Diabetes Programme Workstreams
Diabetic Retinopathy is the leading cause of blindness and serious visual impairment in Ireland. 90% of people with diabetes will develop retinopathy, 10% will be sight threatening if undetected and not treated. There are over 140,000 diabetics in Ireland approximately, hence approximately 15,000 will develop serious visual impairment if they are not identified and treated. Diabetic Retinopathy Screening Service is provided through the National Screening Service. 30% of registered diabetics were invited for screening in 2013 with the remaining 70% to be invited in 2014. Find more information on Diabetic Retina Screen Diabetic foot disease is one of the most common, feared, serious and costly complications of Diabetes. Patients with diabetes are at a 15 to 40 fold higher risk of a lower limb amputation than a non-diabetic patient. Eighty percent of lower limb amputations in diabetes are preceded by the development of a foot ulcer and it is estimated that the annual incidence of lower limb ulceration in patients with diabetes varies between 2.2% to 7.0%. Diabetic foot disease is costly, with patients frequently requiring admission to hospital, investigations, surgery and a prolonged hospital stay. Model of care for the provision of insulin pump therapy to children under 5 years of age with type 1 diabetes The proposed Model of Care for People with Type 2 Diabetes espouses the concept of “Integrated Care”, where primary, secondary and tertiary care come together and communicates effectively and coherently to manage the person with Type 2 diabetes. Integration of services around the patient and across services becomes more robust and effective as joint ownership of the care and outcomes of people with diabetes become the focus of the service. The service can then develo Continue reading >>
- Type 2 diabetes can be REVERSED by strict weight loss programme without medication, study finds
- Diabetes programme ‘changing my life’
- American Diabetes Association® Releases 2018 Standards of Medical Care in Diabetes, with Notable New Recommendations for People with Cardiovascular Disease and Diabetes
X-pert Head Office Is Closed Over The Christmas Period
X-PERT Health provides effective education courses to prevent, manage and reduce the escalating financial burden of diabetes. Our growing network of 84 centres and more than 600 educators has helped more than a quarter of a million people so far. Our courses are national programmes that fully meet the Department of Health and Diabetes UK criteria to fulfil the National Institute of Health and Care (NICE) guidance. Our aim is to ensure that all people at risk of, or diagnosed with, diabetes have access to good quality and enjoyable structured education leading to increased skills, knowledge and confidence in the prevention and self-management of their long-term medical conditions. Whether you have had diabetes for 20 years or whether you have been newly diagnosed, our courses are for you. We have 3 programmes, these are: Written by Dr Trudi Deakin, the X-PERT Programmes are based upon the theories of patient empowerment, discovery learning and patient-centred care. People with diabetes see a healthcare professional for around 3 hours each year and have to spend the remaining 8,757 hours self-managing their condition. The existing government is determined to try and control the cost of health services across the UK through education and awareness and has set up the National Diabetes Awareness and Prevention Programme. This means that everyone who is at risk or has type 2 diabetes should have access to training for self-management. We can demonstrate proven results that X-PERT Health: can reduce the burden of cost on the NHS budgets, uses the most up to date evidence based research, is independent of both the NHS and commercial interests, is the only Diabetes Education and Awareness programme that provides ongoing support, and is NHS NICE guideline accredited. What is Diab Continue reading >>
Education, Prevention And The Role Of The Nursing Team
Education Self-management skills are an essential part of diabetes care and with the help and support of nursing staff the condition can be managed to help people stay healthy and prevent complications. Diabetes UK provide resources for health care professionals to increase the provision and uptake of diabetes self-management education. Three of the main diabetes education courses available to people with the condition in the UK are: DAFNE is a working collaborative of 75 diabetes services from NHS Trusts and Health Boards across the UK and Ireland. It is a structured education programme in intensive insulin therapy for adults with type 1 diabetes providing them with the necessary skills to estimate the carbohydrate content of their meal and to inject the correct dose of insulin. DESMOND is a group of self-management education modules, toolkits and care pathways for people with, or at risk of, type 2 diabetes. The programme offers training and quality assurance for health care professionals and lay educators to deliver any of the modules to people in their local communities. X-PERT Diabetes Programme is for people with diabetes and aims to increase the knowledge, skills and understanding of the condition in order that they can make lifestyle choices to manage their blood glucose levels effectively. Type 2 Diabetes and Me is an online step-by step guide for people with type 2 diabetes that provides information about the condition and the options and support available to them. The RCN has developed Diabetes essentials, a CPD online learning resource covering the core concepts of diabetes, diagnosis and current treatments and the role of the nursing team in treating people with diabetes. Prevention Making lifestyle changes can often help people with type 2 diabetes and tho Continue reading >>
