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There are approximately 3.5 million people living in the UK who have been diagnosed with type 1 or type 2 diabetes—in England and Wales, approximately 26 500 of these are children and young people under 18 years of age, with >95% suffering from type 1 diabetes. These individuals carry a lifetime risk of serious long-term complications such as cardiovascular disease and increased risk of strokes and/or heart disease, blindness (retinopathy), kidney disease (nephropathy), peripheral vascular disease and neuropathy with increased risk of limb amputations. Current research demonstrates that for a child diagnosed with type 1 diabetes, the expected loss of life expectancy is 10–12 years.1 This risk can be substantially reduced with good diabetes care and careful blood glucose control, thereby reducing the burden of cost to the patient, family and the National Health Service (NHS).. To read the full article, log in using your NHS OpenAthens details.
Open access. To investigate associations between takeaway meal consumption and risk markers for coronary heart disease, type 2 diabetes and obesity risk markers in children.
To determine accuracy, safety and acceptability of the FreeStyle Libre Flash Glucose Monitoring System in the paediatric population. To read the full article, log in using your NHS OpenAthens details.
We'd like to hear your suggestions for new book alert topics. Simply reply to this email with 'Book Alert Topic' and your suggestions. You can also view and sign-up to our current new book alerts here: http://library.sssft.nhs.uk/librarykeepuptodate
Come and visit our first pop-up library at Severn Fields, Shrewsbury 19th July 11.00am-3.00pm. Join the library, borrow and return books, get help finding information and evidence, set up an Athens account, find out what the library can do for you and your team.
It is unlikely that the screen time itself is causing an increase in risk; more that this could indicate a more sedentary lifestyle.
One concern is that the data was collected before the use of smartphones and tablets became widespread in children. So it could be the case that screen time use has now increased among children, but we would need further research to confirm this.
We've added 10 new Be Aware updates following your suggestions:
Musculoskeletal ; Osteoporosis ; Nutrition and obesity ; Falls ; HR ; Research Methods ; Information Governance ; Bladder, bowel and pelvic healthcare ; Rheumatology ; Medicines and healthcare products regulatory agency (circulated email)
Two £25 vouchers are up for grabs in the library’s ‘Making the Most of Information’ survey.
To take part, just visit http://goo.gl/AdN4ok by Friday 19th February.
NHS England has published a non-mandatory diabetes transition service specification that sets out a best practice provision model for services for children and young people with diabetes.
The document is intended to support commissioners in improving outcomes and has been developed to support improvements to existing children and young people’s and adult diabetes services to ensure that they take account of the needs of people up to the age of 25.
Aim Adequate sick-day management at home can reduce the risk of progression to diabetic ketoacidosis and admission to hospital. The aim of this project was to review the management of diabetes during illness. Login using your SSSFT NHS Athens for full text. SSOTP - request a copy of the article from the library http://www.sssft.nhs.uk/library
This guideline covers the diagnosis and management of type 1 and type 2 diabetes in children and young people aged under 18. The guideline recommends strict targets for blood glucose control to reduce the long-term risks associated with diabetes.
Advice on using social media, texts and Skype to keep young people engaged in treatment for their diabetes has been published as part of wider information to help commissioners improve care transition.
NHS England has produced a new service specification to help improve services for young people transferring from child to adult services or from one service to another geographically.
There are currently 27,000 children and young people in England with Diabetes, 96 per cent of whom have Type 1.
Evidence shows the longer between appointments the higher the chance of a young person developing psychosocial issues such as anxiety and depression and increased HbA1c. Diabetes is also linked to higher rates of eating disorders.
Commentary on:
Price KJ, Knowles JA, Fox M, et al. Effectiveness of the Kids in Control of Food (KICk-OFF) structured education course for 11–16 year olds with type 1 diabetes. Diabet Med 2016;33:192–203.
Implications for practice and research
Following a diagnosis of diabetes, group-based interventions should be part of a ‘toolbox’ of resources for children and young people (CYP) and parents and be embedded within routine care.
Group sessions delivered by trained educators, following an interactive developmentally appropriate curriculum may be particularly appropriate for 11–16-year-olds with suboptimal (HbA1c>80 mmol/mol, 9.5%) control.
Involving CYP and parents in and throughout the research process is key to enhancing engagement and ensuring research is relevant and meaningful.
Evaluating the impact of group dynamics, daily peer support and parental involvement could enhance future studies. To read the full article, log in using your NHS OpenAthens details