Haemoglobin A1c as a screening tool to identify pre ‐diabetes and diabetes in postpartum women with gestational diabetes
Abstract
The primary objective of this study was to determine the right test and time for postpartum screening of women with gestational diabetes to identify diabetes mellitus or impaired glucose tolerance.
Retrospective data were collected on women with gestational diabetes followed at the Center for Diabetes and Metabolic Care at Saint Francis Hospital and Medical Center, Hartford, Connecticut, USA.
Of the 150 women included in this study, blood work was completed in 42 (28%) of the subjects. Of the women completing laboratory tests, 23 of them (56.1%) had an abnormal test result. Using the standard tests, 15 (41.7%) of ...
Source: Practical Diabetes - August 2, 2016 Category: Endocrinology Authors: Latha Dulipsingh, Sally Cooney, Margaret Whitaker, Carole Demarest, Dhruv Patel, Michele Roy, Wendy Spurrier Tags: Original article Source Type: research
The pregnancy journey for women with type 1 diabetes: a qualitative model from contemplation to motherhood
In conclusion, women with type 1 diabetes potentially experience seven distinct phases of the pregnancy journey, with eight themes varying in significance across phases. Contemplation begins well before Planning or Conception, and women may seek support from non‐mainstream sources. Mental health and emotional well‐being varies qualitatively and quantitatively across phases (focusing on pregnancy‐related distress, diabetes‐specific distress and general maternal well‐being), indicating a need for targeted assessment and support across the pregnancy journey. Copyright © 2016 John Wiley & Sons. (Source: Practical Diabetes)
Source: Practical Diabetes - August 2, 2016 Category: Endocrinology Authors: Helen Edwards, Jane Speight, Heather Bridgman, Timothy C Skinner Tags: Original article Source Type: research
Gliflozin monotherapy for type 2 diabetes: a review of NICE Technology Appraisal 390
(Source: Practical Diabetes)
Source: Practical Diabetes - August 2, 2016 Category: Endocrinology Authors: Alicia Acevedo, Ali Chakera Tags: NICE guidelines commentary Source Type: research
Viruses and diabetes
(Source: Practical Diabetes)
Source: Practical Diabetes - August 2, 2016 Category: Endocrinology Authors: Rowan Hillson Tags: Leader Source Type: research
LEADER and the new ‘cardiovascular’ glucose‐lowering agents
(Source: Practical Diabetes)
Source: Practical Diabetes - June 30, 2016 Category: Endocrinology Authors: Rachel Livingstone, James G Boyle, John R Petrie Tags: Leader Source Type: research
The impact of pre ‐diabetes diagnosis on behaviour change: an integrative literature review
Abstract
Type 2 diabetes is a growing global problem that not only affects individuals but also has an impact upon the economic health of countries. The number of people developing type 2 diabetes can be reduced by up to by 80%; this can be achieved by targeting those who are ‘at risk’. This reduction can be achieved by appropriate lifestyle changes to diet and physical activity. It is not known what the impact of being informed of a diagnosis of pre‐diabetes has on an individual's motivation to make appropriate lifestyle changes.
The aim of this study was to assess whether having the diagnosis of pre‐diabetes enco...
Source: Practical Diabetes - June 12, 2016 Category: Endocrinology Authors: W Youngs, WP Gillibrand, S Phillips Tags: Review Source Type: research
Entresto (sacubitril/valsartan)
(Source: Practical Diabetes)
Source: Practical Diabetes - June 12, 2016 Category: Endocrinology Authors: Catherine Russell, Miles Fisher, Gerry McKay Tags: Drug notes Source Type: research
Peer support: more than tea and sympathy
(Source: Practical Diabetes)
Source: Practical Diabetes - June 12, 2016 Category: Endocrinology Authors: Mark Greener Tags: Policy profile Source Type: research
The impact of pre‐diabetes diagnosis on behaviour change: an integrative literature review
Abstract
Type 2 diabetes is a growing global problem that not only affects individuals but also has an impact upon the economic health of countries. The number of people developing type 2 diabetes can be reduced by up to by 80%; this can be achieved by targeting those who are ‘at risk’. This reduction can be achieved by appropriate lifestyle changes to diet and physical activity. It is not known what the impact of being informed of a diagnosis of pre‐diabetes has on an individual's motivation to make appropriate lifestyle changes.
