Diabetes mellitus is characterised by hyperglycaemia, requiring strict management regimens to avoid associated health complications. Diagnosis and/or management of diabetes during young adulthood can be particularly challenging, potentially contributing to significant psychological distress and struggles with management, culminating in poor physical and mental health outcomes.
{"title":"Understanding a young adult diabetes service's accessibility: have virtual appointments helped?","authors":"Megan Hitchcock, J. Heath","doi":"10.1002/pdi.2408","DOIUrl":"https://doi.org/10.1002/pdi.2408","url":null,"abstract":"Diabetes mellitus is characterised by hyperglycaemia, requiring strict management regimens to avoid associated health complications. Diagnosis and/or management of diabetes during young adulthood can be particularly challenging, potentially contributing to significant psychological distress and struggles with management, culminating in poor physical and mental health outcomes.","PeriodicalId":20309,"journal":{"name":"Practical Diabetes","volume":"1 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88008474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
D is one of a number of risk factors associated with development of dementia and the effect of risk factor modification is an important topic of research. The results of a comprehensive analysis of the effect of maintaining risk factors within the target range were presented at the meeting of the European Association for the Study of Diabetes (EASD) in September 2021 and simultaneously published in Diabetes Care.1 This takes us a step further towards understanding how to reduce the risk of dementia, while raising further questions.
{"title":"Risk factor modification to reduce the risk of dementia in diabetes","authors":"A. Kilvert, C. Fox","doi":"10.1002/pdi.2401","DOIUrl":"https://doi.org/10.1002/pdi.2401","url":null,"abstract":"D is one of a number of risk factors associated with development of dementia and the effect of risk factor modification is an important topic of research. The results of a comprehensive analysis of the effect of maintaining risk factors within the target range were presented at the meeting of the European Association for the Study of Diabetes (EASD) in September 2021 and simultaneously published in Diabetes Care.1 This takes us a step further towards understanding how to reduce the risk of dementia, while raising further questions.","PeriodicalId":20309,"journal":{"name":"Practical Diabetes","volume":"80 3","pages":""},"PeriodicalIF":0.6,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72461509","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
P. Johnston, Judith Thompson, B. Roberts, Allison Mckee, M. Taylor, V. Ellison
Background: Pancreatic exocrine insufficiency (PEI) is characterised by inadequate secretion of pancreatic enzymes and can result in significant gastrointestinal symptoms, malabsorption and increased morbidity.
{"title":"Faecal elastase testing and factors linked with development of pancreatic exocrine insufficiency in diabetes: the Belfast Trust experience","authors":"P. Johnston, Judith Thompson, B. Roberts, Allison Mckee, M. Taylor, V. Ellison","doi":"10.1002/pdi.2409","DOIUrl":"https://doi.org/10.1002/pdi.2409","url":null,"abstract":"Background: Pancreatic exocrine insufficiency (PEI) is characterised by inadequate secretion of pancreatic enzymes and can result in significant gastrointestinal symptoms, malabsorption and increased morbidity.","PeriodicalId":20309,"journal":{"name":"Practical Diabetes","volume":"153 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76699174","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Isabelle K. Mayne, Emma Rawdon, Emeline Guérin, A. McGovern
Background: Elevated fasting glucose in gestational diabetes (GDM) is the strongest predictor of adverse pregnancy outcomes but is difficult to treat. We assessed the effectiveness, safety, and patient acceptability of a simple patient‐led insulin dose titration algorithm in GDM, targeting rapid reduction in fasting glucose.
{"title":"In gestational diabetes, patient‐led insulin titration is rapidly effective, safe and is associated with reduced birthweight","authors":"Isabelle K. Mayne, Emma Rawdon, Emeline Guérin, A. McGovern","doi":"10.1002/pdi.2407","DOIUrl":"https://doi.org/10.1002/pdi.2407","url":null,"abstract":"Background: Elevated fasting glucose in gestational diabetes (GDM) is the strongest predictor of adverse pregnancy outcomes but is difficult to treat. We assessed the effectiveness, safety, and patient acceptability of a simple patient‐led insulin dose titration algorithm in GDM, targeting rapid reduction in fasting glucose.","PeriodicalId":20309,"journal":{"name":"Practical Diabetes","volume":"67 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84017072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hyperglycaemia and diabetes are frequent complications of anti‐cancer therapy in people with or without diagnosed diabetes.
