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.
The Diabetes Transition Service Specification is designed to inform commissioners’ development of a clear specification based on local context.
Open access. Patients with type 2 diabetes (T2DM) often have poor glycemic control on first-line pharmacologic therapy and require treatment intensification. Intensification decisions can be difficult because of many available options and their many benefits and risks. The American Diabetes Association recommends patient-centered, evidence-based tools supporting shared decision-making between patients and clinicians. We developed a patient decision aid (PDA) targeting decisions about treatment intensification for T2DM. Our objective was to determine the effectiveness of this PDA for patients with T2DM on metformin who require treatment intensification.
This quality standard covers managing diabetes and its complications in women (all females of childbearing potential) who are planning a pregnancy and women who are already pregnant. It also covers areas in which additional or different care should be offered to women with diabetes and their newborn babies. For more information see the diabetes in pregnancy topic overview.
NG18 (Diabetes in Children and Young People), NG3 (Diabetes in Pregnancy), NG19 (Diabetic Foot Problems), NG17 (Type 1 Diabetes in Adults: Diagnosis and Management) Visit the 'Resources' page on the library website to view our new books and E-books in this area: http://library.sssft.nhs.uk/libraryresources
Implications for practice and research
>More research is needed to evaluate the proposed framework in diverse adults with type 2 diabetes and examine how health values change over time with duration of diabetes and the development of complications/comorbidities.
>The framework presented by this study may provide clinicians with a useful tool to guide individualised assessment and planning of diabetes self-management support. To read the full article, log in using your NHS Athens
Objective To investigate trends in incident and prevalent diagnoses of type 2 diabetes mellitus (T2DM) and its pharmacological treatment between 2000 and 2013.
Design Analysis of longitudinal electronic health records in The Health Improvement Network (THIN) primary care database. Open Access Article
The UK National Screening Committee (UK NSC) has published a number of recommendations today (15 January 2015) following its meeting on 19 November 2015.
The independent expert committee made 11 recommendations in total, which included improvements to existing screening programmes for Down’s syndrome and other related conditions, cervical cancer, bowel cancer and eye screening for people with diabetes.
Musculoskeletal symptoms limit adherence to exercise interventions for individuals with type 2 diabetes. People with diabetes may be susceptible to tendinopathy due to chronically elevated blood glucose levels. Therefore, we aimed to investigate this potential association by systematically reviewing and meta-analysing case–control, cross-sectional, and studies that considered both of these conditions. To read the full article, log in using your NHS Athens
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.
A pilot scheme in Newham helping young people keep on top of their diabetes care has rolled out Skype appointments to all patients as part of a successful four year trial.
Since launch in 2011 the Diabetes Appointments via Webcam in Newham (DAWN) scheme, web-based follow up is used routinely for young people aged 16-25 years, and 480 webcam appointments have been carried out, reducing ‘do not attends’ (DNA’s) from 30-50 per cent to 16 per cent.
The service was set up with the Health Foundation’s SHINE award (£75,000) and is thought to increase productivity and patient throughput by 22% – 28%, saving approximately £27 per consultant appointment in clinician time.
The service is offered by the Diabetes team at Newham University Hospital, Barts Health and supported by East London NHS Foundation Trust and Newham Clinical Commissioning Group
Diabetes is an increasingly common life-long condition, which has significant physical, psychological and behavioural implications for individuals. Self-management of type 1 and type 2 diabetes can be complex and challenging. A collaborative approach to care, between healthcare professionals and patients, is essential to promote self-management skills and knowledge to help patients engage in shared decision making and manage any difficulties associated with a diagnosis of diabetes. To read the full article, log in using your NHS Athens
More than half of patients with controlled type 2 diabetes have more tests than is recommended in national guidelines, and this has been associated with overtreatment of the condition, say US researchers. To read the full article, log in using your NHS Athens
Background The role of socioeconomic status in work disability among employees with diabetes is not well known. We examined the association between socioeconomic status and work disability among employees with and without diabetes taking into account comorbid conditions. To read the full article, log in using your NHS Athens
Objective People with type 2 diabetes often report pressure to abstain from many of life's pleasures. We tried to reconstruct these patients’ sense of pressure to better understand how people with diabetes make sense of, and integrate, these feelings into their life. Open Access Article
Objective Type I and II diabetes are associated with a greater relative risk of cardiovascular diseases (CVD) in women than in men. Sex differences in adiposity storage may explain these findings. Open Access Article
Objective To examine the association between the experience of patient-centred care (PCC), health behaviours and cardiovascular disease (CVD) risk factor levels among people with type 2 diabetes. Open Access Article
Objectives In general populations, the adverse effects of smoking on coronary risk have been demonstrated to be greater in women than in men; whether this is true for individuals with diabetes is unclear. Open Access Article
Our aim was to assess the impact of an educational initiative for non-specialist, healthcare professionals in the community on the process and quality measures of diabetes care delivered, and changes in their learning experiences and clinical management behaviour in the short and long term. Open Access Article
Study question What is the association between potato consumption before pregnancy and the risk of gestational diabetes mellitus (GDM)? This study has been appraised by NHS Behind the Headlines - it is worth reading that before taking actions based on its findings.
