Loperamide
(Source: Practical Diabetes)
Source: Practical Diabetes - January 26, 2015 Category: Endocrinology Authors: Debbie Troland, Gerry McKay, Miles Fisher Tags: Drug notes Source Type: research
Diabetes and general medicine: to couple or uncouple?
(Source: Practical Diabetes)
Source: Practical Diabetes - January 26, 2015 Category: Endocrinology Authors: Partha Kar Tags: Short report Source Type: research
Structured diabetes patient education in Scotland
This article describes how Scotland is addressing the need to review structured diabetes education to support self‐management and record this on the national database.
A National Education Coordinator (NEC) was appointed to lead the development of structured diabetes education. The NEC was supported by an education lead from the 14 health boards and representation from paediatric, minority ethnic and patient groups.
Through literature searching, discussion, workshops and a consensus approach, the criteria for structured patient education were developed appropriate for the Scottish context. A process to review education p...
Source: Practical Diabetes - January 26, 2015 Category: Endocrinology Authors: Joan McDowell, Sandra MacRury Tags: Practice point Source Type: research
Dealing with diagnosis of diabetes
This article reviews the evidence of factors that facilitate a more helpful diagnosis conversation, describes the importance of this initial conversation on long‐term clinical outcomes, and offers suggestions drawn from psychological models on how to more effectively manage the diagnosis conversation.
‘Empathic willingness’ has been found to both assist the professional to feel less frustrated, and improve the patient's experience and clinical outcomes in the long‐term. ‘Empathic willingness’ can be taught and fostered by clinical psychologists (or their equivalents) yet are absent in the majority of settings i...
Source: Practical Diabetes - January 26, 2015 Category: Endocrinology Authors: Jen Nash Tags: Review Source Type: research
Type 1 diabetes and pregnancy: a phenomenological study of women's first experiences
This study has shown that most women with diabetes who become pregnant are resigned to the fact that their pregnancy is considered high risk, and are willing to play their part to achieve a positive pregnancy outcome. However, they would also like to ‘do the normal pregnant bit as well’, ‘normalise it and make it a nice experience’ and make it feel ‘less fragmented’. This woman‐centred experience of pregnancy care, in women with type 1 diabetes mellitus, may motivate health professionals to revise their approach to care, prompt them to utilise the skills of each individual member of the multidisciplinary team...
Source: Practical Diabetes - January 26, 2015 Category: Endocrinology Authors: Maria Woolley, Colin Jones, Joanne Davies, Usha Rao, David Ewins, Sunil Nair, Frank Joseph Tags: Original Article Source Type: research
Co‐commissioning: the architecture of integration
(Source: Practical Diabetes)
Source: Practical Diabetes - January 26, 2015 Category: Endocrinology Authors: Mark Greener Tags: Policy profile Source Type: research
ADVANCE‐ON: further support for intensive glucose control in type 2 diabetes
(Source: Practical Diabetes)
Source: Practical Diabetes - January 1, 2015 Category: Endocrinology Authors: Miles Fisher Tags: Leader Source Type: research
Taspoglutide
(Source: Practical Diabetes)
Source: Practical Diabetes - December 9, 2014 Category: Endocrinology Authors: Christopher JL Kueh, Miles Fisher Tags: Drug notes Source Type: research
La belle indifférence
(Source: Practical Diabetes)
Source: Practical Diabetes - December 9, 2014 Category: Endocrinology Authors: Michael Yafi Tags: Diabetes vignette Source Type: research
Personal health budgets: a divisive development?
(Source: Practical Diabetes)
Source: Practical Diabetes - December 9, 2014 Category: Endocrinology Authors: Mark Greener Tags: Policy profile Source Type: research
Overview of complementary and alternative medicine and diabetes
Abstract
People with diabetes frequently use complementary and alternative medicine (CAM) and other non‐medicine CAM therapies, often combine various CAMs, and combine CAMs with conventional care. They use CAM for a range of reasons, not necessarily to manage blood glucose. The evidence base for CAM is improving, but there is still a lack of quality evidence for many CAMs, and the combination of CAMs and conventional care. CAMs have both risks and benefits: some CAMs, like some conventional treatments, are higher risk than others.
Conventional practitioners should ask about CAM use in a non‐judgemental way, document it...
Source: Practical Diabetes - December 9, 2014 Category: Endocrinology Authors: Trisha Dunning Tags: Review Source Type: research
‘Bariatric surgery for type 2 diabetes always produces a good outcome’
(Source: Practical Diabetes)
Source: Practical Diabetes - December 9, 2014 Category: Endocrinology Authors: Robert C Andrews, Mimi Z Chen, Jennifer Logue Tags: Debate Source Type: research
Could resistant starch be the redeemer of dietary carbohydrate?
(Source: Practical Diabetes)
Source: Practical Diabetes - December 9, 2014 Category: Endocrinology Authors: M Denise Robertson Tags: Short comment Source Type: research
Social support, self‐efficacy and motivation: a qualitative study of the journey through HEALD (Healthy Eating and Active Living for Diabetes)
This study aimed to describe the influence of social support on participants’ self‐efficacy and motivation to perform physical activity before, during and after the Healthy Eating and Active Living for Diabetes in primary care networks (HEALD) programme.
HEALD was a controlled trial of a 24‐week primary care‐based walking programme for people with type 2 diabetes, proven effective in increasing physical activity. Data used in this qualitative sub‐study were derived from semi‐structured interviews with purposefully selected HEALD completers (n = 13) six months after the programme ended. Qualitative data were ana...
Source: Practical Diabetes - December 9, 2014 Category: Endocrinology Authors: Ana B Mladenovic, Lisa Wozniak, Ronald C Plotnikoff, Jeffrey A Johnson, Steven T Johnson Tags: Original Article Source Type: research
Hearing loss and type 2 diabetes: is there a link?
Abstract
Recent meta‐analysis has confirmed an association between hearing loss and diabetes. The cause remains uncertain and open to academic debate.
This five‐year retrospective study examined the outcomes of patients referred for audiological investigations from a large primary care diabetes clinic. Audiological assessment included pure‐tone audiometry, and the presence of neuropathy was identified by foot examination and risk stratification.
Referral rates of patients with diabetes were nearly twice those seen in the non‐diabetic population (7.5% [107/1428] vs 4% [499/12422]). Hearing loss was identified in 77 ...
Source: Practical Diabetes - December 9, 2014 Category: Endocrinology Authors: CL Morrison, P Morar, G Morrison, TS Purewal, PJ Weston Tags: Original Article Source Type: research
