Temperature and blood glucose management
(Source: Practical Diabetes)
Source: Practical Diabetes - September 1, 2015 Category: Endocrinology Authors: Rowan Hillson Tags: Leader Source Type: research
Clindamycin
(Source: Practical Diabetes)
Source: Practical Diabetes - July 29, 2015 Category: Endocrinology Authors: Clare S Murphy, Gerry McKay Tags: Drug notes Source Type: research
Can laboratory based research regarding type 1 diabetes and exercise be applied into the real‐life environment?
Abstract
The aim of this study was to determine whether results from laboratory based research examining glycaemic control during and after exercise can be applied to a real‐life (non‐laboratory) environment.
A comparative study of individuals with type 1 diabetes (n = 9) using basal bolus analogue insulin regimens was undertaken. Glycaemic control before and after two 40‐minute runs at 70% VO2 max, in both laboratory and real‐life environments, was measured across 10 time‐points during and up to 12 hours after exercise. Insulin was adjusted in all participants following a self‐management algorithm.
Pooled mean...
Source: Practical Diabetes - July 29, 2015 Category: Endocrinology Authors: Jacqui Charlton, Lynn Kilbride, Rory MacLean, Mark G Darlison, John McKnight Tags: Original article Source Type: research
Diabetes education: a global perspective
Abstract
Diabetes education has been acknowledged as the cornerstone of good diabetes care and management. Although evidence to support the need for diabetes education has grown in recent years, many people with diabetes remain unable to access or choose not to attend diabetes education for a variety of reasons. In order to improve the likelihood of success, diabetes education needs to be adequately resourced and tailored to meet the needs of specific populations. This paper seeks to offer a global perspective on the current status of diabetes education. Insight is provided into recent evidence suggesting poor integration ...
Source: Practical Diabetes - July 29, 2015 Category: Endocrinology Authors: David Chaney Tags: State of the art lecture Source Type: research
Managing factitious disorder and type 1 diabetes
We describe the impact of the disorder on their glucose control and general health, the challenges faced in diagnosing the psychiatric condition, and how the resulting situations were managed in a secondary care setting. We highlight the strategies often employed by patients in factitious disorder, and suggest counter‐strategies that can be implemented to minimise risk to patients. Ultimately, timely therapy for the factitious disorder could aid glucose control, and the overall health of the patient. Copyright © 2015 John Wiley & Sons. (Source: Practical Diabetes)
Source: Practical Diabetes - July 29, 2015 Category: Endocrinology Authors: Sarika Deshpande, Alison Jenaway, David Simmons Tags: Case report Source Type: research
Insulin‐treated diabetes: awareness and adherence to driving recommendations
(Source: Practical Diabetes)
Source: Practical Diabetes - July 29, 2015 Category: Endocrinology Authors: T Min, N Younis, AN Dixon Tags: Research letter Source Type: research
Obesity and diabetes: pointing the way
(Source: Practical Diabetes)
Source: Practical Diabetes - July 29, 2015 Category: Endocrinology Authors: Mark Greener Tags: Policy profile Source Type: research
Train driving and diabetes – keeping safety on track
Abstract
Despite disability legislation, some people with diabetes (particularly those taking insulin) still experience discrimination in the work that they are allowed to perform.
Some occupations have strict medical standards that people with diabetes may not be able to meet. These usually apply where a job is unusually risky, e.g. because it involves operating heavy machinery or vehicles, with a risk of harm to the employee or others in case of sudden incapacity. People with diabetes have successfully challenged employers who sought to exclude them from jobs simply because they were ‘diabetic’, rather than assessing...
Source: Practical Diabetes - July 29, 2015 Category: Endocrinology Authors: Paul Grant, Harry Phoolchund Tags: Practice point Source Type: research
Diabetes and alcohol
(Source: Practical Diabetes)
Source: Practical Diabetes - July 1, 2015 Category: Endocrinology Authors: Rowan Hillson Tags: Leader Source Type: research
Metformin in type 1 diabetes
(Source: Practical Diabetes)
Source: Practical Diabetes - June 9, 2015 Category: Endocrinology Authors: Paul Connelly, Gerry McKay, John R Petrie Tags: Drug notes Source Type: research
Improving the effectiveness of short‐term courses for multidisciplinary health care professionals
The objective of the study was to evaluate the short‐ and mid‐term impact of seven PD courses held between March 2011 and March 2012. Three methods of assessment were carried out: an end of course evaluation; pre‐ and post‐tests to assess gain in knowledge and change in attitudes; and self‐assessment of action plan implementation at six months to determine level of behaviour change.
In total, 327 multidisciplinary HCPs participated in the seven PD courses. End of course evaluation indicated that the PD course was valued by course participants in terms of relevance of the topics and learning experience. A signific...
Source: Practical Diabetes - June 9, 2015 Category: Endocrinology Authors: Kavita Kapur, Sean McAleer, Frederik Persson, Ulla Bjerre‐Christensen Tags: Original Article Source Type: research
The challenges of type 1 diabetes in older people
Abstract
Over 200 000 people in England and Wales have type 1 diabetes. After the discovery of insulin, it became clear that people with diabetes had a reduced life expectancy and in the 1950s someone with type 1 diabetes might only expect to live until their sixth decade before they died from diabetic complications. Since then, longevity has increased and significant numbers are living into their eighth decade.
In 1985, Diabetes UK introduced the Nabarro medal for those who had lived with the condition for more than 50 years and, as evidence of increased life expectancy, the Macleod medal has been awarded since 2004 to su...
Source: Practical Diabetes - June 9, 2015 Category: Endocrinology Authors: Anne Kilvert, Charles Fox Tags: Review Source Type: research
Insulin induced tan: a dual diagnosis
We present the case of a young male patient diagnosed with type 1 diabetes whose skin noticeably darkened with insulin therapy. Minimal insulin requirements, an unexpectedly low HbA1c and ongoing symptoms of weight loss and anorexia prompted further investigations. He was found to have a suboptimal response to synthetic ACTH (Synacthen) confirming a diagnosis of Addison's disease (primary adrenal failure). We postulate that the lowering of the blood glucose with insulin therapy for type 1 diabetes unmasked the diagnosis of Addison's disease.
The case highlights several important lessons: (1) beware the dual diagnosis – h...
Source: Practical Diabetes - June 9, 2015 Category: Endocrinology Authors: Roaid Khan, Vassilis Aggelis, Umasuthan Srirangalingam, Shanti Vijayaraghavan Tags: Case report Source Type: research
Bacillus cereus causing widespread necrotising skin infection in a diabetic person
We report a unique case of B. cereus cutaneous infection causing extensive skin necrosis in a person with type 2 diabetes mellitus. Examination revealed erythema, pitting oedema and right ankle tenderness. Elevated inflammatory markers supported a diagnosis of cellulitis, and intravenous flucloxacillin was initiated as per local hospital guidelines. Clinical response was poor with the development of spreading cellulitis, desquamated blisters and superficial necrosis. In response to swab culture and sensitivity results, vancomycin was commenced resulting in gradual resolution.
Cutaneous necrotising B. cereus infection in a ...
Source: Practical Diabetes - June 9, 2015 Category: Endocrinology Authors: Flurina Michelotti, H Jonathan Bodansky Tags: Case report Source Type: research
Can we ever really tackle diabetes in ethnic minorities?
(Source: Practical Diabetes)
Source: Practical Diabetes - June 9, 2015 Category: Endocrinology Authors: Mark Greener Tags: Policy profile Source Type: research
