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Found 163 results
  1. Content Article
    For World Diabetes Day, Lotty Tizzard, Patient Safety Learning's Content and Engagement Manager, takes a look at the benefits of closed-loop insulin delivery, how patients have literally led on its development, and patient safety issues associated with artificial pancreas systems.
  2. Content Article
    This patient decision aid from the National Institute for Health and Care Excellence (NICE) aims to help adults with type 2 diabetes understand the risks and benefits of taking a second medication, so that they can make an informed decision about their care.
  3. News Article
    Misdiagnosed Type 1 diabetes patients could be freed from the need to take insulin after a new test is rolled out. Scotland will become the first country to offer the C-peptide blood test to all patients who have had a Type 1 diagnosis for at least three years. The test shows how much insulin a patient's body is producing itself. A pilot by NHS Lothian allowed some people who had been taking insulin to stop or reduce the treatment. The test will be available from 1 November. C-peptide testing, which has been used as part of diagnosis for some patients for many years, can help distinguish whether a patient has Type 1 or Type 2 diabetes. C-peptide is made in the body at the same time as insulin. By testing levels of C-peptide, doctors can work out how much insulin a diabetes patient is making themselves. If C-peptide is present in significant amounts, it might indicate that the person does not have Type 1 diabetes at all, and consequently may not need daily insulin injections. The tests will be offered at hospital diabetes centres. Public Health Minister Maree Todd said that tackling diabetes was a priority for the Scottish government and that she wanted everyone living with diabetes to access safe, effective healthcare, treatment and support. She said: "Type 1 diabetes is a significant health challenge right across the world." Read full story Source: BBC News, 31 October 2021
  4. Content Article
    This guidance from the Care Quality Commission is aimed at adult social care services managers and staff. It explains the care needs associated with type 1 and type 2 diabetes.
  5. Content Article
    Diabetic eye screening (DESP) is a national programme which is designed to pick up changes in the retina, at the back of the eye, in people with diabetes. These changes, known as diabetic retinopathy, are usually detected long before eyesight is affected. The goal of screening is to find people with sight threatening retinopathy, so that advice and treatment can be offered to prevent sight loss, as diabetic retinopathy is one of the leading causes of blindness in the UK. In this presentation, Dr Elizabeth Wilkinson, Clinical Lead Devon DESP, discusses harm in diabetic eye screening,what a clinical harm review is and communication, including Duty of Candour.
  6. Content Article
    The efficacy of injection therapy in diabetes depends on correct injection technique. The aim of the Insulin Injection Technique Questionnaire was to understand how people with diabetes inject, so that guidance can be tailored towards improving injection technique. This article in the Journal of Diabetes analyses the results of the 2008-2009 survey and identifies areas where improvements have been made since the last survey, and areas where there is still progress to be made.
  7. Content Article
    At Patient Safety Learning we believe that sharing insights and learning is vital to improving outcomes and reducing harm. That's why we created the hub; providing a space for people to come together and share their experiences, resources and good practice examples.  This month, our Content and Engagement Manager, Steph, has hand-picked seven resources, particularly relevant for patient safety managers working in hospital settings. Shared with us by hub members and patient safety advocates, they are jam-packed with practical tools and rich insights. 
  8. Event
    Poor lifestyle choices are leading to a rapid growth in non-communicable diseases, resulting in increased healthcare expenditure, preventable morbidity, and premature deaths. The increasingly sedentary nature of our lifestyles, which can lead to obesity or being overweight, has contributed to growth in the numbers suffering from type 2 diabetes and heart disease. Prevention and effective management of long-term conditions is likely to be more cost effective than treating the illnesses as they occur. This webinar will highlight how behaviour change can reduce the likelihood of becoming obese, becoming type 2 diabetic, or suffering from heart disease. The session will look at recommendations around four key health and wellness pillars; activity, sleep, stress and nutrition and how achieving balance across them can help prevent some non-communicable diseases. It will explore ‘social prescriptions’ and the role they can play to help those at risk of, or suffering from these diseases to actively participate in their own health and care. Additionally, it will consider how remote patient monitoring can help proactively manage these patient populations outside of primary and secondary care environments, reducing the burden on NHS resources. Register
  9. Content Article
    In this short film, National Specialty Advisor for Diabetes, Partha Kar shares 4 steps for improving the safety of diabetic inpatients.  Highlighting practical resources along the way, Partha focuses on the following key areas to help colleagues understand how they can improve outcomes locally: Identifying support needs quickly Self-management policy Peri-operative safety policy Free insulin safety training. Links to all of the resources mentioned in the film can be found at the bottom of this page. 
