The innovative device, which is the size of a £2 coin and worn on the arm, means people with Type 1 do not have to carry out multiple painful finger-prick checks to monitor their blood sugar levels.
Instead, people with the condition can monitor their blood sugar levels in a much more convenient way, making it easier for people to manage their blood sugar levels.
Health systems invest in diabetes quality improvement (QI) programmes to reduce the gap between research evidence of optimal care and current care.1 Examples of commonly used QI strategies in diabetes include programmes to measure and report quality of care (ie, audit and feedback initiatives), implementation of clinician and patient education, and reminder systems. A recent systematic review of randomised trials of QI programmes indicates that they can successfully improve quality of diabetes care and patient outcomes.2 Changes in surrogate markers such as blood glucose control, blood pressure or cholesterol levels are used to measure QI intervention effectiveness.2
However, investments in QI strategies are only worthwhile if the programmes that effectively improve care are sustained after trial completion.3. To read the full article, log in using your NHS OpenAthens details.
Early screening, diagnosis and management of gestational diabetes mellitus are important to prevent or reduce complications during and postpregnancy for both mother and child. A variety of guidelines exists, which assist nurses and midwives in the screening, diagnosis and management of gestational diabetes mellitus. Open Access Article
The aim of this study was to determine the association between antidepressant (AD) classes, types and duration of use during pregnancy and the risk of gestational diabetes mellitus (GDM). Open Access Article
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
Despite the increase in the use of insulin pumps and continuous glucose monitors in recent years, the management of type 1 diabetes remains suboptimal in terms of glycaemic control and normal glycated haemoglobin (HbA1c) level. This article discusses the case of a child with type 1 diabetes who was successfully treated with a very low-carbohydrate diet, resulting in normal levels of HbA1c and normal blood glucose 95% of the time in a range of 70–180 mg/dL (4.0 mmol/L−10 mmol/L). Therefore, further studies are needed to verify how a very low carbohydrate diet impacts child development. To read the full article, log in using your MPFT NHS OpenAthens details.
The aims of this study were to: a) determine if self‐efficacy mediates the relationship between perceived stress and diabetes self‐management in adolescents with type 1 diabetes; and b) explore whether perceived stress moderated the self‐efficacy and diabetes self‐management relationship.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
This literature review considers the personal and practice implications of managing type 1 diabetes in adolescence. The review is part of a wider postgraduate study and critically considers 25 largely qualitative articles. To read the full article, log in using your MPFT 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.
Diabetic ketoacidosis has been reported in patients with type 2 diabetes on a combination of a GLP-1 receptor agonist and insulin who had doses of concomitant insulin rapidly reduced or discontinued. GLP-1 receptor agonists are not substitutes for insulin, and any reduction of insulin should be done in a stepwise manner with careful glucose self-monitoring. Abrupt discontinuation or reduction in insulin doses can lead to poor glycaemic control, with a risk of diabetic ketoacidosis.
‘Diabetic foot’ is a term used to describe a group of syndromes in which neuropathy and/or ischaemia lead to tissue breakdown and reduced resistance to infection in a patient with diabetes mellitus. Foot ulceration is a serious and potentially limb-threatening complication of diabetes that can lead to pain, tissue necrosis and amputation, and may significantly affect an individual’s well-being and mobility. To read the full article, log in using your MPFT NHS OpenAthens details.
Among patients with diabetes, the lifetime risk of acquiring a foot ulcer is 25%. To read the full article, log in using your MPFT NHS OpenAthens details.
To evaluate the impact of patients’ understanding of biochemical processes involved in glucose regulation (causal‐biochemical knowledge) and of diabetes self‐management knowledge on adherence to treatment recommendations among adolescents with type 1 diabetes mellitus.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
NHS Shropshire Clinical Commissioning Group (CCG), in partnership with NHS England, Public Health England and Diabetes UK, is involved in a national initiative called the Healthier You: NHS Diabetes Prevention Programme.
The programme is aimed at identifying patients who are at higher risk of developing Type 2 diabetes and they are referred into the programme by their GP.
The UK has an ageing population more and more elderly people are living with diabetes. Jill Hill explores the condition as well as other healthcare challenges that comes with caring for this particular patient group. To read the full article, log in using your MPFT NHS OpenAthens details.
