Diabetic Medicine最新文献

{"title":"Research recommendations from the 2024 Breakthrough T1D, Diabetes UK and Kidney Research UK, diabetes and kidney disease expert workshop.","authors":"Zoe Markham-Lee, Swati Bhagat-Jones, Jill Carlton, Andrew Frankel, Simon Fraser, Hellena H Habte-Asres, Claire Hill, Naresh Kanumilli, Janaka Karalliedde, Annelie Maskell, Amy Jayne McKnight, Anna Morris, Dorothea Nitsch, Nia Otake John, Steven Parks, Sarah Jane Robinson, Miranda Rosenthal, Martin K Rutter, Caroline Schmutz, Shawna Scullion, Rachel Smith, Linda Tarm, David C Wheeler, Daniel Newman, Sanjay Mistry, Kieran McCafferty, Claire E Hills","doi":"10.1111/dme.70013","DOIUrl":"https://doi.org/10.1111/dme.70013","url":null,"abstract":"<p><strong>Aims: </strong>To develop a position statement that identifies research priorities in diabetic kidney disease and provides recommendations to researchers and research funders on how best to address them.</p><p><strong>Methods: </strong>A one-day research workshop was conducted, bringing together research experts in diabetes and kidney disease, healthcare professionals, and people living with diabetes, to identify and prioritise research recommendations.</p><p><strong>Results: </strong>The following key areas were identified as needing increased focus: Understanding causal mechanisms in diabetic kidney disease Prevention of diabetic kidney disease Addressing health inequalities Improving diagnosis Improving care Supporting self-management CONCLUSIONS: This position statement outlines recommendations to address the urgent need to tackle diabetic kidney disease and calls on the diabetes and kidney research communities to act upon these recommendations to ensure future research works to eliminate unfair and avoidable disparities in health.</p>","PeriodicalId":11251,"journal":{"name":"Diabetic Medicine","volume":" ","pages":"e70013"},"PeriodicalIF":3.2,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143514737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Oral abstracts","authors":"","doi":"10.1111/dme.15497","DOIUrl":"https://doi.org/10.1111/dme.15497","url":null,"abstract":"","PeriodicalId":11251,"journal":{"name":"Diabetic Medicine","volume":"42 S1","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/dme.15497","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143489989","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diabetes UK Professional Conference 2025 Abstract Author Index","authors":"","doi":"10.1111/dme.15499","DOIUrl":"https://doi.org/10.1111/dme.15499","url":null,"abstract":"&lt;p&gt;Ämmälä, C - A43 &amp; P07&lt;/p&gt;&lt;p&gt;Abbas, Z - A35 &amp; P215&lt;/p&gt;&lt;p&gt;Abbott, J - P22&lt;/p&gt;&lt;p&gt;AbdelBari, H - P122*&lt;/p&gt;&lt;p&gt;Abdelkader, A - P218&lt;/p&gt;&lt;p&gt;Abdelmagid, MI - P201*&lt;/p&gt;&lt;p&gt;Abdul, N - P219*&lt;/p&gt;&lt;p&gt;Abdullah, A - P172&lt;/p&gt;&lt;p&gt;Abi Chahine, T - P152 &amp; P154&lt;/p&gt;&lt;p&gt;Abiakam, N - A20 &amp; P61&lt;/p&gt;&lt;p&gt;Aboobakar, HA - A45 &amp; P52&lt;/p&gt;&lt;p&gt;Abraham, AA - A33, P228 &amp; P247&lt;/p&gt;&lt;p&gt;Abu Ghazaleh, H - P276&lt;/p&gt;&lt;p&gt;Ackroyd, D - P267&lt;/p&gt;&lt;p&gt;Acreman, S - A46, P16 &amp; P33&lt;/p&gt;&lt;p&gt;Adamson, C - P218&lt;/p&gt;&lt;p&gt;Adamson, KA - A31 &amp; P112&lt;/p&gt;&lt;p&gt;Adeyileka-Tracz, B - A35 &amp; P215&lt;/p&gt;&lt;p&gt;Adie, MA - P67 &amp; P68&lt;/p&gt;&lt;p&gt;Adler, A - P291&lt;/p&gt;&lt;p&gt;Adriano, A - P325 &amp; P327&lt;/p&gt;&lt;p&gt;Afi Leslie, K - A56* &amp; P35*&lt;/p&gt;&lt;p&gt;Ahamed Sadiq, S - P125*&lt;/p&gt;&lt;p&gt;Ahmad, B - A23 &amp; P49&lt;/p&gt;&lt;p&gt;Ahmad, E - P267&lt;/p&gt;&lt;p&gt;Ahmad, S - P114&lt;/p&gt;&lt;p&gt;Ahmed, MSO - P239*&lt;/p&gt;&lt;p&gt;Ahmed, S - P211 &amp; P268&lt;/p&gt;&lt;p&gt;Aitken, RJ - P91*&lt;/p&gt;&lt;p&gt;Ajjan, R - P236 &amp; P243&lt;/p&gt;&lt;p&gt;Akbar, SA - P140*&lt;/p&gt;&lt;p&gt;Akerman, I - A41 &amp; P17&lt;/p&gt;&lt;p&gt;Alabraba, V - P190 &amp; P317&lt;/p&gt;&lt;p&gt;Alam, U - A60 &amp; P273&lt;/p&gt;&lt;p&gt;Alatawi, AA - P98*&lt;/p&gt;&lt;p&gt;Alayyan, G - P338&lt;/p&gt;&lt;p&gt;Alazawi, W - A30 &amp; P54&lt;/p&gt;&lt;p&gt;Aldafas, R - P39&lt;/p&gt;&lt;p&gt;Alen, R - P20*&lt;/p&gt;&lt;p&gt;Alexandrou, E - P51&lt;/p&gt;&lt;p&gt;Alexiadou, K - P81&lt;/p&gt;&lt;p&gt;Alghadouri, D - P172&lt;/p&gt;&lt;p&gt;Ali, A - P82* &amp; P110&lt;/p&gt;&lt;p&gt;Ali, SY - P67&lt;/p&gt;&lt;p&gt;Ali, U - P218*&lt;/p&gt;&lt;p&gt;Ali, YA - P67 &amp; P68&lt;/p&gt;&lt;p&gt;Ali Baig, S - P228&lt;/p&gt;&lt;p&gt;Alistair Williams Antibody Facility - A47&lt;/p&gt;&lt;p&gt;Aljedi, F - P172&lt;/p&gt;&lt;p&gt;Aljohani, N - P305* &amp; P276&lt;/p&gt;&lt;p&gt;Alkandari, J - P172&lt;/p&gt;&lt;p&gt;Alkhalifah, G - P172&lt;/p&gt;&lt;p&gt;Allan, M - P195&lt;/p&gt;&lt;p&gt;Allard, C - A66 &amp; P47&lt;/p&gt;&lt;p&gt;Allardice, B - P197&lt;/p&gt;&lt;p&gt;Allen, M - P40&lt;/p&gt;&lt;p&gt;Allen, MJ - P245&lt;/p&gt;&lt;p&gt;Allen-Taylor, M - P328&lt;/p&gt;&lt;p&gt;Al-Mrabeh, AH - A23*, P15, P49* &amp; P69&lt;/p&gt;&lt;p&gt;Alobaid, T - P237*&lt;/p&gt;&lt;p&gt;Alonso, R - A55 &amp; P19&lt;/p&gt;&lt;p&gt;Alonso Soriano, C - A3&lt;/p&gt;&lt;p&gt;Alozairi, E - P172&lt;/p&gt;&lt;p&gt;Alsaeed, D - P172, P216* &amp; P217*&lt;/p&gt;&lt;p&gt;Alsayed, S – P276&lt;/p&gt;&lt;p&gt;Al-Selwi, Y - P26&lt;/p&gt;&lt;p&gt;Altaghadom, E - P172&lt;/p&gt;&lt;p&gt;Alturkait, A - P172*&lt;/p&gt;&lt;p&gt;Amiel, S - P64 &amp; P64&lt;/p&gt;&lt;p&gt;Amoh, P - P202*&lt;/p&gt;&lt;p&gt;Anderson, R - P88&lt;/p&gt;&lt;p&gt;Andrew, R - P34&lt;/p&gt;&lt;p&gt;Andrews, A - P120*&lt;/p&gt;&lt;p&gt;Andrews, R - A34, P41 &amp; P127&lt;/p&gt;&lt;p&gt;Andrews, RC - P40, P181, P201, P245, P325 &amp; P327&lt;/p&gt;&lt;p&gt;Angeles-Agdeppa, I - A23 &amp; P49&lt;/p&gt;&lt;p&gt;Ansari, I - A12 &amp; P296&lt;/p&gt;&lt;p&gt;Ansari, MH - P226*&lt;/p&gt;&lt;p&gt;Ansari, S - P81*&lt;/p&gt;&lt;p&gt;Anson, M - A60 &amp; P273&lt;/p&gt;&lt;p&gt;Anthony, IR - P183 &amp; P184&lt;/p&gt;&lt;p&gt;Anthony, L - P205&lt;/p&gt;&lt;p&gt;Anwar, MB - P144*&lt;/p&gt;&lt;p&gt;Aqeel, A - P322&lt;/p&gt;&lt;p&gt;Ardavani, A - P05, P05* &amp; P39*&lt;/p&gt;&lt;p&gt;Arden, C - P06 &amp; P11&lt;/p&gt;&lt;p&gt;Aris, M - A69 &amp; P262&lt;/p&gt;&lt;p&gt;Ariyakunaphan, P - A25 &amp; P83&lt;/p&gt;&lt;p&gt;Arni, AM - A22 &amp; P70&lt;/p&gt;&lt;p&gt;Arregui-Fresneda, I - P147&lt;/p&gt;&lt;p&gt;Asaad, M - P276* &amp; P305&lt;/p&gt;&lt;p&gt;Ashcroft, FM - P23 &amp; P25&lt;/p&gt;&lt;p&gt;Ashford, M - P02&lt;/p&gt;&lt;p&gt;Ashraf, UA - P231&lt;/p&gt;&lt;p&gt;Ashton-Cleary, S - P249&lt;/p&gt;&lt;p&gt;Ashton-Cleary, S - P290&lt;/p&gt;&lt;p&gt;Ashwell, S - P216&lt;/p&gt;&lt;p&gt;Asimakopoulou, K - P189&lt;/p&gt;&lt;p&gt;Asong, M - A38 &amp; P295&lt;/p&gt;&lt;p&gt;Ast, J - A43 &amp; P07&lt;/p&gt;&lt;p&gt;Atherton, H - P313&lt;/p&gt;&lt;p&gt;Atkinson, R - P2","PeriodicalId":11251,"journal":{"name":"Diabetic Medicine","volume":"42 S1","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/dme.15499","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143489991","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Values, principles and research priorities for the implementation of type 2 diabetes