Diabetes UK | December 2018 | 26,378 diabetes-related lower limb amputations in the last three years
New analysis from Diabetes UK shows there were 26,378 lower limb amputations related to diabetes in England from 2014 to 2017, an increase of almost one- fifth (19.4%) from 2010-2013.
The analysis reveals that here has been a significant rise in minor lower limb amputations (26.5%), defined as below the ankle, and a more gradual increase in the number of major lower limb amputations (4.1%), defined as below the knee.
Head of Care at Diabetes UK, Dan Howarth said:
“The shocking number of lower limb amputations related to diabetes grows year on year. An amputation, regardless of whether it’s defined as minor or major, is devastating and life-changing. A minor amputation can still involve losing a whole foot.
“To reduce the number of amputations related to diabetes, we are calling on NHS England to maintain the Diabetes Transformation Fund beyond 2019. Many diabetes amputations are avoidable, but the quality of footcare for people living with diabetes varies significantly across England. Transformation funding since 2017 is working and will help to reduce these variations, but much work still needs to be done.” (Source: Diabetes UK)
NHS England | November 2018 |Very low calorie diets part of NHS action to tackle growing obesity and Type 2 diabetes epidemic
NHS Chief executive Simon Stevens has announced that people recently diagnosed with Type 2 diabetes will be trialled as part of a new NHS long term plan, which will increase the focus on prevention as well as treatment.
As well as improving the health of patients,this will also save the NHS money that can be reinvested in frontline care. Currently, the health service in England spends around 10% of its budget on treating diabetes.
The scaling up of the NHS DPP scheme, the first in the world to become available country-wide, comes after it proved even more successful than planned with patients losing on average a kilogram more than expected.
The nine month programme helps people to:
achieve a healthy weight
improve overall nutrition
increase levels of physical activity
Online versions of the DPP, which involve wearable technologies and apps to help those at risk of Type 2 Diabetes, will also be provided for patients who find it difficult to attend sessions because of work or family commitments (Source: NHS England).
Iacobucci, G. | 2018 |Type 2 diabetes affects 7000 young people in England and Wales, analysis shows| BMJ |363| k4929
Analysis of figures from Diabetes UK show that type 2 diabetes is affecting more young people in England and Wales than previously forecast. 7000 children are being treated for the condition shows the data from NHS Digital (collated from GP practices) the prevalence of the condition is much higher than previously thought.
Currently, over a third of children in England (34%) are overweight or obese by the time they leave primary school. Diabetes UK warned that thousands more children could have type 2 diabetes diagnosed without decisive support for young people (Source: BMJ)
NHS England | November 2018 | NHS to provide life changing glucose monitors for Type 1 diabetes patients
Simon Stevens Chief Executive of NHS England has announced that thousands of people with diabetes will be able to access Freestyle Libre; a wearable sensor that means those with the condition no longer need to rely on inconvenient and sometimes painful finger prick blood tests, as the device works by relaying glucose levels to a smart phone or e-reader. This announcement marks an end to the current variation some people in different parts of the country were experiencing.
The pioneering technology should ultimately help people with Type 1 diabetes achieve better health outcomes and benefits for patients include:
Easily noticing when sugar levels are starting to rise or drop, so action can be taken earlier
Giving patients more confidence in managing their own condition
Not having to do as many finger-prick checks (Source: NHS England)
New research shows that plant-based diets were associated with improvement in several areas for adults with type 2 diabetes including emotional well-being, physical well-being, depression, quality of life and general health | BMJ Open Diabetes Research & Care | via OnMedica
Research published in BMJ Open Diabetes Research & Care analysed 11 trials of diet interventions, including a total of 433 adults with type 2 diabetes, that had clearly defined health outcomes and were peer-reviewed. The findings revealed that plant-based diets were associated with significant improvement in emotional well-being, physical well-being, depression, quality of life, general health, HbA1c levels, weight, total cholesterol and low-density lipoprotein cholesterol in adults with type 2 diabetes compared with several diabetic associations’ official guidelines and other comparator diets.
Whilst the review authors noted the limitations of the study, they concluded that plant-based diets can significantly improve psychological health, quality of life, HbA1c levels and weight and therefore the management of diabetes.
Diabetes UK | October 2018 | Making hospitals safe for people with diabetes
The report from Diabetes UK has been created by an alliance of groups and individuals striving to improve hospital care for people with diabetes. Thorough engagement with diabetes inpatient teams, ward staff, people with diabetes and hospital management means we now understand the depth of the challenges facing the NHS in improving diabetes inpatient care. For their report, Diabetes UK visited
hospitals across the country to find out what works.
Image source: Diabetes.org.uk
The report outlines six points that the UK needs to make hospitals safer for people with diabetes.
multidisciplinary diabetes inpatient teams in all hospitals
strong clinical leadership from diabetes inpatient teams
knowledgeable healthcare professionals who understand diabetes
better support in hospitals for people to take ownership of their diabetes
better access to systems and technology
more support to help hospitals learn from mistakes.
The report outlines these points in more detail and highlights what needs to be in place in all acute hospitals across England to make sure every stay for someone with diabetes is safe.
The report’s recommendations are based on models from across the UK which have been shown to improve patient care (Source: Diabetes UK).