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Showing results for tags 'Diabetes'.
Found 170 results
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News Article
Resident died after treatment at failing care home
Patient Safety Learning posted a news article in News
A resident at an inadequate care home died after their blood glucose increased to high levels and staff acted too slowly, a report found. Inspectors said The Berkshire Care Home in Wokingham breached guidelines in nine areas and must improve. They found residents were put at risk after medicines were not used properly and that records were not up to date. The Care Quality Commission (CQC) said an ambulance was only called for the person who died when they were found to be unresponsive. They later died in hospital. Its report said staff were "not sufficiently skilled" to safely care for people with diabetes. A resident was given paracetamol and co-dydramol eight times over three days, when they should not be used together because they both contain paracetamol, the report said. Another person was burned by a cup of tea and staff did not treat the injury properly, leading to the person developing an infection and later being admitted to hospital. Staff sometimes felt "rushed and under pressure", the report found. Read full story Source: BBC News, 18 December 2021 -
Content Article
My Type 1 Diabetes - self-management education website
Patient-Safety-Learning posted an article in Diabetes
This public information website provided by the NHS is aimed at helping people with type 1 diabetes to effectively manage their condition. -
Content ArticleThis special article in Mayo Clinic Proceedings outlines practical recommendations for diabetes injections and infusions, developed at the Forum for Injection Technique and Therapy: Expert Recommendations (FITTER) workshop held in Italy in 2015. These recommendations were informed by a large international survey of current practice and were written and vetted by 183 diabetes experts from 54 countries. Recommendations are organised around the themes of anatomy, physiology, pathology, psychology and technology and aim to produce more effective therapies, improved outcomes and lower costs for patients with diabetes.
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Content ArticleThis blog on the tech website Mashable outlines the key points of a recent international consensus statement on open-source automated insulin delivery. It discusses the need for a consensus statement, the impact of this technology on the lives of people with diabetes and the importance of the statement in paving the way for further user-driven technologies and innovations in healthcare.
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Content ArticleThis best practice guideline for healthcare professionals covers optimum injection technique for people with diabetes taking injectable medications. It is an update to the original Injection Technique Matters guideline published in 2009.
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Content ArticleUptake of open-source automated insulin delivery systems is increasing globally and there is growing real-world, user-driven evidence around the safety and effectiveness of these systems. This article in The Lancet Diabetes & Endocrinology seeks to provide, from an international perspective: a review of the current evidence a description of the technologies discussion of the ethical and legal considerations a healthcare consensus supporting the implementation of open-source systems in clinical settings, with detailed clinical guidance. The authors make recommendations for key stakeholders involved in diabetes technologies, including developers, regulators, and industry.
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News Article
Blood pressure drugs could prevent type 2 diabetes, study finds
Patient Safety Learning posted a news article in News
Blood pressure drugs could prevent millions of people worldwide from developing type 2 diabetes, a large study suggests. Lowering high blood pressure is an effective way to slash the risk of the disease in the future, according to the research published in the Lancet. Doctors already prescribe cheap blood pressure drugs to reduce the chances of a life-threatening heart attack or stroke. However, until now, the question of whether these drugs could also help fend off the threat of type 2 diabetes had been unanswered. Now researchers have found the protective effects of the drugs are much wider than previously thought. The study shows they may directly reduce someone’s risk of type 2 diabetes, a condition that an estimated 13.6 million people in the UK are at high risk of developing. Currently, health experts say being a healthy weight and adopting a healthy lifestyle is the best way to reduce the risk of type 2 diabetes. Researchers say existing drugs – particularly ACE inhibitors and ARBs – should now be considered for some patients who are at higher risk of the disease. Prof Kazem Rahimi, lead researcher of the study at the University of Oxford and a consultant cardiologist, said: “Our research provides clear evidence that giving ACE inhibitors or ARBs, which are widely available and affordable worldwide, to patients at high risk could curb the growing burden of type 2 diabetes.” Read full story Source: The Guardian, 11 November 2021 -
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. -
Content ArticleThis 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.
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News Article
Scotland to rollout diabetes test for Type 1 patients
Patient Safety Learning posted a news article in News
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 -
Content ArticleThis 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.
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Content ArticleDiabetic 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.
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Content ArticleThe 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.
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Content Article
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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. -
EventPoor 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
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Content Article
Improving safety for diabetic inpatients: 4 key steps
PatientSafetyLearning Team posted an article in Diabetes
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. -
News ArticleIt 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
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Content ArticleThis 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.
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Content ArticleThis 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.
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Content Article
National Diabetes In-patient Audit - Harms (NaDIA-Harms)
PatientSafetyLearning Team posted an article in Diabetes
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. -
Content ArticleA 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.
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Content ArticleThis 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.
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News ArticleA 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
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Event
Diabetes management
Patient Safety Learning posted an event in Community Calendar
untilDiabetes 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 -
News Article
'Anger' over report into neglect death care home
Patient Safety Learning posted a news article in News
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
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