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- Exercise and Glucose Metabolism in Persons with Diabetes Mellitus: Perspectives on the Role for Continuous Glucose Monitoring
Preventing Diabetes Programme
Welcome to your local Healthier You: NHS Diabetes Prevention service Empowering people with a high risk of developing Type 2 diabetes to take charge of their health and wellbeing. A record number of people in the UK are living with Type 2 diabetes. This figure has more than doubled since 1996. Sadly many people will experience potentially preventable complications because of diabetes, simply because they don’t know enough about their condition and how to manage it. The good news is if you're at risk of Type 2 diabetes there are lots of small changes you can make to prevent diabetes from developing in the first place and there are different ways to get that support, here in Barnsley. From July 2017 the local Healthier You: South Yorkshire and Bassetlaw programme is here to support people at risk of developing Type 2 diabetes. They run programmes across the borough with times and locations to suit you. If there isn't a programme running in your area at the time of your referral, you will be placed onto the area waiting list until the next programme begins. You also have the opportunity to attend programmes in other areas should you wish. How to get on the programme Talk to your healthcare team next time you have your NHS health check. Or visit the Healthier You website for more information. There are also lots of other great ways to make small changes for a healthier you. Visit Be Well Barnsley for lots of great ideas and information about course available across the borough. Continue reading >>
About The Diabetes Programme
The mission of the WHO Diabetes Programme is to prevent diabetes whenever possible and, where not possible, to minimize complications and maximize quality of life. The overall goal of the Diabetes Programme is to improve health through stimulating and supporting the adoption of effective measures for the surveillance, prevention and control of diabetes and its complications, particularly in low- and middle-income countries. Core functions The above goal is addressed by focusing on the following core functions. These functions are in close alignment with the core functions of WHO: To oversee the development and adoption of internationally agreed standards and norms for the diagnosis and treatment of diabetes, its complications and risk factors. To promote and contribute to the surveillance of diabetes, its complications and mortality, and its risk factors. To contribute to building capacity for the prevention and control of diabetes. To raise awareness about the importance of diabetes as a global public health problem. To act as an advocate for the prevention and control of diabetes in vulnerable populations. Continue reading >>
- Type 2 diabetes can be REVERSED by strict weight loss programme without medication, study finds
- Diabetes programme ‘changing my life’
- American Diabetes Association® Releases 2018 Standards of Medical Care in Diabetes, with Notable New Recommendations for People with Cardiovascular Disease and Diabetes
Malawi Launches National Level Diabetes Programme
It’s mid-morning at the Tuesday diabetes clinic at Queen Elizabeth Hospital in Blantyre, Malawi, and nurse Rejoice Kachapira is talking about breakfast. She explains in Chichewa (Malawi’s national language), why the first meal of the day should not be sugary or fat. While the crowd of about 60 people listens, a project assistant moves among them, taking measurements. Blood pressure is noted in the medical journals they have brought with them; blood glucose results will return from the lab after lunch. Today, like every Tuesday, the benches are full. But this wasn’t always the case, according to Grieves Mang’anda, a project assistant who has been working with the projects funded by WDF in Blantyre an Southern Malawi since 2010. “Things are changing,” he says. “The main difference is, people know about diabetes now.” Achievements go national Knowledge about diabetes – and the diabetes clinics that have spread across the southern part of Malawi – has grown dramatically in recent years. In 2008, the WDF launched its first pilot programme in this small country in south-central Africa, which worked to improve diabetes care in Blantyre, Malawi’s second-largest city and the commercial centre. Seven more projects followed, reaching thousands of people with diabetes, mainly in the country’s south. Partners have included the College of Medicine in Blantyre, the Diabetes Association of Malawi, Journalists Association against AIDS, Kamuzu Central Hospital, and Baobob Health Trust. On 30 September, these successful collaborations culminated in the launch of a national level diabetes programme. WDF14-938, Diabetes and Hypertension control in Malawi, will take the processes, learnings, and many of the materials developed in WDF programmes in southern Malawi and Continue reading >>
