCLUSIONS: An HPLC system equipped with selective detectors was shown to be valuable in the identification of herbal tannin. Most promising was fingerprinting using UV detection, but methanolysis followed by HPLC also proved useful.