Amy Elizabeth Morrison, Dabean Faraj, Marie-France Kong
{"title":"Congenital hyperinsulinism: a family case report","authors":"Amy Elizabeth Morrison, Dabean Faraj, Marie-France Kong","doi":"10.15277/bjd.2023.422","DOIUrl":"https://doi.org/10.15277/bjd.2023.422","url":null,"abstract":"","PeriodicalId":42951,"journal":{"name":"British Journal of Diabetes","volume":"51 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138965188","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}
Fibrates have been in use to modify serum lipids since the 1960s. This review seeks to ascertain their present place in lipid-modifying therapy and prevention of cardiovascular disease, particularly in type 2 diabetes (T2DM).
{"title":"Fibrates: past history or renaissance?","authors":"Robert Elkeles","doi":"10.15277/bjd.2023.415","DOIUrl":"https://doi.org/10.15277/bjd.2023.415","url":null,"abstract":"Fibrates have been in use to modify serum lipids since the 1960s. This review seeks to ascertain their present place in lipid-modifying therapy and prevention of cardiovascular disease, particularly in type 2 diabetes (T2DM).","PeriodicalId":42951,"journal":{"name":"British Journal of Diabetes","volume":" 4","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138994767","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}
Homelessness is a significant public health concern, with a substantial homeless population in England. Homeless individuals face unique challenges, including a heightened risk of violence, inadequate nutrition, limited healthcare access and increased prevalence of co-morbidities. Type 2 diabetes (T2DM) is notably more prevalent among homeless individuals compared to the general population, leading to higher rates of diabetes-related emergency department visits and hospitalisations. There is limited research examining diabetes management specifically in homeless populations, and a comprehensive review addressing the barriers and targeted interventions for this vulnerable group is currently lacking. This article aims to explore the health inequalities experienced by homeless individuals in relation to T2DM management, and to evaluate the Housing First approach as a potential intervention. Housing First, which provides immediate access to permanent housing, has demonstrated efficacy in enhancing housing stability and healthcare behaviours among homeless populations. Moreover, the available evidence suggests that Housing First programmes may improve diabetes-related outcomes, including HbA1c testing and medication adherence, and may lead to fewer hospitalisations.
{"title":"Type 2 diabetes management in the homeless population: health inequality and the Housing First approach","authors":"Fee Benz","doi":"10.15277/bjd.2023.421","DOIUrl":"https://doi.org/10.15277/bjd.2023.421","url":null,"abstract":"Homelessness is a significant public health concern, with a substantial homeless population in England. Homeless individuals face unique challenges, including a heightened risk of violence, inadequate nutrition, limited healthcare access and increased prevalence of co-morbidities. Type 2 diabetes (T2DM) is notably more prevalent among homeless individuals compared to the general population, leading to higher rates of diabetes-related emergency department visits and hospitalisations. There is limited research examining diabetes management specifically in homeless populations, and a comprehensive review addressing the barriers and targeted interventions for this vulnerable group is currently lacking. This article aims to explore the health inequalities experienced by homeless individuals in relation to T2DM management, and to evaluate the Housing First approach as a potential intervention. Housing First, which provides immediate access to permanent housing, has demonstrated efficacy in enhancing housing stability and healthcare behaviours among homeless populations. Moreover, the available evidence suggests that Housing First programmes may improve diabetes-related outcomes, including HbA1c testing and medication adherence, and may lead to fewer hospitalisations.","PeriodicalId":42951,"journal":{"name":"British Journal of Diabetes","volume":"95 ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139174712","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}
{"title":"Hybrid closed-loop therapy: the calm before the storm","authors":"Tom Crabtree","doi":"10.15277/bjd.2023.426","DOIUrl":"https://doi.org/10.15277/bjd.2023.426","url":null,"abstract":"","PeriodicalId":42951,"journal":{"name":"British Journal of Diabetes","volume":"85 ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139173791","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}
Kevin Drew, Catherine Homer, Duncan Radley, Charlotte Freeman, Karina Kinsella, Maria Maynard, C. Bakhai, Louisa J Ells
Background: Obesity and type 2 diabetes (T2DM) can both profoundly impact health and wellbeing. Their prevalence largely follows a social gradient. The National Health Service Low Calorie Diet programme in England aims to support people to achieve T2DM remission while also reducing health inequalities. We aimed to explore the experiences of local health service leads and identify barriers and facilitators in relation to the equitable mobilisation of the Low Calorie Diet programme. Methods: Twenty semi-structured interviews were completed with 24 locality leads across the first two years of the Low Calorie Diet programme. Interviewees were purposively sampled from the 10 localities who undertook the Low Calorie Diet programme pilot. Each interview explored a number of topics of interest, including referrals, training, communication, incentivisation, governance and engagement, before being subjected to a thematic analysis. Results: From the data, seven core themes were identified: COVID-19 and primary care capacity and engagement; methods of communication; approaches to training; approaches to incentivisation; approaches to referrals; barriers to referrals; and the importance of collaboration. COVID-19 presented a specific challenge to the mobilisation and delivery of the Low Calorie Diet programme; however, our findings demonstrate the large variation and differences in the approaches taken when delivering the programme across 10 geographically and demographically distinct pilot sites. We also identified a lack of a recognised approach or strategy to mobilisation and delivery support for the Low Calorie Diet programme, such as proportionate universalism, which is a social policy response to tackling health inequalities by ensuring that service delivery is equitable. Conclusions: Health inequalities remain a significant challenge, and health service leads have the potential to adopt an equity perspective from the start of programme mobilisation. In doing so, resources at their disposal can be managed equitably and can therefore contribute to efforts to reduce the potential occurrence of intervention-generated inequalities.