Diabetic Eye Screening: Programme Overview
Screening is the process of identifying people who appear healthy but may be at increased risk of a disease or condition. The NHS diabetic eye screening (DES) programme is one of the young person and adult NHS population screening programmes. Screening is different to diagnosis and there will always be some false positive and false negative results. Evidence and recommendations The UK National Screening Committee (UK NSC) assesses evidence and makes recommendations to the 4 UK governments about population screening programmes. This evidence shows that early identification and treatment of diabetic eye disease could reduce sight loss. The main treatment for diabetic retinopathy is laser surgery. The eligible population for DES is all people with type 1 and type 2 diabetes aged 12 or over. People already under the care of an ophthalmology specialist for the condition are not invited for screening. The programme offers pregnant women with type 1 or type 2 diabetes additional tests because of the risk of developing retinopathy. Read the screening tests for you and your baby booklet to learn more about this risk. Screening gives people with diabetes and their primary diabetes care providers information about very early changes in their eyes. Early warnings allow people to take preventative action to stop serious retinopathy developing. Care pathway The care pathway for diabetic eye screening provides a visual representation of the screening pathway and the evidence supporting it. The DES failsafe mechanism sits alongside the care pathway to ensure there are no problems during the process. Providing prompt care The programme is co-ordinated and led nationally, with local screening services provided in line with national quality standards and procedures. Local DES providers mu Continue reading >>
The Who National Diabetes Programme Initiative.
Abstract Epidemiological studies indicate that diabetes is a highly prevalent disease, with developing countries and minority populations now facing the highest risk. This places a strain on the health authorities, and consequently, has attracted increasing attention from the World Health Organization (WHO). The social and economic burden of diabetes is high, due to the seriousness of the complication of the disease. Many of these complications may be delayed or prevented, offering considerable opportunities for both reduction in costs to the authorities and improvements in quality of life for those affected. Following a resolution on the prevention and control of diabetes, adopted by the Forty-second World Health Assembly in 1989, the WHO diabetes programme prepared guidelines for the development of national diabetes programmes. Goals, targets and supporting materials have also been developed at the regional level by the WHO Regional Offices for Europe and for the Eastern Mediterranean. In 1994, WHO organized a meeting on the implementation of national diabetes programmes at its headquarters in Geneva. There were 70 participants and 32 counties were represented. The purposes of the meeting were to exchange information, motivate, consider evaluation, stimulate new programmes, define educational needs and prepare a written report. WHO plays a major role in the development of national diabetes programmes. In co-operation, WHO Headquarters and Regional Offices can act as clearing houses/information centres for data collection, programme monitoring and evaluation and the exchange of experience and technical information. The national diabetes programme initiative should result in improvements in diabetes control and care worldwide. Continue reading >>
Have You Ever Found A Photo Of You Used In An Unexpected Way?
Yes: If you recognize this photo, you're a sick bastard. (Just kidding.) This photo was my Facebook profile picture, I was very fond of it and apparently I wasn't the only one thinking that. About 4 years ago, one evening my friend messaged me that she saw this picture of me on tumblr. I thought, that's weird- I don't even have an account. From little investigation we found that the source is actually a board on a forum- “4chan”. I guess part of you if not most know what I'm talking about. I thought, that's even weirder, because I regularly browsed that forum, and never have I seen this picture, let alone posted it. I thought little of it. Few days later, my friend saw it on Imgur. Long story short, my picture was wandering many (I'm not exaggerating, it’s about hundreds) sites, boards and posts. Most commonly as a cover photo of Philippine ladies on Facebook with the tagline "live laugh love": I was a big hit on my favorite forums, pretty sure you could find my pic in the somewhere 4chan archives, and of course Imgur, Reddit, Bored panda and more. It was pretty nice and surely flattering, but I tried to stay as discreet as possible so I won't get stalked on-line or something. (Never was!) The best thing was the funny answers. One specifically made me laugh: “I wonder if the carpet matches the curtains?”- it was my first time seeing the phrase, and it took me some minutes to understand. The funniest thing ever about this is— because the image is upside down, someone uploaded it to Imgur with the caption "Australian redhead" and then my picture showed up in "aussie women" threads and forums. When me and my friends realized this, we almost died laughing. I actually found the original thread at the time in which someone joked about me must being Aussie, posted Continue reading >>