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.
This study examined the effects of three doses of behavioral weight loss treatment, compared with a nutrition education control group, on changes in glycemic control in individuals with obesity and prediabetes. Open Access Article
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.
These documents present the national screening standards for the NHS diabetic eye screening programme.
The most recent standards apply to data collected from 1 April 2019. They replace previous versions.
In chronic kidney disease (CKD), hypertension is associated with poor outcomes at ages <70 years. At older ages, this association is unclear. We tested 10-year mortality and cardiovascular outcomes by clinical systolic blood pressure (SBP) in older CKD Stages 3 and 4 patients without diabetes or proteinuria.. Please contact the library to request a copy of this article - http://bit.ly/2HjNDf3
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.
NHS advice will be offered online to people with type 2 diabetes to help them manage their condition via a first of its kind service.
The new offer, will mean people with type 2 diabetes have evidence-based information and support available at the touch of a button, via an online portal, giving them convenient and quick help to deal with the physical and mental challenges of diabetes.
The resource will make the right advice available from home, work or on the move, helping people manage their health and wellbeing independently, potentially preventing the need for extra medical attention or the condition becoming worse.
Elevated levels of proinflammatory markers are evident in patients with diabetic retinopathy (DR) and are associated with disease progression and prognosis. Intercellular adhesion molecule-1 (ICAM-1) is involved in inflammation and acts as a local intensifying signal in the pathological processes associated with chronic eye inflammation. The aim of this systematic review and meta-analysis was to investigate the relationship between ICAM-1 level and DR. . To read the full article, log in using your NHS OpenAthens details.
While metformin may have potential as an aid for people needing to maintain weight loss in future, the study reminds us that in the original 1-year trial, the most successful weight-loss treatment was the diet and exercise plan.
As the global epidemic of obesity and type two diabetes in children and adults continues to be a major challenge to public health, an intriguing possible ‘off-target’ effect of the rotavirus vaccine and association with a reduction in the incidence of Type 1 diabetes, has been reported in JAMA Paediatrics. An Australian study from a team in Melbourne, JAMA Pediatr 2019;173(3):280-282. doi: 10.1001/jamapediatrics.2018.4578) and is the first report of epidemiological evidence of this possible and fascinating association.. To read the full article, log in using your MPFT NHS OpenAthens details.
A 5-year-old boy with known type 1 diabetes mellitus (T1DM), treated with insulin, presents to the paediatric diabetes outpatient department for his routine clinic review. The family have started the boy on a ketogenic diet (<50 g of carbohydrates daily with target blood ketones of 2–3 mmol/L) to improve his diabetes control and for additional perceived health benefits. On the ketogenic diet, the patient’s insulin needs decreased, his HbA1c is good (41mmol/L/5.2%) and his height and weight are increasing along the 75th centile for his age. He has normal screening bloods (including lipids) and a normal ECG.
The paediatric diabetes multidisciplinary team traditionally recommend a low-fat, high-carbohydrate diet for children with T1DM. The team have no experience of using a ketogenic or low-carbohydrate diet for the management of T1DM in children treated with insulin. You wonder if there is evidence to support the ketogenic diet in children with T1DM and if there are potential risks associated with the low-carbohydrate diet.. To read the full article, log in using your MPFT NHS OpenAthens details.
To evaluate the effectiveness of educational interventions in improving medication adherence among adult patients diagnosed with hypertension, hyperlipidaemia, and/or diabetes.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
To examine the care practices of nurses during the organization of 20 weeks of walking sessions for people with type 2 diabetes and to reflect on implications for nurse‐patient relationships and nursing responsibilities in the provision of physical activity care.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
This study investigates how the excess risk of lower extremity amputations (amputations) in people with type 1 diabetes mellitus (DM) differs from the general population by diabetes duration, glycemic control, and renal complications. Open Access Article
In the second of two articles, David Morris answers more of the most common questions about diabetes. To read the full article, log in using your MPFT NHS OpenAthens details.
Health Psychology (Apr 11, 2019). DOI:10.1037/hea0000719
Objective: Diabetic ketoacidosis (DKA) and elevated hemoglobin A1c (HbA1c) in youth with Type 1 diabetes (T1D) can result in significant morbidity and mortality. Elucidating the risk factors for poor glycemic control and DKA hospitalizations is crucial for the refinement and development of prevention and treatment efforts. . To read the full article, log in using your NHS OpenAthens details.
