Practical diabetes international : the journal for diabetes care teams worldwide最新文献

{"title":"The work of a dedicated inpatient diabetes care team in a district general hospital","authors":"A. Brooks, J. L. Chong, S. Grainger‐Allen, M. McDonald, S. Nero, M. Atkin, S. Deshmukh","doi":"10.1002/PDI.1560","DOIUrl":"https://doi.org/10.1002/PDI.1560","url":null,"abstract":"We describe the work of a multidisciplinary inpatient diabetes care team in a 400 bed district general hospital over a four-year period. Also included are some observations on a positive contribution to reduced length of stay for people with diabetes in hospital, and low incidences of prescription and management errors in the first National Diabetes Inpatient Audit in 2009. \u0000 \u0000 \u0000 \u0000Specifically between 2005 and 2007 the average length of stay in days for all patients whose diagnosis included diabetes fell from 9.39 to 3.76 days despite the total number of patients increasing from 507 to 633 over the same quarter each year. The inpatient team provided almost 1000 visits to patients with diabetes in the first six months of each year 2008 and 2009, and at the first National Diabetes Inpatient Audit had only 5% prescription errors and 3% management errors (versus 19% and 14% respectively nationally) with 100% appropriate blood glucose testing. \u0000 \u0000 \u0000 \u0000We suggest that a dedicated inpatient diabetes care team raises the quality of care for patients and enhances patient and professional education; we also suggest that audit standards should be developed for inpatient diabetes care and assessed in future national audits. Copyright © 2011 John Wiley & Sons.","PeriodicalId":92116,"journal":{"name":"Practical diabetes international : the journal for diabetes care teams worldwide","volume":"67 2","pages":"70-72"},"PeriodicalIF":0.0,"publicationDate":"2011-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/PDI.1560","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"51024544","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":"Factors affecting attendance at postpartum diabetes screening in women with gestational diabetes mellitus","authors":"Vicky Sterne, T. Logan, M. Palmer","doi":"10.1002/PDI.1559","DOIUrl":"https://doi.org/10.1002/PDI.1559","url":null,"abstract":"of women diagnosed with gestational diabetes mellitus (GDM) will be diagnosed with type 2 diabetes within five years. Attendance rates at postpartum screening are only 48-56%. As the barriers or facilitators to screening attendance among women diagnosed with GDM have not previously been determined, this study aimed to examine the barriers and facilitators to attendance at postpartum diabetes screening as reported by women following a recent history of GDM. This study was a cross-sectional telephone survey of Australian women diagnosed with GDM in a Queensland hospital during the period July 2006 to June 2007. Rates of attendance at postpartum diabetes screening were assessed, and reported barriers and facilitators to postpartum screening were grouped into themes. Of 187 eligible participants, 88 women were surveyed (aged 33±6 years, parity 1 (0-5)). Half (53.4%) of respondents attended postpartum diabetes screening. Barriers to screening included a lack of awareness of the need to attend screening, the inconvenience associated with the two to three hour length of the OGTT, and the need to attend screening with infants and young children. Reported facilitators included improved awareness of the need for screening, multiple reminders, and a more pleasant and convenient test. Facilitation strategies aimed at increasing the awareness of postpartum diabetes risks and promoting the provision of accurate and consistent screening advice from medical providers may assist in improving attendance at postpartum diabetes screening. A more acceptable screening test and establishment of a national database for routine screening reminders may also encourage women to attend postpartum diabetes screening. Copyright © 2011 John Wiley & Sons. Practical Diabetes Int 2011; 28(2): 64-68","PeriodicalId":92116,"journal":{"name":"Practical diabetes international : the journal for diabetes care teams worldwide","volume":"48 4","pages":"64"},"PeriodicalIF":0.0,"publicationDate":"2011-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/PDI.1559","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"51024938","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":"Commissioning specialist diabetes care","authors":"N. Goenka, J. Vora","doi":"10.1002/PDI.1557","DOIUrl":"https://doi.org/10.1002/PDI.1557","url":null,"abstract":"","PeriodicalId":92116,"journal":{"name":"Practical diabetes international : the journal for diabetes care teams worldwide","volume":"4 5","pages":"58-59"},"PeriodicalIF":0.0,"publicationDate":"2011-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/PDI.1557","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"51024885","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":"St Anthony's Fire in a pregnant woman with diabetes","authors":"E. Egbase, S. Olczak","doi":"10.1002/PDI.1566","DOIUrl":"https://doi.org/10.1002/PDI.1566","url":null,"abstract":"","PeriodicalId":92116,"journal":{"name":"Practical diabetes international : the journal for diabetes care teams worldwide","volume":"65 3","pages":"94-94"},"PeriodicalIF":0.0,"publicationDate":"2011-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/PDI.1566","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"51025025","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":"Provision of laparoscopic bariatric surgery","authors":"D. Galloway","doi":"10.1002/PDI.1556","DOIUrl":"https://doi.org/10.1002/PDI.1556","url":null,"abstract":"","PeriodicalId":92116,"journal":{"name":"Practical diabetes international : the journal for diabetes care teams worldwide","volume":"5 1","pages":"56-57"},"PeriodicalIF":0.0,"publicationDate":"2011-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/PDI.1556","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"51024877","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":"Insulin