  10. News Article
    It has been recommended by UK researchers that patients, regardless of their metabolic rate, should be given weight management advice as people with obesity were still at risk of diabetes, cardiovascular and respiratory diseases. A recent study found that regardless of your metabolic rate, it did not necessarily mean that the patient with obesity were healthy and that doctors should avoid using the term “metabolically healthy obesity” as it could be misleading. Read full story. Source: Nursing Times, 11 June 2021
  11. Content Article
    This guide for people who inject insulin or GLP-1 to treat diabetes includes information on: how to correctly inject insulin where to inject to ensure insulin and GLP-1 medication enter the body correctly how to avoid ‘Lipos’ how to store medication correctly how to dispose of needles safely.
  12. Content Article
    This checklist is for people who inject insulin or GLP-1 medication to treat their diabetes. It details the steps patients should take to ensure they inject their medication correctly and explains the impact of failing to take certain steps - such as moving injection sites and changing needles - on blood glucose control.
  13. Content Article
    NaDIA-Harms is a year-round collection of four harms that can occur to diabetic inpatients in England: Hypoglycaemic Rescue Diabetic Keto Acidosis (DKA) Hyperglycaemic Hyperosmolar State (HHS) Diabetic foot ulcer The objective of the harms collection is to reduce the rates of the above serious inpatient harms by collecting and providing regular feedback to hospital trusts to inform quality improvement work on a monthly basis. All acute hospitals in England, with inpatients with diabetes are eligible to participate.  This webpage includes guidance on how to participate and patient information.
  14. Content Article
    A hospital stay for a person with diabetes can be a frightening experience and it is easy to understand why. In 2017, an estimated 9,600 people required rescue treatment following a severe hypoglycaemic attack. 2,200 people suffered from Diabetic Ketoacidosis (DKA) because of under treatment with insulin. We can and must do better for people with diabetes in hospital.Diabetes UK have a number of resources and tools to improve inpatient and hospital care for people with diabetes.
  15. Content Article
    This guideline from The Centre for Perioperative Care (CPOC) provides recommendations to support delivery of quality perioperative care for people with diabetes undergoing surgery, from time of contemplation of surgery to discharge back to the community. The recommendations are supported by a set of practical and visual resources collated from units across the NHS, who have developed perioperative services for people with diabetes undergoing surgery.
  16. News Article
    A concise training programme aimed at informing healthcare staff about diabetes has the potential to significantly improve patient safety, according to researchers. The programme, which was developed by the North West London Collaboration of Clinical Commissioning Groups, has been linked with a reduction in diabetes-related errors. The Diabetes 10 Point Training Programme was initially created with the aim of improving inpatient safety by ensuring frontline staff have access to diabetes training. Researchers from the CCG collaboration noted that the annual National Diabetes Inpatient Audit (NaDIA) had made for “grim reading with errors, harm, increased length of stay and mortality”. They highlighted that a workforce with knowledge of diabetes was “crucial to inpatient safety”, and said that complex diabetes care could be delivered by non-specialists with adequate training. Read full story Source: Nursing Times, 29 April. 2021
  17. Event
    until
    Diabetes technology, in particular real-time continuous glucose monitoring (rt-CGM) devices are revolutionising the management of type 1 diabetes (T1D). The devices provide important advances in blood glucose monitoring technology that address the unmet need for detection of day-to-day glycaemic variability and patient-specific patterns of hyper- and hypoglycaemia. Currently it is estimated that less than 5% of people with T1D are using continuous glucose monitoring to manage their diabetes1 and the access to this technology can vary significantly between clinical commissioning groups2 creating vast inequalities in access. Joining this 1 hour webinar you will see thought leaders highlight the key clinical and real-world benefits of rt-CGM use. Explore best practices for patients on intensive insulin therapy and during pregnancy and review current access criteria for diabetes technology across the UK. This interactive session is designed to bring to life the positive advances in diabetes technology and the importance of gaining access to support long term diabetes management. As well as hearing from thought leaders in diabetes, you will have the opportunity to ask questions throughout. Register
  18. News Article
    The mother of a man who died after suffering neglect said she felt "extreme distress and anger" at a critical new report into his care home. James Delaney, 37, died while he was a resident at Sapphire House in Bradwell, Norfolk, in July 2018. After an inadequate rating by the Care Quality Commission (CQC), Mr Delaney's mother said she felt lessons had not been learned from her son's death. A spokeswoman for operator Crystal Care said it had "addressed all concerns". Mr Delaney, who died of a diabetes-related illness, was required to take insulin twice a day, but, despite staff noting he had not taken insulin for three days, they failed to take action. Jacqueline Lake, senior coroner for Norfolk, said at his inquest in 2019 there had been "a gross failure" by the care home to provide "basic medical attention". The home, which houses up to five people who have a learning disability or autistic spectrum disorder, was inspected in January and February 2021 after two whistleblowers alleged that abusive practices were taking place - a claim which is being investigated by the local safeguarding team. CQC inspectors found "people were not safe and were at risk of avoidable harm", and while risk assessments for diabetes, medicines and behaviour management existed, information was often "lacking or inaccurate". After reading the report, Mr Delaney's mother, Roberta Conway, said her reaction was one of "extreme distress and anger". She said the coroner had "pointed out what needed to be done, and it hasn't been done". "It cost my son his life and I don't want to see anybody else's life being wasted," she added. Read full story Source: BBC News, 21 April 2021
  19. Content Article
    National data shows that 17.5% of inpatients have diabetes of whom 35 % are on insulin therapy. Less than 10% of these admissions are related to diabetes primarily. In the majority of admissions, diabetes is a secondary co-morbidity. These patients are often cared for by teams other than the diabetes team. Inpatient Diabetes Training and Support (ITS) forms the basis for a blended inpatient diabetes educational tool which includes a web based educational resource (including links to educational material and guidance) and short educational animated videos based on real scenarios. This web portal can also serve as a standalone platform for quick access to guidance, educational videos and top tips for reference.  