Study Backs Programme For Managing Diabetes Through Gp Visits
New research has found a significant improvement in the health of diabetes sufferers whose condition was managed through regular GP visits. An audit of the Midland Diabetes Structured Care Programme involving almost 4,000 patients over 15 years found that medical complications from type 2 diabetes were reduced by over 80%. It also found major savings can be achieved in the management of diabetes by general practitioners. There are over 200,000 people with diabetes in Ireland. The audit was launched by Minister for Health Simon Harris. Dr Velma Harkins, GP lead for the study, said: "The results have been very encouraging. We saw an 80% reduction in eye, kidney and feet complications in patients with type 2 diabetes, and a 94% reduction in heart-related complications between 2003 and 2016. "We also held patients' BMI stable. The programme serves as an example of what can be achieved through pro-active primary-care led management instead of episodic unstructured care. This approach delivers real results." She estimated the cost of running the programme nationally at about €5m a year. A more recent version of Adobe Flash Player is required to play this media Speaking on RTÉ's Six One News she said that if the programme was rolled out nationally it could save hundreds of millions of euro annually. Minister Harris said he would like to see the diabetes programme rolled out throughout the country. But he said that to do so, a new GP contract has to be put in place. Mr Harris said the results of the regional programme were "compelling" and he would like to see it extended very quickly. But he did not wish to put a timeframe on it, given there are contract talks with GPs. Continue reading >>
National Programme On Prevention And Control Of Diabetes In India: Need To Focus
Diabetes is part of a larger global epidemic of non- communicable diseases. It has become a major public health challenge globally. This disease affects 6.6% (285 million people) of the world's population in the 20-79 years age group.1 According to the International Diabetic Federation (IDF), this number is expected to grow to 380 million by 2025.2-4 The IDF published findings revealing that in 2007, the country with the largest numbers of people with diabetes is India (40.9 million), followed by China (39.8 million), the United States (19.2 million), Russia (9.6 million) and Germany (7.4 million).5-8 India is home to 40.9 million people with diabetes – nearly 15% of the global diabetes burden; it contributes 1% of the world's diabetes research.9 Projections show that this will increase to 70 million by 2025. As India has a population of 1.2 billion, 40% of whom are under the age of 18, investment in the health of India's future workforce is crucial.10 With the largest number of diabetic patients, India leads the world with earning the dubious distinction of being termed the “Diabetes Capital of the World”. The problem has been well documented in a battery of recent papers.5-7 Between 5% and 10% of the nation's health budget is spent on the prevention and treatment of diabetes. Projections show that in the next decade, India will lose US$237 billion due to diabetes, stroke and heart disease.11 Impaired Glucose Tolerance (IGT) is also a mounting problem in India. It has been noticed that with every diagnosed case of diabetes there is at least one undiagnosed case of glucose intolerance. So the actual population at risk would be much greater than our current estimate. The prevalence of IGT is thought to be around 8.7% in urban areas and 7.9& in rural areas. Around 3 Continue reading >>
What Are Some Things That Programmers And Computer Scientists Know, But Most People Don't?
Mad shit from movies: You can't zoom in on photos beyond their actual resolution We ACTUALLY DO know how to talk in human, non-techie language... our jobs depend on it! We're not all fat We're not all fat lazy geniuses Programmers are not electrical engineers... most don't own a soldering iron. Computers don't make high pitched beeps and chirps when displaying data. ...if they did, that would be the first setting disabled by any developer I have no idea how to hack. Neither do my colleagues. Developers in your workplace: Don't tell us what you think the solution is, give us the symptoms of the problem or requirement... you'll get a lot further much, much quicker Do not attempt to gain favour by talking about sci-fi... seriously, not cool! I genuinely do not know how long it will take until I look at it properly - this is not a lazy stalling tactic If it gives unwanted results after passing UAT, it's YOUR FAULT! I can see that you deleted the record. There is an audit trail!! Stop trying to blame my code and man up! Non-techie management should never pick platforms. Ever. Every time... every bloody time they get pitched a bunch of rubbish by guys with big smiles in sharp suits with a shiny box of promises. They then make an executive decision and a million dollars disappears along with what remains of my work place happiness! Code-freeze means: that bug is staying, so live with it. Agile/Scrum means: If you don't turn up to stand up meetings your work will not get done. Your fault. We are not a necessary evil. We're more creative than your marketing department. Developers in real life: Yes, I can develop web sites... but no, I won't do it for the contents of your penny jar, so don't ask as refusal may offend. I don't know specifically why your home computer is slow/broke Continue reading >>