This early-stage research is exciting, but much more work is needed before we'll know whether this could become a treatment to replace insulin injections.
Foot problems in diabetic patients are some of the most challenging complications to treat, due to an often quite late presentation of symptoms from the patient. Therefore visual recognition of presenting clinical signs is absolutely key for a successful diagnosis and subsequently, the right management programme.
The 3rd edition of Managing the Diabetic Foot once again provides a practical, handy and accessible pocket guide to the clinical management of patients with severe feet problems associated.... Login using your NHS Athens to read online or download to your device via the Bluefire Reader App
Diabetes education is a process, the key to which is establishing a therapeutic relationship with the individual. The overall goal of diabetes education is to enhance the individual’s health capability, including their ability to solve problems and apply the learning to self-care. Thus, diabetes education is an interactive process of teaching and learning where information is co-generated. This innovative and thought-provoking new book explores the ‘how’ of diabetes education, rather than the ‘what’ and the ‘why’. Login using your NHS Athens to read online or download to your device via the Bluefire Reader App
Depression and neuropathy are frequent complications of type 2 diabetes. The current meta-analysis aimed to estimate the association between depression and neuropathy in subjects with type 2 diabetes. Login using your SSSFT NHS OpenAthens for full text. SSOTP - request a copy of the article from the library - www.sssft.nhs.uk/library
NICE has published its long-awaited updated guidance on type 2 diabetes after the first two drafts provoked controversy among practice nurses and diabetes specialists alike.
The new guideline update focuses on tailoring advice and treatments to the person's circumstances, including considering co-existing illnesses, and reassessing their needs at each review. To read the full article, log in using your NHS Athens
This study explored the annual occurrence/incidence of bacterial infections, and their association with chronic hyperglycemia and diabetic nephropathy, in patients with type 1 diabetes. Open Access Article
The UK National Institute for Health and Care Excellence (NICE) guideline on diabetes recommends at least annual monitoring of patients with type 2 diabetes mellitus (T2DM) for proteinuria. To date, little has been published on the frequency of proteinuria monitoring in T2DM, and its association with risk factors for renal complications. We aimed to describe proteinuria monitoring in patients with T2DM. Open Access Article
There is recognition of an urgent need for clinic-based interventions for young people with type 1 diabetes mellitus that improve glycemic control and quality of life. The Child and Adolescent Structured Competencies Approach to Diabetes Education (CASCADE) is a structured educational group program, using psychological techniques, delivered primarily by diabetes nurses. Composed of four modules, it is designed for children with poor diabetic control and their parents. A mixed methods process evaluation, embedded within a cluster randomized control trial, aimed to assess the feasibility, acceptability, fidelity, and perceived impact of CASCADE. Open Access Article
To examine real-world treatment patterns of lipid-lowering treatment and their possible associated intolerance and/or ineffectiveness among patients with type 2 diabetes mellitus initiating statins and/or ezetimibe. Open Access Article
The objectives of this study were to (1) analyze the prevalence of diabetes, prediabetes, and antidiabetic medication in patients with psychosis compared with control subjects and (2) determine what factors in patients with psychosis were associated with antidiabetic medication. Open Access Article
Type 2 diabetes mellitus (T2DM) is one of the most prevalent chronic inflammatory diseases of the elderly. Its development is related to the alteration of the immune system with aging characterized by immunosenescence and inflamm-aging. In turn, T2DM also alters the immune response. As a consequence, older people with T2DM are more susceptible to influenza and to its complications as compared with healthy controls. Vaccination against influenza has shown poor efficacy in the older population and even less efficacy in patients with diabetes. We studied here the antibody response to vaccination in healthy and diabetic elderly participants. Open Access Article
Objective To test the ethical acceptability of using financial incentives to increase diabetic retinopathy screening attendance.