Short-term treatment for people with type 2 diabetes using a low dose of the selective endothelin A receptor antagonist atrasentan reduces albuminuria without causing significant sodium retention. We report the long-term effects of treatment with atrasentan on major renal outcomes.. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
With the increasingly ageing population worldwide, more older people are living with diabetes. The conditions that often accompany older age, such as dementia, renal impairment, visual impairment and manual dexterity difficulties, can make diabetes management complex and self-care challenging. To read the full article, log in using your MPFT NHS OpenAthens details.
All nurses should be familiar with the importance of blood glucose monitoring and the procedure to carry out testing safely and effectively. Appropriate and timely monitoring of blood glucose will allow for the successful management of blood glucose that is out of the target range. To read the full article, log in using your MPFT NHS OpenAthens details.
As the global epidemic of obesity and type two diabetes in children and adults continues to be a major challenge to public health, an intriguing possible ‘off-target’ effect of the rotavirus vaccine and association with a reduction in the incidence of Type 1 diabetes, has been reported in JAMA Paediatrics. An Australian study from a team in Melbourne, JAMA Pediatr 2019;173(3):280-282. doi: 10.1001/jamapediatrics.2018.4578) and is the first report of epidemiological evidence of this possible and fascinating association.. To read the full article, log in using your NHS OpenAthens details.
Following release of this guidance, the Staffordshire & Stoke on Trent Clinical Commissioning Groups (CCGs) have been working with Diabetes Specialist Teams to put in an appropriate pathway to make sure that eligible patients have access to the glucose monitoring device.Whilst the National media reported that Flash Glucose Monitoring systems would be available from the 1st April 19 it is the intention of the CCG to offer access to this provision from the 1st May as the guidelines and funding arrangements were published later than expected.
Conclusions: People with T1D were frequent users of OOH services, and the OOH visitors were frequent users of eHealth. The use of OOH services was positively associated with the use of health apps, with self-reported anxiety/depression, and with feeling anxious based on information from the Internet. Likewise, deciding to consult a doctor based on information from the Internet was positively associated with OOH visits. The use of eHealth seems to have a significant impact on people with T1D.
People with intellectual disabilities remain at high risk of developing type 2 diabetes (T2D) due to lifestyle‐associated risk factors. Educational programmes have been adapted for people with intellectual disabilities targeting ongoing T2D self‐management. However, there are no adapted programmes which aim to prevent T2D through reducing risk factors. The present study initiates addressing this gap.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
Findings suggest that combining an automated electronic health record system to identify at-risk patients with a tailored mHealth protocol can provide education to this population. While this intervention was insufficient to effect behavioral change resulting in better hypertension control, it does suggest that this FQHC population will engage in low-cost population health applications with a potentially promising impact
Although short adult height is generally associated with increased risks of type 2 diabetes mellitus (T2DM), there are large inconsistencies across studies. The aims of this study were to describe and quantify currently available evidence on the association between adult height and T2DM, to examine whether the reported associations differ by sex, and to examine the shapes of the height and T2DM associations. To read the full article, log in using your NHS OpenAthens details.
On the 8th March 2019 NHS England published a guidance document for patients with Type 1 Diabetes setting out the eligibility criteria for flash glucose monitoring.
Following release of this guidance, the Staffordshire & Stoke on Trent Clinical Commissioning Groups (CCGs) have been working with Diabetes Specialist Teams to put in an appropriate pathway to make sure that eligible patients have access to the glucose monitoring device.
New data from the Diabetes Foot Care Profiles, published by PHE’s National Cardiovascular Intelligence Network, shows that the number of major lower limb amputations (above the ankle) continues to rise – with 7,545 major amputations over the past 3 years between 2015 to 2018, compared with 6,957 between 2012 to 2015.
New figures show that the 17,000 people who attended most of the healthy living sessions lost an average of 3.4kg, over one kilogram more than originally predicted and a total of 59,000kg.
The programme, which gives advice on dieting, exercise and healthy lifestyle, is being doubled in size over the next few years to treat around 200,000 people annually as part of the NHS Long Term Plan’s renewed focus on prevention.
