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Diabetes care in the time of COVID‐19: video consultation as a means of diabetes management COVID - 19时期的糖尿病护理:视频咨询作为糖尿病管理的一种手段
IF 0.6 Q4 ENDOCRINOLOGY & METABOLISM Pub Date : 2022-03-01 DOI: 10.1002/pdi.2387
Rosie Hall, M. Harvey, V. Patel
Background: This review specifically focuses on the use of video consultation in diabetes management, in comparison to standard care. The population of chronic condition sufferers in the UK is considerable and teleconsultation use has, in recent years, been explored. COVID‐19 has created an additional pressure on health services to use teleconsultation. Diabetes mellitus affects approximately four million people in the UK. If clinical outcomes are uncompromised, the benefits of using a remote service could encourage the use of video consultation for diabetes management in normal practice.
背景:本综述特别关注与标准治疗相比,视频会诊在糖尿病管理中的应用。慢性疾病患者在英国的人口是相当可观的,远程咨询的使用,在最近几年,被探索。COVID - 19对卫生服务机构使用远程会诊造成了额外压力。在英国,大约有400万人患有糖尿病。如果临床结果不受影响,使用远程服务的好处可以鼓励在正常实践中使用糖尿病管理的视频会诊。
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引用次数: 1
Erythema annulare centrifugum associated with insulin therapy: a case report 胰岛素治疗并发离心环形红斑1例
IF 0.6 Q4 ENDOCRINOLOGY & METABOLISM Pub Date : 2022-03-01 DOI: 10.1002/pdi.2388
Liza Mohapatra, S. Mangaraj
A 52‐year‐old man with type 2 diabetes presented with peripherally spreading erythematous annular eruptions around the insulin injection sites on the anterior thighs. These lesions appeared shortly after initiation of subcutaneous premix human insulin injection. On examination, two well‐defined annular erythematous plaques of size around 10cm x 5cm with a rim of trailing scale over the margin were seen over the anterior aspect of bilateral thighs. He underwent assessment for diabetic complications screening and other relevant investigations. Histopathological examination of the lesion revealed uninvolved epidermis along with classical coat sleeve appearance of perivascular lymphocytic infiltration and dermal oedema in the upper dermis, which was suggestive of a diagnosis of erythema annulare centrifugum (EAC). The lesions resolved completely in two weeks after stoppage of insulin.
一例52岁男性2型糖尿病患者,在大腿前部胰岛素注射部位周围出现周围扩散的红斑环状疹。这些病变出现在皮下预混人胰岛素注射开始后不久。检查时,在双侧大腿前部可见两个清晰的环形红斑斑块,大小约为10cm × 5cm,边缘有拖尾鳞屑。接受糖尿病并发症筛查及其他相关检查。组织病理学检查显示未累及的表皮,并伴有血管周围淋巴细胞浸润和真皮上部真皮水肿的典型衣袖样外观,提示诊断为离心环形红斑(EAC)。胰岛素停用后两周内病变完全消退。
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引用次数: 0
Hair and diabetes 头发和糖尿病
IF 0.6 Q4 ENDOCRINOLOGY & METABOLISM Pub Date : 2022-03-01 DOI: 10.1002/pdi.2381
R. Hillson
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引用次数: 0
Type 1 diabetes and pro cycling: 10 years of learning from the professionals 1型糖尿病和职业自行车:向专业人士学习10年
IF 0.6 Q4 ENDOCRINOLOGY & METABOLISM Pub Date : 2022-03-01 DOI: 10.1002/pdi.2382
S. Scott, C. Hayes, Rafael Castol, F. Fontana
People living with type 1 diabetes (T1D) are recommended to undertake regular exercise to maintain health and wellbeing. However, the effects of exercise on glucose concentration are complex, and despite advances in supportive technologies and insulins, exercise remains a challenge for people living with T1D. Despite the challenges, Team Novo Nordisk (TNN) has demonstrated that with planning and determination, people with T1D can successfully pursue endurance sports. TNN has developed, refined, and adapted evidence‐based scientific strategies for managing nutrition and glycaemia in elite‐level athletes with T1D participating in ultra‐endurance events. Advances in technologies, such as continuous glucose monitoring, have facilitated non‐invasive and comprehensive observation of the TNN riders, who are supported by a multidisciplinary team of doctors, coaches, researchers, and nutritionists to formulate individualised data‐driven strategies. This article highlights the current learnings and data‐informed strategies being employed to assist management of diabetes in a professional endurance sport environment, almost 10 years after the publication of ‘Lessons from the professionals: diabetes and pro cycling’ (2013). In recent years, TNN has placed a high level of emphasis on research to improve safety and athletic performance while also striving to make these insights widely available to benefit the broader community. Copyright © 2022 John Wiley & Sons.