  20. Content Article
    Evidence tells us that involving people with diabetes, carers and the public in designing and improving diabetes services can transform people's lives, improve care and develop the resilience of individuals and communities. The link below directs you to the Diabetes UK webpage, where you'll find a number of resources and tools to improve user involvement in diabetes care.
  21. Content Article
    In this article, published by the British Journal of Diabetes, authors argue: "For most, if not all, health economies it is possible to deliver care for all people with diabetes in a more effective and cost-effective way. To do this requires excellent clinical leadership, clear governance, respect for culture and relationships that already exist, service user and carer involvement at the centre, financial and contacting mechanisms that help rather than hinder innovation (even though there is unlikely to be any additional money), joined-up IT systems and a workforce that is committed to improvement and that understands its role. Consultant diabetologists have told us they are up for the challenge. The time has come to go and ruffle a few feathers, take some calculated risks and achieve something of which we can be proud."
  22. Content Article
    Getting It Right First Time (GIRFT) is designed to improve the quality of care within the NHS by reducing unwarranted variations. By tackling variations in the way services are delivered across the NHS, and by sharing best practice between trusts, GIRFT identifies changes that will help improve care and patient outcomes, as well as delivering efficiencies such as the reduction of unnecessary procedures and cost savings.
  23. News Article
    A cohort of scientists from across the world believe that there is a growing body of evidence that COVID-19 can cause diabetes in some patients. Prof Francesco Rubino, from King’s College London, is leading the call for a full investigation into a possible link between the two diseases. Having seen a rise in both type 1 and type 2 diabetes in people who have caught coronavirus, some doctors are even considering the possibility that the virus ‒ by disrupting sugar metabolism ‒ could be inducing an entirely new form of diabetes. Rubino and others set up a registry to start pooling and analysing reports of cases. The principal investigators of the registry which has received reports from more than 350 individual clinicians who suspect they have encountered one or more cases of Covid-induced diabetes — have said the numbers were hard to ignore. “Over the last few months, we’ve seen more cases of patients that had either developed diabetes during the Covid-19 experience, or shortly after that. We are now starting to think the link is probably true – there is an ability of the virus to cause a malfunctioning of sugar metabolism,” said Rubino. If there was a biological link, it would be difficult to prove without a substantial database, he noted. “We said it’s worth embarking on an investigation because this – especially given the size of the pandemic – could be a significant problem.” Read story Source: The Guardian, 19 March 2021
  24. News Article
    A study is under way in the Southern Health Trust area to investigate possible links between Type 1 diabetes and COVID-19. A consultant paediatrician said there has been an increase in the number of young people being diagnosed since the beginning of the pandemic. Last year, the trust said there were 41 new cases, its highest yearly total on record. Dr Sarinda Millar specialises in Type 1 diabetes in children and young people. "We are having more diagnoses, specially since the start of 2021 but more last year, as well," she said. "...in January we had nine new cases of Type 1 diabetes in children and young people in one week alone in our trust area," she said. "In other years, we wouldn't even have had one every week. And regionally, we have all seen an increase in Type 1 diabetes which leads us to question is COVID-19 in some way related?" Because of the increase in Type 1 diabetes over the past year, the Southern Trust is commissioning fresh research on the matter. "It is quite a wide piece of research we are hoping to do," Dr Millar said. "As well as looking to see if these children have been exposed to Covid, looking at their antibody status, we also want to know what other implications COVID-19 has had. For example, have families delayed bringing their child to hospital? We have seen that children are presenting sicker." Read full story Source: BBC News, 8 March 2021
  25. Content Article
    UCL Partners have developed a series of proactive care frameworks to restore routine care by prioritising patients at highest risk of deterioration, with pathways that mobilise the wider workforce and digital/tech, to optimise remote care and self-care, while reducing GP workload. The frameworks include atrial fibrillation, high blood pressure, high cholesterol, type 2 diabetes, asthma and COPD.
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