prevention after gestational diabetes: A global consensus from Asia, Africa, Americas, Europe and Oceania","authors":"Siew Lim,&nbsp;Maureen Makama,&nbsp;Elysa Ioannou,&nbsp;Helen Skouteris,&nbsp;Cynthia Montanaro,&nbsp;Melaku Taye,&nbsp;Bhagiaswari Kodapally,&nbsp;Lisa J. Moran,&nbsp;CHIRP,&nbsp;Ahmed Reja,&nbsp;Sharleen L. O'Reilly,&nbsp;Leanne M. Redman,&nbsp;Elezebeth Mathews,&nbsp;Jacqueline Boyle","doi":"10.1111/dme.70017","DOIUrl":"10.1111/dme.70017","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>The implementation of type 2 diabetes prevention after gestational diabetes (GDM) is poor despite research evidence on efficacy. This is limited by the lack of knowledge of the priorities in real-world settings from the perspectives of local clinicians and women with lived experiences, particularly those from underserved populations. We report here a global consensus on the values, principles, and research priorities for the implementation of type 2 diabetes prevention in individuals after gestational diabetes (GDM), from the perspectives of clinicians and women from Asia, Africa, Oceania, the Americas, and Europe.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A team of health professionals and researchers from five continents formed the Cardiometabolic Health Implementation Research in Postpartum individuals (CHIRP) team. The CHIRP team undertook a priority setting process using the Modified Delphi and Nominal Group Technique. Health professionals and women with a lived experience of GDM from five continents were invited to participate. Values, principles, and research priorities were voted on by all participants.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 100 consumers and health professionals from 11 countries across the five continents participated in the consensus process. The top-ranked values and principles were ‘universal access’, ‘evidence-based’, and ‘equity-driven’. The top-ranked research priorities were ‘stress and mental well-being’, ‘information on exercise and diet’, ‘lactation and breastfeeding’, ‘exercise after childbirth’, and ‘physical environment for healthy eating’.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Addressing mental wellbeing through strategies that are universally accessible, evidence-based, and equity-driven will increase the success of the real-world implementation and knowledge translation of type 2 diabetes prevention in women with a history of GDM in global settings.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11251,"journal":{"name":"Diabetic Medicine","volume":"42 5","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/dme.70017","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143514741","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diabetes self-management education and support delivered by mobile health (mHealth) interventions for adults with type 2 diabetes—A systematic review and meta-analysis","authors":"Anke Versluis,&nbsp;Anne Meike Boels,&nbsp;Maaike C. G. Huijden,&nbsp;Manon D. Mijnsbergen,&nbsp;Guy E. H. M. Rutten,&nbsp;Rimke C. Vos","doi":"10.1111/dme.70002","DOIUrl":"10.1111/dme.70002","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Diabetes self-management education (DSME) and support (DSME/S) delivered via mobile health (mHealth) is potentially cost-effective, if proven effective.