建议1型糖尿病患者定期进行锻炼,以保持健康和幸福。然而,运动对葡萄糖浓度的影响是复杂的,尽管在支持技术和胰岛素方面取得了进展,但运动对糖尿病患者来说仍然是一个挑战。尽管面临挑战,诺和诺德团队(TNN)已经证明,只要有计划和决心,T1D患者可以成功地从事耐力运动。TNN已经开发、完善和适应了以证据为基础的科学策略,用于管理参加超耐力赛事的精英水平T1D运动员的营养和血糖。技术的进步,如连续血糖监测,促进了对TNN车手的非侵入性和全面观察,他们得到了由医生、教练、研究人员和营养学家组成的多学科团队的支持,以制定个性化的数据驱动策略。在《专业人士的经验教训:糖尿病和职业自行车》(2013)发表近10年后,本文重点介绍了目前在专业耐力运动环境中用于协助糖尿病管理的学习和数据知情策略。近年来,TNN高度重视提高安全性和运动表现的研究,同时也努力使这些见解广泛应用于更广泛的社区。版权所有©2022 John Wiley & Sons。
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引用次数: 1
Addressing mental health and wellbeing in a consultation 在协商中处理心理健康和福祉问题
IF 0.6 Q4 ENDOCRINOLOGY & METABOLISM Pub Date : 2022-03-01 DOI: 10.1002/pdi.2383
C. Fox, A. Kilvert
People with diabetes manage their condition 24 hours a day, seven days a week and only about 2% of decisions are made in consultation with a health care professional. Many factors impact on a person's ability to manage their diabetes, and consequently on their mental health and wellbeing. These include everyday life pressures: work, celebrations, holidays and major life events, such as loss of a loved one or a job. Diabetes‐specific stresses include diabetes distress and burnout, fear of hypos and complications, eating disorders and denial, with an increased risk of anxiety and depression. Some people have pre‐existing mental health conditions which lead directly to development of diabetes and add to the challenge of glycaemic management.
糖尿病患者每周7天、每天24小时都在控制自己的病情,只有约2%的决定是通过咨询医疗保健专业人员做出的。许多因素会影响一个人控制糖尿病的能力,从而影响他们的心理健康和福祉。这些压力包括日常生活压力:工作、庆祝活动、假期和重大生活事件,如失去亲人或工作。糖尿病特有的压力包括糖尿病困扰和倦怠,对糖尿病和并发症的恐惧,饮食失调和拒绝,以及焦虑和抑郁的风险增加。一些人已经存在的精神健康问题直接导致糖尿病的发展,并增加了血糖管理的挑战。
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引用次数: 0
Measurement of urine protein 尿蛋白测定
IF 0.6 Q4 ENDOCRINOLOGY & METABOLISM Pub Date : 2022-03-01 DOI: 10.1002/pdi.2386
Jasmine Ramsden, R. Poole
In this fourth article in our ‘Test Tips’ series, Jasmine Ramsden and Dr Ruth Poole compare the measurement of urine protein by three tests: urine dipstick testing, albumin:creatinine ratio and protein:creatinine ratio – providing guidance on key practical points to consider.
