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Diabetes care

Type 2 diabetes and depression: what is the link?

But what about the mental aspects of T2D? Adams et al (2022) cite evidence showing that depression is more common among individuals with T2D than those without T2D, and that insulin therapy is...

Meeting the challenge of insulin resistance in general practice

Insulin resistance is a reduced response to the hormone insulin (Bikman, 2020: 6), with insulin resistance a key component of metabolic syndrome (Gallagher and LeRoith, 2020). In metabolic syndrome...

Insulin for diabetes: 100 years of therapy

During the summer of 1921, an unlikely team consisting of Frederick Banting, a newly established physician specialising in orthopaedics and a professor of physiology, and Charles Best, one of his lab...

What practice nurses need to know about the NICE chronic kidney disease guidelines

Chronic kidney disease (CKD) is defined as a reduction in kidney function, or damage to kidney structure, which has persisted for greater than 3 months and which is associated with other...

SCREEN NOW: a new educational resource for diabetes and eye health

Following on from previous initiatives and the national and international outreach these had, iDEAL brought together leading experts in diabetes and eye health to design and create a series of...

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...

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