Background Financial incentives could be an effective way to increase attendance at screening for diabetic retinopathy, although there can be ethical concerns about this approach.
Design Survey of people with diabetes in North West London. Those who were due to attend a screening appointment were invited to complete a questionnaire. Key demographic variables included age, gender, and deprivation. Open Access Article
Depression substantially contributes to the personal burden and healthcare costs of living with diabetes mellitus (DM). Comorbid depression and DM are associated with poorer quality of life, poorer self-management and glycemic control, increased risk for DM complications and higher mortality rates, and higher health service utilization. Depression remains under-recognized and undertreated in people with DM, which may, in part, result from barriers associated with accessing face-to-face treatment. This study will examine the efficacy of an internet-based cognitive behaviour therapy programme for major depressive disorder (iCBT-MDD) in people with DM. Open Access Article
Learning Disabilities Elf Blog post. Diabetes is an increasingly common health condition and individuals with a learning disability are believed to make up a significant number of those adults with diabetes in the UK (Morin, 2012).
Two new risk prediction tools can help identify patients with diabetes who are at high risk of blindness and lower-limb amputation, reports a study. To read the full article, log in using your NHS Athens
Here’s the crunch. Eating a handful of walnuts a day is linked to better overall diet and an improvement in certain risk factors among people at high risk of diabetes, says a US study. 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
'What this study adds A substantial positive association was seen between use of warfarin with glipizide/glimepiride and hospital admission/emergency department visits for hypoglycemia and related diagnoses, particularly in patients starting warfarin. The findings suggest the possibility of a significant drug interaction between these medications.'
Weight increase during the first year of an infant’s life is positively associated with the risk of developing type 1 diabetes, an analysis of two large Scandinavian birth cohorts has found. To read the full article, log in using your NHS Athens
A systematic review comparing the safety and efficacy of five once weekly glucagon-like peptide-1 receptor agonists (GLP-1RAs) has found no clear winner for treating type 2 diabetes. To read the full article, log in using your NHS Athens
Three out of four (74 per cent2) pregnant women with diabetes have higher than recommended3 blood sugar4 levels in early pregnancy, new findings from a national audit reveal.
Open access. Poor adherence to medication regimens increases adverse outcomes for patients with Type 2 diabetes. Improving medication adherence is a growing priority for clinicians and health care systems. We examine the differences between patient and provider understandings of barriers to medication adherence for Type 2 diabetes patients.
'Over the last two years ‘Bradford Beating Diabetes’ (BBD) has contacted 2,300 people they knew to be at high risk of Type 2 diabetes and offered them help to reduce that risk.'
Background: Uptake of information and communication technology (ICT) by individuals with diabetes can assist nursing care delivery, and improve patient outcomes. However, it is unclear how such uptake relates to ethnic differences in diabetes risk. Aim: To assess the moderating effects of ICT uptake on South Asian excess diabetes prevalence over a specific elapsed timeframe, accounting for selected environmental, socio-economic, and behavioural risk factors. Method: Archived data from a UK Office for National Statistics household survey 2006-2011 (120 621 partly non-orthogonal participant records) were analysed using hierarchical binary logistic regression analyses. Results: ICT uptake qualified ethnic differences in diabetes prevalence. Non-smoking diabetes cases living in terraced housing with a home computer were more likely to be South Asian than Caucasian. By contrast, such cases were more likely to be Caucasian if a computer was unavailable (OR: 0.61; CI: 0.43-0.86; P=0.005). Furthermore, diabetes cases from low-income, mobile-dependent homes were probably South Asian (OR: 0.05; CI: 0.00-0.50; P=0.012). Conclusions: Home computing was linked to better tobacco control among South Asians with diabetes living in terraced properties. Mobile phone dependence was pronounced in those that received income support. Implications for nursing care are considered. To read the full article, log in using your NHS Athens
'More than three-quarters (168) of Clinical Commissioning Groups (CCGs), in partnership with 132 local authorities, have submitted 66 joint Expressions of Interest to become part of the first phase of roll-out of the NHS Diabetes Prevention Programme (NHS DPP).'
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