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Diabetes Shared Care Programme Overview
A shared care diabetes programme between the Primary Health Care Department and the Department of Endocrinology and Diabetes in Mater Dei Hospital has now been taking place for around 4 years. Through this programme, patients with Diabetes are followed up at the respective health centers and managed by a multidisciplinary team of health care professionals comprising Doctors, Nurses, Podiatrists, and ophthalmologist all with a special interest in Diabetes. All data is collected in a computerised system which also serves as register of all diabetic patients . This computerised system is linked to the Endocrine and Diabetes deprtment of Mater Dei and facilitates real time consultation on problem cases with the respective consultants. Patients are seen against a standard protocol which includes that all patients undergo yearly, comprehensive foot screening by a podiatrist at their respective Health Centres. If pathology is detected, the patient is subsequently referred for vascular assessment, with the possibility of further specialised assessment by a vascular surgeon if necessary. They also undergo yearly screening for Diabetic retinopathy, in addition to an annual ophthalmic referral for full assessment by Ophthalmologists. This shared care program has ensured that patients with diabetes in Malta, are provided with long-term care that is consistent, offers continuity and holistic support, is accessible and is delivered in the context of their other medical conditions in a convenient local setting. This program upholds with the recommendations of the St Vincent Declaration. Continue reading >>
If There's Something Which You Would Do For The Last Time Before You Die, What Would That Be?
I will donate my eyes. Why? The human cornea can be procured through eye donation. There are about 1.1 million corneally blind persons in the country. Another 25,000 are added each year. Eye donation in India today meets less than five percent of the demand for corneal transplants. (National programme for control of blindness, Ministry of health and family welfare, Government of India.) Facts related to eye donation- An eye bank is an organization which deals with the collection, storage and distribution of donor eyes for purpose of corneal grafting, research and supply of the eye tissues for other ophthalmic purposes. Removal of eyes takes only twenty minutes while the cornea transplant surgery can be performed in half an hour. Though there are 171 eye banks in the country, only 51 are working in true sense. (National programme for control of blindness, Ministry of health and family welfare, Government of India.) Eyes should be donated within 6-8 hrs. of death. One cornea is grafted to one person. You can give life to two blind people. Eyes are never bought or sold. All religions endorse eye donation. Who can donate eyes- Anyone can be a donor, irrespective of age, sex, blood group or religion. Spectacle wearers, hypertensive and diabetics can also donate. Who cannot donate his/her eyes- Person suffering from Active viral Hepatitis ,Acquired immunodeficiency syndrome (AIDS) or HIV Active viral encephalitis ,Active septicemia (bacteremia, fungemia, viremia) For more details about eye donation , visit www.npcb.nic.in National programme for control of blindness, Ministry of health and family welfare, Government of India. You can give life to two people by donating your eyes. **make-a-difference** Continue reading >>
Desmond Type 2 Diabetes Programme – Wigan Borough
Do you have Type 2 Diabetes? Then Meet DESMOND… DESMOND stands for Diabetes Education and Self-Management for Ongoing and Newly Diagnosed. More simply it is: a way of finding out more about Type 2 diabetes a resource to help you manage the changes diabetes will bring to your life an opportunity to meet and share experience with others. So what is involved? Come along to a friendly and interesting talk about ways you can manage your condition and meet other people with Type 2 diabetes. Our one day sessions are available in your local area and are designed to give you an opportunity to talk about your diabetes with our specialist staff and about the things that matter to you. What will I get out of a DESMOND session? Quite a lot! As well as getting up-to-date information, you will learn practical skills which you may find helpful in managing your Type 2 diabetes. We will also discuss openly the factors relating to diabetes, such as food choices, activity and medication and you will also be able to meet and talk to others in the same situation. At the end of the sessions, everyone taking part in DESMOND will have practical information to take away to help them. Read a wonderful poem about the experience of one of our patients who recently attended Desmond. If you like to talk to us and receive more information before you attend the session please don’t hesitate to call us 01942 482231, we would be happy to chat with you. Refer yourself to our DESMOND programme: Contact details Jane Brown Desmond Co-ordinator Boston House Frog Lane Wigan WN6 7LB Telephone: 01942 482231 Fax: 01942 482257 Continue reading >>