Therapeutic shoes can prevent diabetic foot reulcerations but their use is complicated by the fact that shoes have psychological and social meanings, which is believed to put a larger burden on women than men. The aim was to compare attitudes and attributes of women and men using therapeutic shoes for diabetic foot complications.
The profiles include a range of analysis covering risk, treatment and outcomes, highlighting variation between areas and time-periods. They are intended to help guide equitable national, regional and local commissioning of diabetic foot care services and other preventative interventions.
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Fibroblast growth factor-21 (FGF-21) plays an important role in glucose and lipid metabolism. This study aims to systemically review the evidence regarding the relationship between the FGF-21 levels and type 2 diabetes mellitus (T2DM), as well as the related influential factors.. To read the full article, log in using your NHS OpenAthens details.
To investigate the frequency of coeliac disease (CD)-specific human leucocyte antigen (HLA) genotypes in paediatric patients with type 1 diabetes (T1D), who are known to have a higher prevalence of CD than the general population, and to evaluate whether HLA genotyping is a suitable first-line screening method for CD.. To read the full article, log in using your NHS OpenAthens details.
This study examined (a) psychosocial health care needs of people with type 2 diabetes from the perspective of patients and diabetes health care providers in primary care, in terms of topics, attention in diabetes care and preferences and (b) factors associated with a positive attitude towards specialised psychosocial health care.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
In the first of two articles, David Morris answers some of the most common questions about diabetes. To read the full article, log in using your MPFT NHS OpenAthens details.
Open access. Objective binge eating (OBE) is common among individuals with type 1 diabetes (T1D) and may have negative consequences for glycemic control. Recent studies have suggested that diabetes distress (i.e., emotional distress specific to diabetes and living with the burden of management) is a distinct emotional experience among individuals with diabetes. Preliminary studies have found diabetes distress is associated with eating disorder symptoms and poor glycemic control. The aim of the current study was to examine real-time emotional precursors and consequences of OBE in adults with T1D (i.e., general negative affect, specific emotional states and diabetes distress) using ecological momentary assessment methods. We also explore the impact of OBE on 2-h postprandial glycemic control relative to non-OBE eating episodes.
The purpose of this study was to examine adherence to hypoglycaemia treatment guidelines in adults with type 1 diabetes (T1DM). The American Diabetes Association recommends consumption of 15–20 g of glucose to treat hypoglycaemia. Overtreatment may result in poor glycaemic control and greater glycaemic variability. It is not fully understood how well T1DM adults comply with hypoglycaemia treatment recommendations. Open Access Article
NHS England today published the clinical guidance for the monitors, outlining funding arrangements for local health groups and the criteria for who qualifies for the technology.
From April, the NHS will provide the technology for one in five of those with type 1 diabetes in England.
Factors that influence the health of our blood vessels, such as smoking, high blood pressure, obesity and diabetes are linked to less healthy brains, according to new research part-funded by the MRC.
To identify diabetes specific patient safety domains that need to be addressed to improve home care of older people; to assess research from primary studies to review evidence on patient safety in home care services for older people with diabetes.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
Screening for substance use disorder (SUD) in general medical settings may be particularly important in patients with comorbid health conditions exacerbated by SUD. This study evaluated whether SUD is associated with type 2 diabetes mellitus (T2DM)‐complications in patients with co‐occurring T2DM and hypertension.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
The recent publication of the American Diabetes Association and European Association for the Study of Diabetes position statement points to greater individulisation of care focused on an individual's comorbidities and their preferences for treatment. The changes are most pronounced in patients living with established atherosclerotic cardiovascular disease, heart failure and chronic kidney disease. To read the full article, log in using your MPFT NHS OpenAthens details.
Effective management of diabetes mellitus requires lifelong adherence to a plan that incorporates lifestyle changes, exercise and diet. Following a dietary plan is a fundamental component of diabetes management because this can regulate the body’s supply of glucose and lipids, resulting in weight reduction, an improved response to pharmacotherapies, and optimal control of the patient’s glycaemic status and lipid profile. This article examines the components of nutrition therapy recommended for people with diabetes. To read the full article, log in using your MPFT NHS OpenAthens details.
