{"title":"The role of epigenetics in developmental programming","authors":"S. Barnes, S. Ozanne","doi":"10.1002/PDI.1605","DOIUrl":"https://doi.org/10.1002/PDI.1605","url":null,"abstract":"","PeriodicalId":92116,"journal":{"name":"Practical diabetes international : the journal for diabetes care teams worldwide","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2011-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/PDI.1605","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"51025706","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":"Nutrition labelling under the magnifying glass","authors":"P. McArdle","doi":"10.1002/PDI.1607","DOIUrl":"https://doi.org/10.1002/PDI.1607","url":null,"abstract":"","PeriodicalId":92116,"journal":{"name":"Practical diabetes international : the journal for diabetes care teams worldwide","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2011-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/PDI.1607","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"51025764","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":"The new NICE Quality Standards for Diabetes 2011: a critical analysis","authors":"P. Grant","doi":"10.1002/PDI.1594","DOIUrl":"https://doi.org/10.1002/PDI.1594","url":null,"abstract":"","PeriodicalId":92116,"journal":{"name":"Practical diabetes international : the journal for diabetes care teams worldwide","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2011-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/PDI.1594","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"51025265","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":"Education and training in paediatric diabetes: the UK position. Survey on behalf of the SWEET Project 2008–11","authors":"S. Waldron, J. Allgrove, P. Swift","doi":"10.1002/PDI.1597","DOIUrl":"https://doi.org/10.1002/PDI.1597","url":null,"abstract":"","PeriodicalId":92116,"journal":{"name":"Practical diabetes international : the journal for diabetes care teams worldwide","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2011-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/PDI.1597","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"51025344","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":"Amputations and diabetes care: variation in practice","authors":"N. Holman, W. Jeffcoate, B. Young","doi":"10.1002/PDI.1603","DOIUrl":"https://doi.org/10.1002/PDI.1603","url":null,"abstract":"","PeriodicalId":92116,"journal":{"name":"Practical diabetes international : the journal for diabetes care teams worldwide","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2011-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/PDI.1603","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"51025695","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}
W. Shafiq, E. Masson, E. Kilpatrick, Bj Allan, A. Oboh, S. Lindow
{"title":"Does a normal oral glucose tolerance test in one pregnancy negate the need to retest in subsequent pregnancies","authors":"W. Shafiq, E. Masson, E. Kilpatrick, Bj Allan, A. Oboh, S. Lindow","doi":"10.1002/PDI.1601","DOIUrl":"https://doi.org/10.1002/PDI.1601","url":null,"abstract":"","PeriodicalId":92116,"journal":{"name":"Practical diabetes international : the journal for diabetes care teams worldwide","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2011-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/PDI.1601","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"51025648","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":"Training to prevent insulin errors","authors":"M. Wallymahmed","doi":"10.1002/PDI.1593","DOIUrl":"https://doi.org/10.1002/PDI.1593","url":null,"abstract":"","PeriodicalId":92116,"journal":{"name":"Practical diabetes international : the journal for diabetes care teams worldwide","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2011-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/PDI.1593","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"51025254","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}
diabetes of 15 years’ duration was referred to a secondary care diabetes clinic due to a rapid deterioration in her glycaemic control. The patient had been diagnosed with idiopathic bile acid malabsorbtion four months previously as part of investigations for chronic anaemia. She was therefore prescribed colestyramine 4g twice daily. Initially, her pharmacist dispensed Questran, and the patient’s glycaemic control was noted to deteriorate, with her HbA1c rising to 8.7% (72mmol/mol) from a stable pre-treatment value of around 7.2% (55mmol/mol); (Figure 1). Her home blood glucose monitoring (HBGM) diary concurred with this finding. She was advised to change to sugar free Questran Light instead. Six weeks prior to her first diabetes clinic appointment, Questran Light was sourced, and this had been dispensed from that time. When she was reviewed in clinic, six weeks after the change in formulation her HbA1c was 5.5% (37mmol/mol), and her blood glucose had reverted to well controlled levels.