{"title":"Equity and local health systems: a qualitative evaluation of the experiences of local health service leads during the first two years of the NHS Low Calorie Diet programme pilot","authors":"Kevin Drew, Catherine Homer, Duncan Radley, Charlotte Freeman, Karina Kinsella, Maria Maynard, C. Bakhai, Louisa J Ells","doi":"10.15277/bjd.2023.416","DOIUrl":"https://doi.org/10.15277/bjd.2023.416","url":null,"abstract":"Background: Obesity and type 2 diabetes (T2DM) can both profoundly impact health and wellbeing. Their prevalence largely follows a social gradient. The National Health Service Low Calorie Diet programme in England aims to support people to achieve T2DM remission while also reducing health inequalities. We aimed to explore the experiences of local health service leads and identify barriers and facilitators in relation to the equitable mobilisation of the Low Calorie Diet programme. Methods: Twenty semi-structured interviews were completed with 24 locality leads across the first two years of the Low Calorie Diet programme. Interviewees were purposively sampled from the 10 localities who undertook the Low Calorie Diet programme pilot. Each interview explored a number of topics of interest, including referrals, training, communication, incentivisation, governance and engagement, before being subjected to a thematic analysis. Results: From the data, seven core themes were identified: COVID-19 and primary care capacity and engagement; methods of communication; approaches to training; approaches to incentivisation; approaches to referrals; barriers to referrals; and the importance of collaboration. COVID-19 presented a specific challenge to the mobilisation and delivery of the Low Calorie Diet programme; however, our findings demonstrate the large variation and differences in the approaches taken when delivering the programme across 10 geographically and demographically distinct pilot sites. We also identified a lack of a recognised approach or strategy to mobilisation and delivery support for the Low Calorie Diet programme, such as proportionate universalism, which is a social policy response to tackling health inequalities by ensuring that service delivery is equitable. Conclusions: Health inequalities remain a significant challenge, and health service leads have the potential to adopt an equity perspective from the start of programme mobilisation. In doing so, resources at their disposal can be managed equitably and can therefore contribute to efforts to reduce the potential occurrence of intervention-generated inequalities.","PeriodicalId":42951,"journal":{"name":"British Journal of Diabetes","volume":"83 ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139173068","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}
{"title":"glimpse at the 83rd Scientific Sessions of the ADA","authors":"Caroline Day","doi":"10.15277/bjd.2023.428","DOIUrl":"https://doi.org/10.15277/bjd.2023.428","url":null,"abstract":"","PeriodicalId":42951,"journal":{"name":"British Journal of Diabetes","volume":"36 6","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139176163","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}
One of the biggest challenges in improving patient safety is identifying them promptly when discharging them from hospital to allow effective planning of follow-ups. Previously, our diabetes team had to undergo a manually laborious pathway to achieve this, thereby risking delays and patient safety, and making poor use of time. When our hospital adopted the new software NerveCentre, we took this as an opportunity to make changes within the system to improve this aspect of diabetes care. NerveCentre initially had minimal diabetes care features. By working closely and meticulously with the company and hospital IT department, we developed a new diabetes ‘dashboard’ in the software that allows all diabetes inpatients to be flagged up effectively to the diabetes team, both upon admission and upon discharge. The dashboard could also hold all the important diabetes information relevant to the patient. This initiative was made possible with a great team understanding of the available resources and which aspects of inpatient diabetes care needed to be improved. We now have a safer and more efficient pathway for following up on diabetes patients upon discharge. This is also evident in our 3-month data: they show a 100% follow-up rate, timely telephone follow-up when required, and that fewer outpatient face-to-face clinic appointments are needed. We received positive feedback from healthcare members and patients. In addition, our initiatives are also easily translatable to other electronic software or adaptable by other hospitals. We are grateful to be winners of the prestigious Rowan Hillson Inpatient Safety Award 2023, and we hope that this will serve as a platform to allow greater exposure of this project idea to other healthcare professionals.
{"title":"Rowan Hillson Inpatient Safety Award 2023: a new online patient flagging system for effective and safe diabetes patients’ follow-up when discharged from hospital","authors":"Shiu-Ching Soo, Jocelyn Garchitorena, Vilma Ramos, Chung Thong Lim","doi":"10.15277/bjd.2023.420","DOIUrl":"https://doi.org/10.15277/bjd.2023.420","url":null,"abstract":"One of the biggest challenges in improving patient safety is identifying them promptly when discharging them from hospital to allow effective planning of follow-ups. Previously, our diabetes team had to undergo a manually laborious pathway to achieve this, thereby risking delays and patient safety, and making poor use of time. When our hospital adopted the new software NerveCentre, we took this as an opportunity to make changes within the system to improve this aspect of diabetes care. NerveCentre initially had minimal diabetes care features. By working closely and meticulously with the company and hospital IT department, we developed a new diabetes ‘dashboard’ in the software that allows all diabetes inpatients to be flagged up effectively to the diabetes team, both upon admission and upon discharge. The dashboard could also hold all the important diabetes information relevant to the patient. This initiative was made possible with a great team understanding of the available resources and which aspects of inpatient diabetes care needed to be improved. We now have a safer and more efficient pathway for following up on diabetes patients upon discharge. This is also evident in our 3-month data: they show a 100% follow-up rate, timely telephone follow-up when required, and that fewer outpatient face-to-face clinic appointments are needed. We received positive feedback from healthcare members and patients. In addition, our initiatives are also easily translatable to other electronic software or adaptable by other hospitals. We are grateful to be winners of the prestigious Rowan Hillson Inpatient Safety Award 2023, and we hope that this will serve as a platform to allow greater exposure of this project idea to other healthcare professionals.","PeriodicalId":42951,"journal":{"name":"British Journal of Diabetes","volume":"58 ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2023-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139175050","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}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：