Evaluating insulin pump functionality during ionising radiation exposure
Abstract
Concerns exist about the safety of ionising radiation on the components of insulin pumps and whether these will induce electronic failure or dysfunction. We therefore subjected six insulin pumps to two radiation exposure protocols; firstly in the cardiac catheterisation laboratory and subsequently computerised tomography scanning.
The pumps were downloaded and functionality was monitored for four weeks after exposure. All pumps continued to work appropriately with no demonstrated loss of functionality, loss of bolus or basal delivery and no evidence of pump failure. Due to the nature of the method of this study we...
Source: Practical Diabetes - December 5, 2017 Category: Endocrinology Authors: Clare Alexandra Whicher, Malik Humayun, Emma Jenkins, Michael Brooks, Matthew Benbow, Chris Critoph, Helen Partridge Tags: Original article Source Type: research
Mobility with diabetes
(Source: Practical Diabetes)
Source: Practical Diabetes - December 5, 2017 Category: Endocrinology Authors: Rowan Hillson Tags: Leader Source Type: research
Inconclusive effects of once ‐weekly exenatide on cardiovascular outcomes in type 2 diabetes
(Source: Practical Diabetes)
Source: Practical Diabetes - November 1, 2017 Category: Endocrinology Authors: Chih Wong, Miles Fisher Tags: Leader Source Type: research
Sodium zirconium cyclosilicate
(Source: Practical Diabetes)
Source: Practical Diabetes - October 13, 2017 Category: Endocrinology Authors: Gregory Skoyles, Gerry McKay, Miles Fisher Tags: Drug notes Source Type: research
The latest National Diabetes Audit report sheds light on complications and mortality rates
(Source: Practical Diabetes)
Source: Practical Diabetes - October 13, 2017 Category: Endocrinology Authors: Steve Chaplin Tags: Short report Source Type: research
Type 1 diabetes and an insulin pump: an iterative review of qualitative literature
Abstract
Psychosocial factors are becoming increasingly recognised as an important component in the holistic management of people living with diabetes. However, there is limited literature available that describes the psychosocial impact of insulin pump therapy on people living with type 1 diabetes mellitus.
This paper systematically reviews recurrent themes within extant qualitative research and suggests avenues for future research. These themes explore the pump's impact on diabetes self‐management, altered self‐identity, perceptions by others and the emotional toll. The findings inform multidisciplinary health care p...
Source: Practical Diabetes - October 13, 2017 Category: Endocrinology Authors: Daniel N Grose, Casey L O'Brien, David J Castle Tags: Review Source Type: research
Exercise and type 1 diabetes: overcoming the barriers
(Source: Practical Diabetes)
Source: Practical Diabetes - October 13, 2017 Category: Endocrinology Authors: Mark Greener Tags: Policy profile Source Type: research
Diabetes distress and fear of hypoglycaemia: what are the psychological benefits of insulin pump therapy?
Abstract
Living with type 1 diabetes imposes a considerable burden on the individual to continuously self‐manage their condition. As part of an ongoing audit, the psychological outcomes of insulin pump therapy were evaluated over a three‐year period.
Adult patients completed self‐report questionnaires at initiation and after 12 months of pump therapy. Diabetes emotional distress was assessed using the Problem Areas in Diabetes Scale (PAID) and cognitive and behavioural aspects of fear of hypoglycaemia using the Hypoglycaemia Fear Survey (HFS‐W, HFS‐B). HbA1c and demographic data were obtained from the clinical re...
Source: Practical Diabetes - October 13, 2017 Category: Endocrinology Authors: Clare Shaban, Julia Knott, Emma Jenkins, Melanie Weiss, Jacqueline Ryder, Julie Charman, Helen Partridge Tags: Original article Source Type: research
Artificial neural networks in diabetes health care professional education: Effective Diabetes Education Now (EDEN)
(Source: Practical Diabetes)
Source: Practical Diabetes - October 13, 2017 Category: Endocrinology Authors: Petra Jones, Melanie Davies, Kamlesh Khunti, Sam Seidu, Sudesna Chatterjee Tags: New model in diabetes training Source Type: research
Lower limb oedema in diabetes
(Source: Practical Diabetes)
Source: Practical Diabetes - October 1, 2017 Category: Endocrinology Authors: Rowan Hillson Tags: Leader Source Type: research
Rituximab
(Source: Practical Diabetes)
Source: Practical Diabetes - September 11, 2017 Category: Endocrinology Authors: Claire Wood, Gerry McKay, Miles Fisher Tags: Drug notes Source Type: research
The impact of transition on NHS diabetes service delivery: key audit results spanning 2003 –2014
(Source: Practical Diabetes)
Source: Practical Diabetes - September 11, 2017 Category: Endocrinology Authors: Steve Chaplin Tags: Short report Source Type: research
Diabetes and mental health: often an ‘evidence‐free zone’
(Source: Practical Diabetes)
Source: Practical Diabetes - September 11, 2017 Category: Endocrinology Authors: Mark Greener Tags: Policy profile Source Type: research
Immune ‐mediated diabetes due to pembrolizumab
Abstract
Melanoma is one of the most commonly occurring skin cancers in the UK. As recommended by NICE, there are a number of drugs available to treat melanoma and immunotherapeutic drugs are widely used to improve survival in metastatic melanoma. Monoclonal antibodies can cause immune‐related side effects, including diabetes.
Pembrolizumab, an anti‐programmed cell death‐1 receptor monoclonal antibody (PD‐1 Ab), was given to a 63‐year‐old woman with metastatic melanoma. She developed osmotic symptoms with tiredness and confusion after pembrolizumab treatment cycles. She was diagnosed with diabetic ketoacidosis;...
Source: Practical Diabetes - September 11, 2017 Category: Endocrinology Authors: Pankaj Verlekar, Hermione Price Tags: Case report Source Type: research
Advance to Derby: it's not about the journey, it's about the destination
Abstract
The 2017 Mary MacKinnon lecture described how we worked across organisational boundaries to improve diabetes care in Derby, putting the user at the centre of their care. These are principles that were important to Mary McKinnon. The Derby Model of integrated diabetes care resulted in improvements in all six domains of quality improvement, and saved £800 000 a year. Using preconception care and the PROCEED project as an example, the application of the Derby principles to a subspecialist area was considered. PROCEED also improved outcomes and saved £68 000 in its first year. Despite a challenging journey with the ...
Source: Practical Diabetes - September 11, 2017 Category: Endocrinology Authors: Paru King Tags: State of the art lecture Source Type: research
