Leflunomide
(Source: Practical Diabetes)
Source: Practical Diabetes - February 8, 2018 Category: Endocrinology Authors: Sean Murphy, Miles Fisher Tags: Drug notes Source Type: research
Diabetes Professional Care conference highlights
(Source: Practical Diabetes)
Source: Practical Diabetes - February 8, 2018 Category: Endocrinology Authors: Felix David Tags: Conference report Source Type: research
Management of atrial fibrillation in diabetes
Abstract
Diabetes is an important risk factor for cardiovascular morbidity and mortality, and atrial fibrillation is linked to cardiovascular complications. The prevalence of both is increasing and they commonly co‐exist with a longer duration of diabetes and poorer control putting individuals at higher risk of atrial fibrillation.
The complications of atrial fibrillation include heart failure and thromboembolism. There is an association between diabetes and atrial fibrillation and there are many theories as to the specific pathophysiology, including sharing similar precursors, but it is not clearly understood. What is u...
Source: Practical Diabetes - February 8, 2018 Category: Endocrinology Authors: Stephen Dobbin, Miles Fisher, Gerry McKay Tags: Review Source Type: research
Real ‐world evaluation of the DESMOND type 2 diabetes education and self‐management programme
Abstract
Diabetes education and self‐management programmes are associated with improved biomedical, psychosocial and behavioural outcomes according to a number of randomised controlled trials (RCT) and systematic reviews. Observational studies are necessary to determine whether delivery of this education translates to improved outcomes in the real world. In 2008, the results of an RCT evaluating Diabetes Education and Self‐Management for Ongoing and Newly Diagnosed (DESMOND) in a multi‐ethnic population were published confirming the benefits of participating in this programme with sustained improvements at three year...
Source: Practical Diabetes - February 8, 2018 Category: Endocrinology Authors: Sudesna Chatterjee, Melanie J Davies, Bernie Stribling, Azhar Farooqi, Kamlesh Khunti Tags: Original article Source Type: research
Latest findings from the National Pregnancy in Diabetes audit report
(Source: Practical Diabetes)
Source: Practical Diabetes - February 8, 2018 Category: Endocrinology Authors: Steve Chaplin Tags: Short report Source Type: research
National audit shows diabetic foot care suffers from variation between services in ulcer outcomes
(Source: Practical Diabetes)
Source: Practical Diabetes - February 8, 2018 Category: Endocrinology Authors: Steve Chaplin Tags: Short report Source Type: research
Establishing the multidisciplinary Imperial Physical Activity and Diabetes clinic
Abstract
Increasing numbers of people with diabetes are adopting exercise programmes. Fear of hypoglycaemia, and hypoglycaemia itself, are major issues for many people with diabetes undertaking physical activity. The risk of hypoglycaemia is exacerbated by endurance exercise. In addition, soft tissue injuries are more common in people with diabetes.
We have established a multidisciplinary physical activity and diabetes clinic with the aim of empowering, educating and enabling people with diabetes to enjoy sport and exercise without fear of hypoglycaemia or frustration at glycaemic variability or soft tissue injuries. The m...
Source: Practical Diabetes - February 8, 2018 Category: Endocrinology Authors: Neil E Hill, Sian Rilstone, Carol Jairam, Stephen Chew, Dimitri Amiras, Nick S Oliver Tags: Care delivery Source Type: research
National standard setting and local developments in the care of type 2 diabetes
(Source: Practical Diabetes)
Source: Practical Diabetes - February 8, 2018 Category: Endocrinology Authors: Denis Pereira Gray, Kate Sidaway ‐Lee Tags: Leader Source Type: research
The spine in diabetes
(Source: Practical Diabetes)
Source: Practical Diabetes - January 1, 2018 Category: Endocrinology Authors: Rowan Hillson Tags: Leader Source Type: research
Evolocumab
(Source: Practical Diabetes)
Source: Practical Diabetes - December 5, 2017 Category: Endocrinology Authors: Louise McKenna, Gerry McKay, Miles Fisher Tags: Drug notes Source Type: research
Improving outcomes for pregnant women with diabetes
(Source: Practical Diabetes)
Source: Practical Diabetes - December 5, 2017 Category: Endocrinology Authors: Mark Greener Tags: Policy profile Source Type: research
Think pyomyositis!
We report the case of a 44‐year‐old male patient with a background of uncontrolled diabetes who presented with bilateral thigh pain and progressive leg weakness over three weeks. He had no other comorbidities and he denied any recent trauma or foreign travel. On examination he had multiple hard lumps in both thighs and blood results showed leucocytosis and raised inflammatory markers. Magnetic resonance imaging (MRI) showed multiple bilateral thigh abscesses. The diagnosis of pyomyositis was made and drains were inserted into the two largest abscesses. Simultaneously, he was started on antibiotics based on the drained ...
Source: Practical Diabetes - December 5, 2017 Category: Endocrinology Authors: Ann Nainan, Hind Shagali, Balasubramanian Srinivasan, Ammar Tarik Tags: Case report Source Type: research
An interesting unfolding of the diagnosis of hepatocyte nuclear factor ‐1 beta (HNF1β) monogenic diabetes
We present a case of RCAD syndrome with a previously unreported mutation. A 49‐year‐old man with diabetes mellitus was admitted with worsening chronic kidney disease requiring haemodialysis. He developed recurrent, unexplained hypoglycaemia despite discontinuing insulin, making the diagnosis of type 1 diabetes mellitus questionable. He had detectable serum C‐peptide (742 pmol/L), and anti‐GAD and anti‐pancreatic islet cell antibodies were negative. Abdominal imaging revealed renal cortical cysts and atrophic pancreas. A significant family history of diabetes mellitus with renal disease was also established which ...
Source: Practical Diabetes - December 5, 2017 Category: Endocrinology Authors: Pallavi Hegde, Annette Meldon, Lesley Lamen, Dushyant Sharma, Dhanya Kalathil Tags: Case report Source Type: research
Primary care diabetes prescribing volume and costs are on the increase
(Source: Practical Diabetes)
Source: Practical Diabetes - December 5, 2017 Category: Endocrinology Authors: Steve Chaplin Tags: Short report Source Type: research
Development of educational tools for doctors in training on inpatient diabetes management
Abstract
The prevalence of diabetes among inpatients is increasing. The National Diabetes Inpatient Audit in 2015 showed that 17% of inpatients have diabetes of whom about 36% are on insulin therapy. The audit highlighted sub‐optimal care quality, with harm resulting from inpatient care across several areas of diabetes care. The National Diabetes Mortality and Morbidity project was set up to understand factors contributing to inpatient diabetes harm. The key recommendation arising from this project is mandatory education on inpatient diabetes for all staff. It is critical to take widespread action to improve training and...
Source: Practical Diabetes - December 5, 2017 Category: Endocrinology Authors: Sowmya Gururaj Setty, Heather Daly, Kath Higgins Tags: Original article Source Type: research