The aim of this study was to assess whether having the diagnosis of pre‐diabetes enco...
Source: Practical Diabetes - June 12, 2016 Category: Endocrinology Authors: W Youngs, WP Gillibrand, S Phillips Tags: Review Source Type: research
Acute pyelonephritis with renal vein and inferior vena cava thrombosis and pulmonary emboli in poorly controlled type 2 diabetes and HHS
We report a case of a 56‐year‐old woman with poorly controlled type 2 diabetes mellitus who presented with acute pyelonephritis and hyperglycaemic hyperosmolar state (HHS), complicated by thrombosis of the renal vein extending into the inferior vena cava. She was managed with intravenous antibiotics, intravenous fluids and insulin and with therapeutic low molecular weight heparin, despite which she developed pulmonary emboli two days after the diagnosis of renal vein and inferior vena caval thrombosis. Following optimisation of the dalteparin dose with factor Xa monitoring and a prolonged course of antibiotics, she mad...
Source: Practical Diabetes - June 12, 2016 Category: Endocrinology Authors: Natasha Sinson, Joost J Veen, Peter Brown, Fionuala Creagh Tags: Case report Source Type: research
Paediatric weight management programme for children with diabetes: a pilot study
Abstract
The purpose of this pilot was to develop a curriculum and teaching plan for weight management for children with diabetes.
Session aims and objectives were discussed with the diabetes multidisciplinary team. The programme was entitled ‘Stepping Stones’ and divided into a junior (4–10 year olds) and senior (11–15 year olds) programme.
The Heart of England NHS Trust cares for 408 paediatric patients with diabetes. For pilot purposes Stepping Stones took place at one hospital site (n = 148). For the juniors programme 35 patients were invited (n = 7 were due to attend sessions, n = 5 actually attended). For the...
Source: Practical Diabetes - June 12, 2016 Category: Endocrinology Authors: Raphaella McEwan, Niamh Gilligan Tags: Original article Source Type: research
Slipping up on the sliding scale: fluid and electrolyte management in variable rate intravenous insulin infusions
This study aimed to analyse variations in intravenous fluid therapy and electrolyte management with variable rate intravenous insulin infusions (VRIIIs); and to quantify serum electrolyte changes pre‐ versus post‐VRIII and variations therein depending on supplemented fluid electrolyte compositions.
A retrospective study was undertaken involving 174 VRIIIs prescribed over a 10‐week period at a tertiary teaching hospital. Each VRIII had their associated fluid prescription and serum electrolytes analysed.
The results showed that 5% dextrose (46%) and 0.9% NaCl (34%) were the most commonly prescribed fluids; 64% of fluid...
Source: Practical Diabetes - June 12, 2016 Category: Endocrinology Authors: LJ Rickard, V Cubas, ST Ward, W Hanif, E Suggett, T Ismail, S Ghosh Tags: Original article Source Type: research
Acute pancreatitis associated with saxagliptin treatment presented by metabolic acidosis
(Source: Practical Diabetes)
Source: Practical Diabetes - June 12, 2016 Category: Endocrinology Authors: A Alajaj, MA Elrishi Tags: Diabetes vignette Source Type: research
Preventing foot complications in diabetes: the St Vincent Declaration 26 years on
(Source: Practical Diabetes)
Source: Practical Diabetes - June 12, 2016 Category: Endocrinology Authors: Marie‐France Kong, Robert Gregory Tags: Practice point Source Type: research
Fungi and diabetes
(Source: Practical Diabetes)
Source: Practical Diabetes - May 31, 2016 Category: Endocrinology Authors: Rowan Hillson Tags: Leader Source Type: research