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>To assess the effectiveness of DSME, DSMS or DSME/S delivered by mHealth interventions compared to usual care (UC) or attention placebo control (APC) in adults with type 2 diabetes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We searched (1) MEDLINE, (2) Embase, (3) PsycINFO, (4) Cochrane Central Register of Controlled Trials via the Cochrane Register of Studies Online, (5) ClinicalTrials.gov, and (6) World Health Organization International Clinical Trials Registry Platform from the year 2000 to January 31, 2023. We included RCTs comparing DSME/S delivered via mHealth versus UC or APC. Four authors independently selected trials, assessed risk of bias and extracted data. Primary outcome was HbA1c, outher outcomes secundairy. Meta-analysed with random-effects model was used.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>We included 43 trials involving 9328 participants; sample sizes ranging from 20 to 1119. Pooled effects on HbA1c were for DSME: mean difference (MD) of −4 mmol/mol (−0.3%), 95% CI −6 mmol/mol (−0.6%) to −1 mmol/mol (−0.1); <i>p</i> = 0.002; DSMS MD −4 mmol/mol (−0.4%), 95% CI 7 mmol/mol (−0.6%) to −2 mmol/mol (−0.2); <i>p</i> &lt; 0.001; and DSME/S MD of −2 mmol/mol (−0.2%) for HbA1c, 95% CI −3 mmol/mol (−0.3%) to −0 mmol/mol (−0.0%); <i>p</i> &lt; 0.001. We found uncertain effects on other outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>mHealth interventions delivering self management education with or without support to adults with type 2 diabetes appear to have a modest beneficial effect on HbA1c. Only a few trials investigated patient-reported outcomes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11251,"journal":{"name":"Diabetic Medicine","volume":"42 5","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/dme.70002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143499937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Poster abstracts","authors":"","doi":"10.1111/dme.15498","DOIUrl":"https://doi.org/10.1111/dme.15498","url":null,"abstract":"","PeriodicalId":11251,"journal":{"name":"Diabetic Medicine","volume":"42 S1","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/dme.15498","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143489990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Abstract reviewers","authors":"","doi":"10.1111/dme.15496","DOIUrl":"https://doi.org/10.1111/dme.15496","url":null,"abstract":"<p>Diabetes UK wishes to express our gratitude to the following abstract reviewers for their support of the Diabetes UK Professional Conference 2025:</p><p>Medha Agrawal</p><p>Shazli Azmi</p><p>Joelle Baynham</p><p>Craig Beall</p><p>Lee-Anne Carson</p><p>Jason Cheung</p><p>Ruth Coleman</p><p>Amy Coulden</p><p>Sarah Davis</p><p>Renuka Dias</p><p>Sarah Dib</p><p>Randa Eltayeb</p><p>Mark Evans</p><p>Bernard Freudenthal</p><p>Jasdeep Giddie</p><p>Alia Gilani</p><p>Mark Green</p><p>Hellena Habte-Asres</p><p>Malak Hamza</p><p>Kate Hardenberg</p><p>Sophie Harris</p><p>Rhiannon Hawkes</p><p>Adrian Heald</p><p>Anwen Jones</p><p>Christina Jones</p><p>Naresh Kanumilli</p><p>Nusrat Kausar</p><p>Catriona Kelly</p><p>Collette Kelly</p><p>Punith Kempegowda</p><p>Benedictine Khor</p><p>Laura Kusinski</p><p>Andrea Lake</p><p>Rama Lakshman</p><p>James Law</p><p>Lala Leelarathna</p><p>Alexandros Liarakos</p><p>Jonathan Maiden</p><p>Aida Martinez-Sanchez</p><p>Rory McCrimmon</p><p>Tracy McCrossan</p><p>Amy McKnight</p><p>Alison McNeilly</p><p>Claire Meek</p><p>Salma Mehar</p><p>Carol Metcalfe</p><p>Nicola Milne</p><p>Emily Moffat</p><p>Ahmad Moolla</p><p>Helen Murphy</p><p>Anuja Natarajan</p><p>Sankalpa Neupane</p><p>Paul Newman</p><p>Sarah Nosib</p><p>Charles Odiase</p><p>Helen Oneil</p><p>Simon O'Neill</p><p>Juliette