在我们“测试提示”系列的第四篇文章中,Jasmine Ramsden和Ruth Poole博士比较了尿蛋白的三种测试方法:尿试纸测试、白蛋白:肌酐比率和蛋白质:肌酐比率——为需要考虑的关键实用要点提供了指导。
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引用次数: 0
Association of midlife cognition impairment with diabetic retinopathy in type 2 diabetes mellitus in an Indian population 印度人群中2型糖尿病中年认知障碍与糖尿病视网膜病变的关系
IF 0.6 Q4 ENDOCRINOLOGY & METABOLISM Pub Date : 2022-03-01 DOI: 10.1002/pdi.2385
Saumitra Mukherjee, Sambuddha Ghosh, Srijita Ghosh
Purpose: Cognitive impairment is associated with worsening of diabetic retinopathy (DR). While cognitive impairment has been observed in the elderly with DR, no report on cognition is available in middle‐aged patients with DR. We explored the association between midlife cognitive impairment and DR in an Indian population cohort.
目的:认知障碍与糖尿病视网膜病变(DR)的恶化有关。虽然在老年DR患者中观察到认知障碍,但在中年DR患者中没有关于认知障碍的报道。我们在印度人群队列中探讨了中年认知障碍与DR之间的关系。
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引用次数: 0
A 150‐mile ultra‐endurance type 1 diabetes cycling event: qualitative analysis of knowledge, preparation and management strategies 150英里超耐力1型糖尿病自行车赛事:知识、准备和管理策略的定性分析
IF 0.6 Q4 ENDOCRINOLOGY & METABOLISM Pub Date : 2022-03-01 DOI: 10.1002/pdi.2384
A. King, K. Pickering, A. Pringle, N. Kime
Purpose: The purpose of this study is to characterise the decision‐making and self‐management strategies of individuals with type 1 diabetes (T1D) participating in a 150‐mile ultra‐endurance cycling event and inform health care professionals working in T1D. Participation in ultra‐endurance exercise is becoming increasingly popular in the T1D community and self‐management in this context needs further investigation.
目的:本研究的目的是描述参加150英里超耐力自行车比赛的1型糖尿病(T1D)患者的决策和自我管理策略,并为T1D患者的医疗保健专业人员提供信息。参与超耐力运动在T1D群体中越来越受欢迎,在这种情况下的自我管理需要进一步的研究。
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引用次数: 0
Clindamycin 克林霉素
IF 0.6 Q4 ENDOCRINOLOGY & METABOLISM Pub Date : 2022-02-01 DOI: 10.1007/s40278-022-10226-7
Clare S Murphy, G. McKay
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引用次数: 1
Developing opportunities for people with diabetes to engage in Improvement Champion activity: a practical guide for diabetes teams 为糖尿病患者提供参与改善冠军活动的机会:糖尿病团队的实用指南
IF 0.6 Q4 ENDOCRINOLOGY & METABOLISM Pub Date : 2022-01-01 DOI: 10.1002/pdi.2377
Rose Stewart, Bethan Allcock, Sara Crowley, Chris Owen, L. Cleverly
By sharing their unique lived experience of using diabetes services, Experts by Experience can provide health care professionals and services with a valuable opportunity to enhance their practice and significantly improve service delivery. Despite an established evidence base in other areas of health care, and emerging evidence that engaging in Expert by Experience activity can beneficially impact people living with diabetes, this important area of practice is still very much neglected in routine diabetes care and the number of people who are able to access this opportunity is small. This paper, written by a team of people who have either acted as, or supported people to become, Experts by Experience, offers practical guidance to diabetes teams to assist them in supporting individuals to engage in this powerful activity while maintaining psychological health and healthy boundaries. Copyright © 2022 John Wiley & Sons.
通过分享他们使用糖尿病服务的独特生活经验,经验专家可以为医疗保健专业人员和服务机构提供一个宝贵的机会,以加强他们的实践并显著改善服务提供。尽管在卫生保健的其他领域已经建立了证据基础,并且新出现的证据表明,参与经验专家活动可以对糖尿病患者产生有益的影响,但在常规糖尿病护理中,这一重要的实践领域仍然被严重忽视,能够获得这一机会的人数很少。这篇论文,是由一群人写的,他们要么是经验专家,要么是支持人们成为经验专家,为糖尿病团队提供了实用的指导,帮助他们支持个人参与这项强大的活动,同时保持心理健康和健康的界限。版权所有©2022 John Wiley & Sons。
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引用次数: 0
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Practical Diabetes
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