Healthcare professionals can use the DOVE tool to explore the relationship between spending on diabetes treatment and local clinical outcomes for patients. This can help with planning and commissioning local services.
The tool includes clinical outcomes from the National Diabetes Audit (NDA) and Quality Outcomes Framework (QOF), and prescribing data from the Health and Social Care Information Centre (now NHS Digital).
Insulin therapy is most effective if dosage titrations are done regularly and frequently, which is seldom practical for most clinicians, resulting in an insulin titration gap. The d-Nav Insulin Guidance System (Hygieia, Livonia, MI, USA) is a handheld device that is used to measure glucose, determine glucose patterns, and automatically determine the appropriate next insulin dose. We aimed to determine whether the combination of the d-Nav device and health-care professional support is superior to health-care professional support alone.. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
A clinical case series of patients with a hard-to-heal DFU treated with NCM were recruited between March and June 2017 in a specialised diabetic foot unit. DFUs were treated daily with NCM over four weeks, although the health professional could decide to continue NCM treatment in some patients. Cases were followed up for 12 weeks. Wollina score (granulation, colour and consistency tissue), wound area (cm2), percentage reduction and wound closure (%) were measured. To read the full article, log in using your MPFT NHS OpenAthens details.
Manufactured by Roche Diabetes Care – Important instructions on how to fit 2 separate key frames to prevent accidentally activating the pump (MDA/2019/009).
Peripheral neuropathy is a common diabetes complication that can increase fall risk. Regarding fall risk, the impact of pain management using tricyclic antidepressants (TCAs) or γ‐aminobutyric acid (GABA) analogs is unclear because these medications can also cause falls. This study investigates the impact of these drugs on fall and fracture risk in older diabetic peripheral neuropathy (DPN) patients.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
The Medicines and Healthcare products Regulatory Agency (MHRA) is aware some users of the FreeStyle Libre flash glucose monitoring system are experiencing skin reactions to the sensor adhesive.
Users may have been applying creams, sprays or patches under their sensor to reduce symptoms of skin reactions caused by the sensor adhesive. This is not advised as it may affect the performance of the device.
Health Psychology Vol. 38, Iss. 2, (Feb 2019): 122-132. DOI:10.1037/hea0000710
Objective: Effective diabetes self-management can prevent long-term health complications but is often complex and difficult to achieve. Health care professionals’ support for patients’ autonomy (autonomy support) in managing their diabetes contributes to better diabetes self-care and glycemic control. Most adults with diabetes also receive self-management support from informal health supporters. Yet, the role of autonomy support from these informal health supporters has not been explored. We examined patients’ perceived autonomy support from their main health supporter (family member or friend) in relation to their diabetes distress, self-efficacy, self-monitoring of blood glucose (SMBG), medication adherence, and hemoglobin A1c (HbA1c).. To read the full article, log in using your NHS OpenAthens details.
Open access. Although an increasing amount of research has now established good psychometric properties and a three-component factor structure of the Diabetes Eating Problem Survey – Revised (DEPS-R) in pediatric samples with type 1 diabetes (T1D), research using adult samples has been limited and divergent. This study therefore aimed to investigate psychometric properties and test a three-factor model of the DEPS-R among adults with T1D.
Objective: To examine the experiences of patients with diabetic foot ulcers (DFUs). To read the full article, log in using your MPFT NHS OpenAthens details.
The first of a series of three articles, Patrick Holmes discusses the findings of several trials exploring the pharmaceutical manangement of type 2 diabetes which will aid nurses advising patients on hyperglycaemia. To read the full article, log in using your MPFT NHS OpenAthens details.
As the number of people being diagnosed with diabetes continues to increase, practice nurses need to understand the associated conditions. Linda Nazarko explains diabetic foot care, the development of ulcers, and methods to support people with diabetes. To read the full article, log in using your MPFT NHS OpenAthens details.
Open access. Diabetic macular oedema (DMO) may lead to visual loss and blindness. Several pharmacological treatments are available on the National Health Service (NHS) to United Kingdom patients affected by this condition, including intravitreal vascular endothelial growth factor inhibitors (anti-VEGFs) and two types of intravitreal steroid implants, releasing dexamethasone or fluocinolone acetonide (FAc). This study aimed to assess the value for money (cost-effectiveness) of the FAc 0.2 μg/day implant (ILUVIEN®) in patients with chronic DMO considered insufficiently responsive to other therapies.