Palmer</p><p>Mayank Patel</p><p>Reena Patel</p><p>Vinod Patel</p><p>James Pearson</p><p>Tabitha Randell</p><p>Jayne Robbie</p><p>Valmiki Salema</p><p>Priscilla Sarkar</p><p>Shang Shaho</p><p>Marietta Stadler</p><p>Rabbi Swaby</p><p>Rachael Tan</p><p>Hood Thabit</p><p>Aikaterina Tziannou</p><p>Elpida Vounzoulaki</p><p>David Williams</p><p>Komal Zai Rao</p><p>Beenish Zaki</p>","PeriodicalId":11251,"journal":{"name":"Diabetic Medicine","volume":"42 S1","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/dme.15496","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143489988","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Feasibility of a multidisciplinary pilot intervention for parent/caregiver diabetes distress","authors":"E. H. Alkhatib,&nbsp;M. Segawa,&nbsp;A. Danner,&nbsp;H. Kasper,&nbsp;E. Frymark,&nbsp;S. Roberts,&nbsp;L. Clary,&nbsp;R. Streisand,&nbsp;S. Majidi","doi":"10.1111/dme.70006","DOIUrl":"10.1111/dme.70006","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Aims&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Caregiver diabetes distress (DD) consists of negative emotions about a child's T1D diagnosis and has been associated with increased child haemoglobin A1c and family conflict. The primary aim was to identify the feasibility and acceptability of a multidisciplinary pilot intervention for caregiver DD in a diverse academic pediatric diabetes centre. Another primary aim was to determine the percentage of local caregivers with DD. A secondary aim was to determine if the intervention affected caregiver DD. We also explored potential associations between caregiver DD and demographic and diabetes-related characteristics.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Individual interviews with five caregivers with DD (who did not participate in the intervention) were held pre-intervention, in order to gather qualitative, open-ended feedback on prepared educational materials. As a pilot feasibility study, we held 3 monthly, one-hour educational and support group virtual sessions per cohort (6–8 caregivers) on Nutrition, Fear of Hypoglycemia and Parent/Child Collaboration. Sessions were attended by an endocrinologist with leaders from other disciplines including dietician, diabetes educator and/or social worker. Target enrollment was 30 caregivers with DD (PAID-PR/Problem Areas in Diabetes—Parent Revised score of ≥56/100) of children 5–17 years old with T1D for ≥6 months. Data include demographic information, pre-/post- PAID-PR scores, caregivers' session satisfaction ratings and open-ended written feedback. We also examined data from 26 parents of children who did not have elevated scores on DD (the comparison group) and were not invited to attend the intervention sessions.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Caregiver participants were 85% women, ages 42.5 ± 11.3 years; children's characteristics: 38% girls, ages 11.1 ± 2.1 years, 47.6% Black, 33.3% Caucasian, 9.5% Hispanic, 9.6% other, 43% public insurance, mean diabetes duration 4.3 ± 0.18 years and A1c 8.5 ± 0.7% (69.4 mmol/mol). Pre- and post-intervention PAID-PR scores improved from 68 to 51 (&lt;i&gt;p&lt;/i&gt; &lt; 0.05). This was sustained 3 months post-intervention with a mean PAID-PR of 42 (&lt;i&gt;p&lt;/i&gt; &lt; 0.05).&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The pilot intervention was feasible, with two-thirds of caregivers attending ≥2 sessions. Reported DD improved over time. Limitations include a small initial sample. Future directions include expanding this study to a larger population and ultimately incorporating a similar support program into the clinical setting as part of routine outpatient diabetes care.