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Diabetes care

PROTECT NOW: A new resource for diabetes and kidney health

The iDEAL diabetes multi-disciplinary (MDT) advocacy group, following the success of ACT NOW, are aiming to reduce the number of preventable lower limb amputations by 50% in 5 years (Edmonds et al,...

Improving outcomes for older people with diabetes

There are increasing numbers of people with diabetes over the age of 65 years. This is principally driven by the rise in prevalence of type 2 diabetes (T2DM) that correlates with greater rates of...

Weight loss and financial incentives: a flawed scheme?

But what does the evidence show? When Korean mathematicians Lee et al (2021) devised an epidemic model to investigate the theoretical role of financial incentives to see how they might usefully...

Conversations of opportunity in diabetes care

Consultations in healthcare practice are often described as a science; the process of gathering and extracting information in a structured manner with the aim of arriving at a care planning...

ACT NOW in diabetes and foot assessments: an essential service

There were 7545 major amputations in people living with diabetes in England across three years from 2015–2018 (Public Health England, 2019). There is also a postcode lottery for amputation rates with...

Managing diabetes during the COVID-19 pandemic

The virus responsible for the disease known as COVID-19 was identified as SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2), which belongs to the coronavirus group of viruses that commonly...

Insulin safety: what is all the fuss about?

When a clinical decision is made to commence insulin therapy, the initial assessment and discussion with the person with diabetes is paramount, and using this framework will provide the reader with a...

The overtreatment of type 2 diabetes in frail older people

The Action to Control Cardiovascular Risk in Diabetes (ACCORD) study found that people with tighter glycaemic control (HbA1c <42 mmol/mol) had excessive mortality, particularly in those with multiple...

Pre-diabetes and cardiovascular risk: detonating the time bomb

Worldwide, there are more than 400 million people with pre-diabetes, and it has been estimated that more than 470 million people will have prediabetes by 2030 (Middelbeek and Abrahamson, 2014).

Managing diabetes in primary care during Ramadan

Vulnerable people with diabetes can be exempted from fasting during Ramadan (Table 1) (Muslim Council of Britain Diabetes Advisory Group and Diabetes UK, 2014). However, many Muslims with diabetes...

A low-carb diet for diabetes: the latest evidence

Meanwhile, some are finding that low-carbohydrate diets are meeting the challenge of diabetes. For example, Southport-based GP Dr David Unwin—NHS Innovator of the Year 2016—and colleagues found that...

The sharp end of diabetes nursing

There are some key fundamentals for any HCW in practice who needs to administer insulin to another individual. Regarding insulin pens, a dual ended safety pen needle should be used. This is a device...

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