{"title":"Glycaemic effect of colestyramine therapy","authors":"S. Mackenzie, K. Adamson","doi":"10.1002/PDI.1598","DOIUrl":"https://doi.org/10.1002/PDI.1598","url":null,"abstract":"diabetes of 15 years’ duration was referred to a secondary care diabetes clinic due to a rapid deterioration in her glycaemic control. The patient had been diagnosed with idiopathic bile acid malabsorbtion four months previously as part of investigations for chronic anaemia. She was therefore prescribed colestyramine 4g twice daily. Initially, her pharmacist dispensed Questran, and the patient’s glycaemic control was noted to deteriorate, with her HbA1c rising to 8.7% (72mmol/mol) from a stable pre-treatment value of around 7.2% (55mmol/mol); (Figure 1). Her home blood glucose monitoring (HBGM) diary concurred with this finding. She was advised to change to sugar free Questran Light instead. Six weeks prior to her first diabetes clinic appointment, Questran Light was sourced, and this had been dispensed from that time. When she was reviewed in clinic, six weeks after the change in formulation her HbA1c was 5.5% (37mmol/mol), and her blood glucose had reverted to well controlled levels.","PeriodicalId":92116,"journal":{"name":"Practical diabetes international : the journal for diabetes care teams worldwide","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2011-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/PDI.1598","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"51025391","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":"Insulinoma in a patient with type 2 diabetes","authors":"A. Munir, Sl Toh, V. Arutchelvam","doi":"10.1002/PDI.1599","DOIUrl":"https://doi.org/10.1002/PDI.1599","url":null,"abstract":"","PeriodicalId":92116,"journal":{"name":"Practical diabetes international : the journal for diabetes care teams worldwide","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2011-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/PDI.1599","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"51025615","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}
the individual and to the NHS. With a lifetime risk of 15% of developing a foot ulcer, foot ulcers preceding 80% of amputations and diabetes being the most common cause of non-traumatic limb amputation, it is a significant problem. Prolonged length of hospital inpatient stays and increased bed occupancy (the most common diabetes reason for admission in the recent National Diabetes Inpatient Audit)1 contribute to the financial cost of this complication. The recent publication of the National Institute for Health and Clinical Excellence (NICE) clinical guideline (CG) on the ‘Inpatient Management of Diabetic Foot Problems’ (CG 119)2 comes seven years after the previous NICE guideline which concentrated on the community and outpatient prevention and management of foot disease.3 ‘Putting Feet First’,4 guidance on commissioning specialist services for the prevention and management of foot disease in hospitals, was the catalyst for this topic to be developed by NICE under the short guidelines programme. The variation in clinical management of diabetes inpatients with foot disease was, however, of particular relevance in its acceptance as a CG topic. The short guidelines review a narrower clinical area than the full guidelines (in this case, six review questions were addressed) but are developed in a shorter period of time. Therefore prevention of foot disease is not covered with regard to the general inpatient diabetes population which is a missed opportunity. The NICE review of evidence and consequent recommendations just published will nevertheless provide a distinct advantage over other guidelines, by being NICE ‘badged’, and will provide further impetus to getting much needed recognition within the NHS for the problem of diabetes foot disease, particularly in the current financial climate.
{"title":"NICE inpatient diabetes foot disease guidance","authors":"S. Benbow, V. Chikthimmah, R. Cooke","doi":"10.1002/PDI.1592","DOIUrl":"https://doi.org/10.1002/PDI.1592","url":null,"abstract":"the individual and to the NHS. With a lifetime risk of 15% of developing a foot ulcer, foot ulcers preceding 80% of amputations and diabetes being the most common cause of non-traumatic limb amputation, it is a significant problem. Prolonged length of hospital inpatient stays and increased bed occupancy (the most common diabetes reason for admission in the recent National Diabetes Inpatient Audit)1 contribute to the financial cost of this complication. The recent publication of the National Institute for Health and Clinical Excellence (NICE) clinical guideline (CG) on the ‘Inpatient Management of Diabetic Foot Problems’ (CG 119)2 comes seven years after the previous NICE guideline which concentrated on the community and outpatient prevention and management of foot disease.3 ‘Putting Feet First’,4 guidance on commissioning specialist services for the prevention and management of foot disease in hospitals, was the catalyst for this topic to be developed by NICE under the short guidelines programme. The variation in clinical management of diabetes inpatients with foot disease was, however, of particular relevance in its acceptance as a CG topic. The short guidelines review a narrower clinical area than the full guidelines (in this case, six review questions were addressed) but are developed in a shorter period of time. Therefore prevention of foot disease is not covered with regard to the general inpatient diabetes population which is a missed opportunity. The NICE review of evidence and consequent recommendations just published will nevertheless provide a distinct advantage over other guidelines, by being NICE ‘badged’, and will provide further impetus to getting much needed recognition within the NHS for the problem of diabetes foot disease, particularly in the current financial climate.","PeriodicalId":92116,"journal":{"name":"Practical diabetes international : the journal for diabetes care teams worldwide","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2011-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/PDI.1592","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"51025205","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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