NHS Mandate pledges diabetes commitment – March 30, 2018

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TABLE OF CONTENTS

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NHS Mandate pledges diabetes support

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Toujeo® shows ‘statistically significant’ HbA1c improvements in type 1 diabetes

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Recommendations issued in foot care audit report

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ABCD issues diabetes coding tips

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Insulin dose and type 1 diabetes leaflets published

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One tribe – Dr Partha Kar’s latest blog post

This year I walked into the London ExCel on a Tuesday morning with interest… the annual Diabetes UK conference. Was it to be more of the same or something different? Diabetes has had a reasonably good year, especially when you compare it to other areas, whether that's in the extra money to improve care, spread the type 2 diabetes prevention programme, a move into the sphere of digital technology, as well as on the background of studies such as DIRECT... it's been interesting times. So how would that translate into on the ground? How would the general healthcare community feedback on that?

Tuesday started with the trainees day and I have rarely been surprised at the ideas our trainees can bring to the table, if "allowed". Tuesday was no different. A particular session where we asked trainees to come up with a few ideas to improve safety was fun along with being informative and the plan is to take a few of those forward, with the folks who formed the ideas, involved in it. To read more, click here.

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NHS Mandate pledges diabetes support

A commitment to improving the management and care of people with diabetes has been laid out in the recently published NHS Mandate.

The document reaffirms the commitment of the Government and NHS England to 'Healthier You', the NHS Diabetes Prevention Programme.

Additionally, it ensures that local areas will be held to account through the CCG Improvement and Assessment Framework. To read more, click here.

Toujeo® shows ‘statistically significant’ HbA1c improvements in type 1 diabetes

Sanofi’s Toujeo® (insulin glargine 300 units/mL (Gla-300)) has demonstrated 'statistically significant' improvements in HbA1c in people with type 1 diabetes at six months, according to real-world retrospective data presented today.

The mean difference in HbA1c from baseline to month six was –4.4 mmol/mol (95 per cent confidence interval [CI]: −6.3, −2.5; p<0.001), the results of a UK study presented for the first time at ENDO 2018, the Endocrine Society’s 100th Annual Meeting & Expo, in Chicago, showed. This change was statistically significant, Sanofi said. To read more, click here.

Recommendations issued in foot care audit report

A series of recommendations have been issued on the back of the latest results from the National Diabetes Foot Care Audit (NDFA).

Less than half of participating commissioners confirmed that all three care structures were in place (47 per cent), according to findings from the third annual report covering England and Wales published on March 14. To read more, click here.

ABCD issues diabetes coding tips

A Diabetes consultants association has published a list of tips for diabetes coding.

The Association of British Clinical Diabetologists (ABCD), the national organisation of consultant physicians in Britain who specialise in diabetes, provided the tips in an article on its website called Top 10 tips for coding in diabetes. To read more, click here.

Insulin dose and type 1 diabetes leaflets published

Advice on managing insulin doses at mealtimes and what do if someone with type 1 diabetes is unwell has been published by a leading diabetes nurse organisation.

The Managing Mealtime Insulin and Type 1 diabetes: What to do when you are unwell leaflets have been uploaded to the Training, Research and Education for Nurses in Diabetes-UK (TREND-UK) website for members to access and to pass onto the people they treat with diabetes.

To read more, click here.

DIABETES DIGEST

Mixed reviews for new type 2 diet guidelines

Diabetes UK’s new dietary guidelines for type 2 diabetes have reignited the ‘low fat, high fat’ debate.

The guidelines were presented at the Diabetes UK Professional Conference 2018 held in London last week. They suggested that “one size of diet does not fit all” and stated that dietary advice needs to be tailored.

To read more, click here.

'Nutrition should be part of GP training' say experts

Medical schools should teach future GPs about nutrition in response to the increase in type 2 diabetes, according to the British Medical Association (BMA).

Training for young doctors has been described as “outdated”, with calls for curriculums to include healthy eating. To read more, click here.

Tailored older people diabetes care should be mandatory says professor

A leading global expert on personalised care for older people has called for a change in approach to ensure tailored healthcare for all.

Professor Elbert S. Huang, Director of the Center for Chronic Disease Research and Policy (CDRP) at The University of Chicago, believes technology may hold the key to the universal introduction of personalised care.

To read more, click here.

Footcare outcomes can be 'improved' if pathways are introduced

"Strong suggestive evidence" indicates that appropriate changes in the relevant care pathways can result in a prompt improvement in clinical outcomes in diabetes footcare, an article has concluded.

Professor William Jeffcoate, from the Nottingham University Hospitals NHS Trust, led the commentary-type article, which investigated why foot ulcers remain a major health care problem around the world, despite considerable advances in treatment over the last 25 years.

To read more, click here.

New Facebook group for DSNs

A new social media forum has been formed for diabetes specialist nurses to share information and ideas.

The Diabetes Specialist Nurse Forum UK has been launched on Facebook to facilitate support and encourage collaboration. More than 200 members have joined in less than one week. To read more, click here.