Diabetic eye screening (DES) services can record information on the 9 protected characteristics described in the Equality Act 2010.
Accessibility requirements can also be recorded in line with the NHS Accessible Information Standard.
Collection of this information can help local DES services demonstrate performance against Commissioning for Quality and Innovation (CQUIN) goals if they are in place. The information will also provide services with data to determine if screening access and uptake is equitable across different groups and to identify where they need to make improvements if CQUINs are not in place.
The study doesn't show that fruit directly prevents diabetes or diabetes complications, as an inherent limitation of this type of study is that other factors could be involved. And it doesn't tell us how much fruit might be too much.
Overall, the research suggests fresh fruit can be part of a healthy diet for everyone.
The modes of action and clinical implications of several of the newest classes of antidiabetic drugs used as monotherapy and as add-on therapy have been extensively reviewed in recent publications.1 2 Sodium-glucose cotransporter 2 (SGLT-2) inhibitors (eg, empagliflozin) belong to one such novel class and act via interference with proximal renal tubular reabsorption of glucose; about 90% of such reabsorption depends on this cotransporter. They therefore reduce blood glucose concentrations, promote weight reduction and lower blood pressure through glycosuria and osmotic diuresis. Moreover, since their activity is independent of insulin, they are efficacious even in the presence of pancreatic beta cell failure, which is in marked contrast to many other antidiabetic drugs.....To read the full article, log in using your NHS OpenAthens details.
Type 2 diabetes in adolescence manifests as a severe progressive form of diabetes that frequently presents with complications, responds poorly to treatment, and results in rapid progression of microvascular and macrovascular complications. Although overall still a rare disease, adolescent type 2 diabetes now poses major challenges to paediatric and adult diabetes services in many countries.....Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
Effective insulin injection technique is essential to ensure optimal management of diabetes. Those who administer insulin should understand how it works, in particular its link to blood glucose levels.
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This study aimed to evaluate the feasibility, acceptability, and preliminary effectiveness (compared with usual care) of a collaborative care model to treat community mental health center (CMHC) patients with psychosis and poorly controlled diabetes. Login at top right hand side of page using your SSSFT NHS OpenAthens for full text. SSOTP- Please contact the library to receive a copy of this article - http://bit.ly/1Xyazai
Women with gestational diabetes mellitus (GDM) are categorized as at high risk for adverse events during Ramadan fasting. However, this is largely based on clinical opinion. In this study, we shed some light on what happens to glucose levels during Ramadan fasting.
Open Access Article
The dietary approach definitely shows promise, but there are several reasons to be cautious at this stage. This sort of intensive calorie restriction wouldn't be suitable for everyone and should only be conducted under careful medical supervision. One person also developed severe abdominal pain, related to gallstones, thought to be caused by the intervention. The diet needs further study to ensure it's safe and suitable for widespread adoption.
Fibreglass casts moulded to the heel did not improve heel ulcers in people with diabetes when added to usual ulcer care. Ulcers healed within six months in 44% of people using casts compared with 37% without which was not a statistically significant difference.
Clinical effectiveness: GDm‑Health has the potential to have a positive impact for people with gestational diabetes. There is some evidence that the app is a reliable method to communicate blood glucose levels and improves patient satisfaction with their care. However, there is currently no evidence comparing GDm‑Health with standard care and so the impact on clinical outcomes is uncertain.
More than 5,000 people are expected to benefit from a pilot project which will see five companies and eight areas of the country test drive a range of apps, gadgets, wristbands and other innovative digital products, which starts this month.
Conclusion- Medication adherence was reduced during school holidays and on weekends in children with T1D. Clinical characteristics including socioeconomic status and the presence of adverse effects did not predict adherence.. To read the full article, log in using your NHS OpenAthens details.
Health Psychology (May 23, 2019). DOI:10.1037/hea0000764
Objective: To investigate the separate and combined associations of obesity and metabolic syndrome (MetS) with depression and the role of inflammation. . To read the full article, log in using your NHS OpenAthens details.
The most frequent reductions in pressure occurred when the anterior edge of the metatarsal bar was placed at 77% of the peak pressure values, and its effects were independent of the choice of EVA or Poron offloading material. In the flat insole, 61% of participants had one or more metatarsal head areas with pressure above the 200 KPa, reducing to 58% when adopting generic orthotic design rules and 51% when using the best orthotic insole of the nine tested. Our results confirm that plantar pressure relief is sensitive to orthotic insole design decisions and individual patient feet.
Open access. Healthcare professionals’ person-centered communication skills are pivotal for delivering successful diabetes education. Many healthcare professionals favor person-centeredness as a concept, but implementation in practice remains challenging. Today, programs have often a fixed curriculum dominated by biomedical issues. Most person-centered methods are developed targeting individual consultations, although group-based programs are a widespread and efficient method of support. Person-centeredness in group-based programs requires a change in practice towards addressing biopsychosocial issues and facilitating group processes. The objective of this study was to explore how healthcare professionals implement new approaches to facilitate group-based, person-centered diabetes education targeting people with type 2 diabetes.
A new campaign has begun that advises patients on what they can do to keep Type 2 diabetes at bay.
There are an increasing number of people being diagnosed with Type 2 diabetes in Staffordshire and Stoke-on-Trent, a picture that is reflected nationally.
The new awareness campaign, #BeInTheKnowType2, has three main audiences