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 ","PeriodicalId":11251,"journal":{"name":"Diabetic Medicine","volume":"42 5","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143457237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"DEKODE—A cloud-based performance feedback model improved DKA care across multiple hospitals in the UK","authors":"Lakshmi N. Rengarajan,&nbsp;Catherine Cooper,&nbsp;Kashish Malhotra,&nbsp;Angelica Sharma,&nbsp;Nevil Philip,&nbsp;Anu Ann Abraham,&nbsp;Ketan Dhatariya,&nbsp;Parth Narendran,&nbsp;Punith Kempegowda,&nbsp;DEKODE and DEVI Group","doi":"10.1111/dme.70004","DOIUrl":"10.1111/dme.70004","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>A current gap in Diabetes-related ketoacidosis (DKA) research is understanding the factors contributing to variations in care and outcomes between people admitted with DKA. We aimed to create a system to facilitate gathering data on DKA management across multiple centres and identify trends in complications and outcomes associated with DKA.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Research Design and Methods</h3>\u0000 \u0000 <p>Between January 2020 and December 2022, we set up a cloud-based Quality improvement project (QIP) that provided regular feedback to 11 hospitals in the United Kingdom (UK).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of the 1977 episodes, we observed an increase in adherence in fluid prescription in hospitals C, D, E, F and G (C- 23% vs. 75% <i>p</i> = &lt;0.001; D- 27% vs. 60%, <i>p</i> = &lt;0.001; E- 17 vs. 79% <i>p</i> = &lt;0.001; F- 16% vs. 57%, <i>p</i> = &lt;0.001; G- 36% vs. 75% <i>p</i> = &lt;0.001). Notable improvements in adherence to glucose monitoring were observed in hospitals B, D, and G (B- 11 vs. 38% <i>p</i> = &lt;0.001; D- 36% vs. 56%, <i>p</i> = 0.05; G- 22% vs. 67% <i>p</i> = &lt;0.001). Although we didn't observe significant changes in complications and outcomes among participating hospitals from the start to the end of the reported period, notable fluctuations were evident across quarters. These variations were relayed to the respective hospitals, underscoring how feedback and interventions could influence the care provided. This initiative also marks the initial move towards establishing and improving data collection practices in acute diabetes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>We demonstrate a sustainable QIP that improves adherence to national guidelines in some indicators for DKA care and serves as an early warning system to identify adverse trends.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11251,"journal":{"name":"Diabetic Medicine","volume":"42 6","pages":""},"PeriodicalIF":3.2,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/dme.70004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143432441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Travel health and people living with type 1 diabetes.","authors":"Steven James, Jayanthi Maniam, Jessica Jones, Olive James, Chloe Tarlton, Judy Craft, Kim C Donaghue, Barnaby Dixson, Maria E Craig","doi":"10.1111/dme.70012","DOIUrl":"https://doi.org/10.1111/dme.70012","url":null,"abstract":"","PeriodicalId":11251,"journal":{"name":"Diabetic Medicine","volume":" ","pages":"e70012"},"PeriodicalIF":3.2,"publicationDate":"2025-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143425178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}