should be prescribed at the outset of diagnosis of type 2 diabetes","authors":"M. Kong, A. Bickerton","doi":"10.1002/PDI.1564","DOIUrl":"https://doi.org/10.1002/PDI.1564","url":null,"abstract":"","PeriodicalId":92116,"journal":{"name":"Practical diabetes international : the journal for diabetes care teams worldwide","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2011-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/PDI.1564","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"51024630","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":"Enhancing diabetes inpatient care: the momentum increases","authors":"M. Cummings","doi":"10.1002/PDI.1558","DOIUrl":"https://doi.org/10.1002/PDI.1558","url":null,"abstract":"reactive. A hospital ward recognises there is a problem with a patient’s diabetes care (who has often been admitted with a diagnosis unrelated to their diabetes) and summons specialist help. The problem with this approach is several fold. Firstly, it relies upon a ward recognising there is a problem. Many hospital health care professionals still do not recognise the relationship between good glycaemic control and improved wound healing rates, quicker resolution of sepsis and other conditions that rely upon phagocyte function. Secondly, if the specialist team are contacted for advice it is often too late, several days after admission when metabolic control could have been targeted earlier with more clinical impact. Thirdly, these patients with diabetes often have other unrecognised diabetes related comorb idities that could have benefited from diabetes specialist review. Fourthly, many of these patients may have been on intravenous insulin sliding scales unnecessarily (potentially delaying discharge from hospital, increasing costs and the need for nursing support), experienced unnecessary hypoglycaemic episodes and be exposed to drug errors that could have been avoided (incorrect type and timing of insulin being particular favourites). All of these problems impact upon quality of care, costs of hospital care and delay hospital discharges. The magnitude of this problem should not be underestimated since 15–20% of inpatients have concomitant diabetes. Given the above observations, it is heartening to see that there is growing recognition of the value of prospective diabetes inpatient care at a national level through NHS Diabetes, Diabetes UK and other organisations. This has arisen with the results of a number of studies which have clearly demonstrated the benefits of prospective diabetes specialist involvement. The article by Andrew Brooks and colleagues (page xxx) continues to support this approach with an average reduction in length of stay exceeding five days per patient with diabetes (with a primary diagnosis of diabetes) and significant reduction in prescription and management errors through multi-professional twice-weekly whole hospital visits. Thankfully, wider recognition and value of this approach towards inpatient diabetes care are emerging within the NHS and our own department were recently awarded the National Winners, NHS Health and Social Care Awards 2010, for our prospective diabetes hospital service. At a time when hospital capacity is severely stretched over winter months, diabetes specialist teams can have an important role to play in diabetes care, improving care quality and also impacting upon duration of hospital stay. All hospital diabetes teams should now be given the opportunity to provide this prospective care with dedicated time to deliver this service. The evidence is unequivocal.","PeriodicalId":92116,"journal":{"name":"Practical diabetes international : the journal for diabetes care teams worldwide","volume":"48 5","pages":"59-59"},"PeriodicalIF":0.0,"publicationDate":"2011-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/PDI.1558","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"51024930","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":"Diabetes myths and legends: the Iliad and the Odyssey","authors":"M. Davies","doi":"10.1002/PDI.1551","DOIUrl":"https://doi.org/10.1002/PDI.1551","url":null,"abstract":"","PeriodicalId":92116,"journal":{"name":"Practical diabetes international : the journal for diabetes care teams worldwide","volume":"83 1","pages":"37"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/PDI.1551","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"51024799","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":"Depression and Diabetes. Edited by Wayne Katon, Mario Maj and Norman Sartorius. Published by Wiley-Blackwell, August 2010 Price: 180 pages ISBN: 9780470688380 Website: www.wiley.com","authors":"J. Huber","doi":"10.1002/PDI.1541","DOIUrl":"https://doi.org/10.1002/PDI.1541","url":null,"abstract":"","PeriodicalId":92116,"journal":{"name":"Practical diabetes international : the journal for diabetes care teams worldwide","volume":"86 1","pages":"11-11"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/PDI.1541","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"51024962","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":"Diabetic ketoacidosis following steroid treatment in a patient with gestational diabetes mellitus","authors":"L. Alexandre, K. Shipman, A. Brahma, J. Turner, T. Wallace, K. Stanley, R. Temple","doi":"10.1002/PDI.1545","DOIUrl":"https://doi.org/10.1002/PDI.1545","url":null,"abstract":"In addition, metabolic changes inpregnancy increase the risk of DKA.These include insulin resistancecaused by increased circulating levels of hormones including prog-esterone, oestrogen, cortisol andhuman placental lactogen in thecontext of reduced buffering capacity due to decreased bloodbicarbonate levels secondary to res-piratory alkalosis in pregnancy.","PeriodicalId":92116,"journal":{"name":"Practical diabetes international : the journal for diabetes care teams worldwide","volume":"31 9","pages":"21-23"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/PDI.1545","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"51024578","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}