高血糖和糖尿病是确诊或未确诊糖尿病患者接受抗癌治疗后常见的并发症。
{"title":"Key factors in the management of glycaemic control in people with cancer","authors":"S. Chaplin","doi":"10.1002/pdi.2406","DOIUrl":"https://doi.org/10.1002/pdi.2406","url":null,"abstract":"Hyperglycaemia and diabetes are frequent complications of anti‐cancer therapy in people with or without diagnosed diabetes.","PeriodicalId":20309,"journal":{"name":"Practical Diabetes","volume":"1 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83161869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Increasing evidence suggests that parental risk factors for non‐communicable diseases (NCDs) in the period before conception could affect their lifelong health and increase the risk of NCDs in the offspring. While many of these risks such as obesity, smoking and dietary patterns are influenced by wider socio‐economic factors, screening and identification of risk factors can be conducted in the clinical setting to provide appropriate preventive interventions. This article discusses the role of health care practitioners in preventing the risk of NCDs and opportunities for action in the preconception period.
{"title":"The preconception period as a platform for preventing diabetes and non‐communicable diseases","authors":"C. Jacob, M. W. Hanson","doi":"10.1002/pdi.2404","DOIUrl":"https://doi.org/10.1002/pdi.2404","url":null,"abstract":"Increasing evidence suggests that parental risk factors for non‐communicable diseases (NCDs) in the period before conception could affect their lifelong health and increase the risk of NCDs in the offspring. While many of these risks such as obesity, smoking and dietary patterns are influenced by wider socio‐economic factors, screening and identification of risk factors can be conducted in the clinical setting to provide appropriate preventive interventions. This article discusses the role of health care practitioners in preventing the risk of NCDs and opportunities for action in the preconception period.","PeriodicalId":20309,"journal":{"name":"Practical Diabetes","volume":"46 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79350525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
NICE has recently updated its guidelines on the diagnosis and management of type 1 diabetes in adults. Dr Anne Kilvert and Dr Emma Wilmot here summarise the new recommendations and consider the implications for people with diabetes, health care professionals and commissioners.
{"title":"What do the NICE updates mean for people with type 1 diabetes?","authors":"A. Kilvert, E. Wilmot","doi":"10.1002/pdi.2405","DOIUrl":"https://doi.org/10.1002/pdi.2405","url":null,"abstract":"NICE has recently updated its guidelines on the diagnosis and management of type 1 diabetes in adults. Dr Anne Kilvert and Dr Emma Wilmot here summarise the new recommendations and consider the implications for people with diabetes, health care professionals and commissioners.","PeriodicalId":20309,"journal":{"name":"Practical Diabetes","volume":"3 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84172632","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Initiated in 2000, the NHS‐funded genetic testing service for monogenic diabetes at the Exeter Genomics Laboratory, Royal Devon & Exeter Hospital, is the sole national provider for this service in England. The laboratory has undertaken testing for over 19,000 families and has diagnosed monogenic diabetes in over 9500 patients from the UK and across the world.
{"title":"An update on the diagnosis and management of monogenic diabetes","authors":"K. Colclough, R. Heugten, K. Patel","doi":"10.1002/pdi.2410","DOIUrl":"https://doi.org/10.1002/pdi.2410","url":null,"abstract":"Initiated in 2000, the NHS‐funded genetic testing service for monogenic diabetes at the Exeter Genomics Laboratory, Royal Devon & Exeter Hospital, is the sole national provider for this service in England. The laboratory has undertaken testing for over 19,000 families and has diagnosed monogenic diabetes in over 9500 patients from the UK and across the world.","PeriodicalId":20309,"journal":{"name":"Practical Diabetes","volume":"429 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77798789","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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