Taking education beyond the rhetoric
(Source: Practical Diabetes)
Source: Practical Diabetes - June 9, 2015 Category: Endocrinology Authors: Joan McDowell Tags: Commentary Source Type: research

Care for older people living with type 1 diabetes
(Source: Practical Diabetes)
Source: Practical Diabetes - June 9, 2015 Category: Endocrinology Authors: Roger Gadsby Tags: Commentary Source Type: research

Diabetes and the blood – white cells and platelets
(Source: Practical Diabetes)
Source: Practical Diabetes - June 1, 2015 Category: Endocrinology Authors: Rowan Hillson Tags: Leader Source Type: research

Silymarin
(Source: Practical Diabetes)
Source: Practical Diabetes - May 15, 2015 Category: Endocrinology Authors: Michaela Petrie, Gerry McKay, Miles Fisher Tags: Drug notes Source Type: research

Commercial weight‐loss programmes: are they effective for people with type 2 diabetes?
Abstract Weight loss is advocated as a primary therapy for the 90% of people with type 2 diabetes who are overweight or obese, but the capacity of the NHS to provide an integrated, cost‐effective weight management service limits application. It has been reported that conventional weight loss services within the NHS are less effective than group‐based commercial interventions including Rosemary Conley, Slimming World and WeightWatchers. These commercial organisations now offer weight management services in many areas of the UK through slimming on referral. There is evidence from randomised controlled trials and from aud...
Source: Practical Diabetes - May 15, 2015 Category: Endocrinology Authors: Pamela Dyson Tags: Review Source Type: research

March 2015: a historic moment for diabetes services?
(Source: Practical Diabetes)
Source: Practical Diabetes - May 15, 2015 Category: Endocrinology Authors: Mark Greener Tags: Policy profile Source Type: research

Improving care for young people: ask them and they will tell you
(Source: Practical Diabetes)
Source: Practical Diabetes - May 15, 2015 Category: Endocrinology Authors: Gail Dovey‐Pearce Tags: Commentary Source Type: research

What young people want from their diabetes team: developing a patient reported experience measure (PREM) for young people with type 1 diabetes
The objectives of this study were: to explore whether a patient reported experience measure (PREM) questionnaire for carers reflected aspects of the clinic experience important to young people; and to develop a PREM for young people with type 1 diabetes (T1D) to measure their clinic experience. A cross‐sectional study design and focus groups were used. Questions from a PREM for carers and four open‐ended questions were incorporated into a semi‐structured interview administered to 77 young people with T1D across four paediatric diabetes clinics. Eighty‐two percent of young people rated help in managing high and low ...
Source: Practical Diabetes - May 15, 2015 Category: Endocrinology Authors: Isabella Girling, Emma Day, Kate Fazakerley, Tat Gray, Peter Hindmarsh, Neil Musgrove, Shakeel Rahman, Nicola Trevelyan, Justin Warner, Deborah Christie, Tags: Original Article Source Type: research

What happens to thyroid function in long‐term type 1 diabetes? A Winchester cohort study
Abstract In a cross‐sectional analysis of 655 people with type 1 diabetes of a wide age range and duration of diabetes up to 50 years, the most common form of thyroid dysfunction was treated clinical hypothyroidism (under‐activity) in 69 of 313 females (22%) and 26 of 342 males (7.6%). Only four patients (two of each sex) had episodes of thyroid over‐activity. Serum thyroid stimulating hormone (TSH mU/L) in 493 patients (208 females and 285 males) who maintained normal thyroid function was remarkably steady. After 10 years’ duration of type 1 diabetes the prevalence of treated clinical hypothyroidism in females inc...
Source: Practical Diabetes - May 15, 2015 Category: Endocrinology Authors: AP Brooks, H Barbour, JSW Li Voon Chong, S Kibble, D Schapira, G White, E Williams Tags: Original Article Source Type: research

Diabetes and the blood – red cells
(Source: Practical Diabetes)
Source: Practical Diabetes - May 1, 2015 Category: Endocrinology Authors: Rowan Hillson Tags: Leader Source Type: research

Naltrexone/bupropion prolonged release
(Source: Practical Diabetes)
Source: Practical Diabetes - April 13, 2015 Category: Endocrinology Authors: Andrea Llano Tags: Drug notes Source Type: research

Pesticides and human diabetes: a pilot project to explore a possible link
Abstract An increasing number of studies show an association between environmental pollutants – especially organophosphorous pesticides – and the development of insulin resistance and hyperglycaemia. Our aim was to explore this hypothesis in farming communities around the city of Madurai, India. Local Ethics Committee approval was obtained. In all, 260 participants more than 18 years of age from farming villages around Madurai were evaluated based on three categories of pesticide exposure. The crude odds ratio for farmers mixing and spraying pesticides to have diabetes compared to the minimal exposure category was 2.07...
Source: Practical Diabetes - April 13, 2015 Category: Endocrinology Authors: K Swaminathan, G Thangavel Tags: Original short report Source Type: research

Does the QOF system of payments help improve diabetes care? A general practitioner's view
(Source: Practical Diabetes)
Source: Practical Diabetes - April 13, 2015 Category: Endocrinology Authors: David Unwin Tags: Personal comment Source Type: research

About time GPs ‘QOFed’ up for diabetes care?
(Source: Practical Diabetes)
Source: Practical Diabetes - April 13, 2015 Category: Endocrinology Authors: Mark Greener Tags: Policy profile Source Type: research

Improving the communication pathway for eye screening in paediatric diabetes
Abstract Diabetic retinopathy is a leading cause of vision loss in young adults. Current National Institute for Health and Care Excellence guidelines require that all children aged ≥12 years with diabetes are offered retinal screening annually. A local 2009–2010 audit identified that 57% underwent screening but only 16% had results documented with the paediatric diabetes service, highlighting areas for improvement. In 2011, the paediatric diabetes service formulated a standard operating procedure with the eye screening programme to improve referrals, screening and data collection. We undertook a retrospective analysis ...
Source: Practical Diabetes - April 13, 2015 Category: Endocrinology Authors: B McIntyre, Sumana Chatterjee, Abosede Cole, CP Burren Tags: Practice point Source Type: research