With one in six hospital beds occupied by someone with diabetes, it’s vital that nurses in all specialties know how to care for this growing patient group. To read the full article, log in using your MPFT NHS OpenAthens details.
Diabetic foot ulceration is a considerable cost to the NHS and foot orthotic provision is a core strategy for the management of the people with diabetes and a moderate to high risk of foot ulceration. The traditional process to produce a custom-made foot orthotic device is to use manual casting of foot shape and physical moulding of orthoses materials. Parts of this process can be undertaken using digital tools rather than manual processes with potential advantages. The aim of this trial was to provide the first comparison of a traditional orthoses supply chain to a digital supply chain over a 6 month period. The trial used plantar pressure, health status, and health service time and cost data to compare the two supply chains. Open Access
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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)
We report the first use of wireless continuous temperature monitoring for daily wear and home use in patients with diabetes and neuropathy. The wearers found the socks to be no different from standard socks. The temperature studies conducted show that the sensors used in the socks are reliable and accurate at detecting temperature and the findings matched clinical observations. Continuous temperature monitoring is a promising approach as an early warning system for foot ulcers, Charcot foot, and reulceration.
Open access. To develop and psychometrically test the Self‐Management Assessment Scale (SMASc), a screening instrument for person‐centred guidance and self‐management support of persons with type 2 diabetes (T2D).
Self-management support aims to give people with chronic disease confidence to actively manage their disease, in partnership with their healthcare provider. A meta-review can inform policy-makers and healthcare managers about the effectiveness of self-management support strategies for people with type 2 diabetes, and which interventions work best and for whom. Open Access Article
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To determine whether past history of depression is associated with increased rates of gestational diabetes, and whether history of gestational diabetes is associated with increased rates of postpartum depression.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
In type-one diabetes (T1D), pumps delivering continuous insulin infusions alongside continuous blood glucose monitoring are increasingly becoming standard management. The next logical step is to link these devices intelligently, so that the patient does not have to check their glucose levels at all: known as a ‘closed-loop’ system, it is effectively an electronic ‘artificial pancreas’. But does this advanced technology actually improve diabetic control?. To read the full article, log in using your NHS OpenAthens details.
Risk reduction and self‐management programs for type 2 diabetes (T2D) are commonplace. However, little is known about their appropriateness for people with intellectual disabilities (ID). This review evaluates successful components and theoretical basis of interventions and preventions in relation to the needs of people with ID with or at risk of T2D.. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
Several patients with type 2 diabetes mellitus (T2DM) have depressive disorders. Whether insulin treatment was associated with increased risk of depression remains controversial. We performed a meta-analysis to evaluate the association of insulin therapy and depression. Open Access Article
Literacy, the ability to access, understand and utilise information and concepts from diverse sources in ways that promote good outcomes is key to successful ageing. Domain-specific health and financial literacy are particularly relevant to older adults as they face increasingly complex health and financial demands including those related to chronic conditions like type 2 diabetes. We therefore investigated the associations of literacy, including health and financial literacy, with diabetes indicators (ie, haemoglobin A1c and blood glucose) in a community-based cohort study of ageing. To read the full article, log in using your NHS OpenAthens details.
Failsafe processes minimise risks of anything going wrong in the screening pathway.
These publications explain the failsafe procedures in place for the diabetic eye screening programme.
This document states the minimum audits each local diabetic eye screening service must complete on a regular basis.
It identifies audits required in national guidance, service specification or quality assurance pathway standards. Where no national guidance on frequency is available, a suggested frequency is provided. Audits that are part of routine programme management and failsafe are not included. Where applicable, data for audits can be extracted using fields available in programme performance reports (PPRs) which can be presented at clinical commissioning group (CCG) and service level.
In type-one diabetes (T1D), pumps delivering continuous insulin infusions alongside continuous blood glucose monitoring are increasingly becoming standard management. The next logical step is to link these devices intelligently, so that the patient does not have to check their glucose levels at all: known as a ‘closed-loop’ system, it is effectively an electronic ‘artificial pancreas’. But does this advanced technology actually improve diabetic control?. To read the full article, log in using your NHS OpenAthens details.