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Article points 1. Following the success of DAFNE (Dose Adjustment for Normal Eating), many centre... more Article points 1. Following the success of DAFNE (Dose Adjustment for Normal Eating), many centres have developed their own programmes teaching insulin dose adjustment and carbohydrate counting. 2. In this article, the authors assess the effectiveness of their “4-step” programme. 3. The authors conclude that although their programme did not demonstrate a significant improvement in HbA1c, it did appear to improve quality of life and there was a trend towards hypoglycaemia awareness. It was also concluded that the dietary freedom enjoyed by participants did not result in weight gain.
Sam Pearson is Lecturer in Nurse Education; Maureen Wallymahmed is Lecturer in Advanced Nursing P... more Sam Pearson is Lecturer in Nurse Education; Maureen Wallymahmed is Lecturer in Advanced Nursing Practice, both at Edge Hill University. In 2018, the Nursing and Midwifery Council published several documents relating to new standards of proficiency for registered nurses, standards for student supervision and assessment, and standards for non-medical prescribing programmes. In addition, the Code of conduct for nurses and nursing associates was updated. This article explains the changes that have been made both to pre-registration student supervision and assessment and to non-medical prescribing programmes, and discusses how this may affect diabetes specialist nursing services. These changes need to be implemented by September 2020.
60 Journal of Diabetes Nursing Volume 18 No 2 2014 This year marks the 80 th anniversary of Diabe... more 60 Journal of Diabetes Nursing Volume 18 No 2 2014 This year marks the 80 th anniversary of Diabetes UK. The charity was founded in 1934 under the name The Diabetic Association by Dr RD Lawrence and the writer HG Wells, both of whom had diabetes and were quick to realise that living with a chronic condition, such as diabetes, required ongoing education, advice and support. Prior to this, in 1925, Dr Lawrence published a book The diabetic life: Its control by diet and insulin ; this book was aimed at people with diabetes and healthcare professionals (then mainly doctors) and proved to be a big seller, reaching its 15 edition in 1944.
Practical Diabetes International
Journal of Diabetes Nursing, Sep 1, 2005
Journal of Diabetes Nursing, Nov 1, 2003
Journal of Diabetes Nursing, Feb 1, 2006
Journal of Diabetes Nursing, Jul 1, 2009
Diabetic Medicine a Journal of the British Diabetic Association, Jul 1, 2006
To implement a protocol-driven, nurse-led cardiovascular risk reduction clinic using an open clin... more To implement a protocol-driven, nurse-led cardiovascular risk reduction clinic using an open clinical algorithm. The primary aim of the clinic was to optimize blood pressure (BP) control; secondary aims were to reduce modifiable cardiovascular risk factors.
Journal of Diabetes Nursing, Mar 1, 2008
Prescriber, 2011
CLIFF BAILEY: Our brief is to look at the use of combined drug therapy in the treatment of type 2... more CLIFF BAILEY: Our brief is to look at the use of combined drug therapy in the treatment of type 2 diabetes and in particular the role of combined product formulations. The first issue that should be considered is the guiding principles that would lead us from the use of one to more than one drug. Diabetes is increasing in prevalence, and occurring more often in overweight and younger people; healthcare professionals are struggling to get people to the glycaemic target required.
Practical Diabetes, 2011
Severely unstable, or 'brittle', type 1 diabetes is characterised by recurrent admissions, usuall... more Severely unstable, or 'brittle', type 1 diabetes is characterised by recurrent admissions, usually in diabetic ketoacidosis and life disruption. It is associated with excess mortality and increased risk of diabetic complications. The long-term social and life effects of survivors have not, however, been previously explored.
Nursing standard (Royal College of Nursing (Great Britain) : 1987)
Blood pressure measurement is an essential clinical skill for all nurses. However, if the procedu... more Blood pressure measurement is an essential clinical skill for all nurses. However, if the procedure is not followed carefully there is potential for error that can adversely affect patient management. Nurses performing blood pressure measurement should be appropriately trained and updated on the procedure and the correct use of equipment. This article outlines the procedure for measuring blood pressure using a conventional mercury or aneroid sphygmomanometer and an electronic blood pressure monitor. It also identifies potential sources of error.
Nursing standard (Royal College of Nursing (Great Britain) : 1987)
This article, the first in a series of articles relating to clinical skills in nursing, outlines ... more This article, the first in a series of articles relating to clinical skills in nursing, outlines the procedure of capillary blood glucose monitoring. This is a convenient way of monitoring blood glucose patterns and can be a useful aid in guiding treatment changes in patients with type 1 and type 2 diabetes, especially during periods of illness or frequent hypoglycaemia.
Nursing standard (Royal College of Nursing (Great Britain) : 1987)
This article describes the role of insulin therapy in the management of patients with type 1 and ... more This article describes the role of insulin therapy in the management of patients with type 1 and type 2 diabetes. It outlines the different types of insulin available, insulin regimens and the key role of nurses in patient education.
Postgraduate medical journal, 1999
In a clinic population of 509 type 1 diabetic patients aged 16-45 years, 5.5% had received treatm... more In a clinic population of 509 type 1 diabetic patients aged 16-45 years, 5.5% had received treatment for thyroid disorders (20 hypothyroid, three males; eight thyrotoxicosis, four males), and Addison's disease was present in four patients (0.8%, one male). In all patients, type 1 diabetes preceded the diagnosis of the other autoimmune disorder. The clinical presentation of hypothyroidism was usually insidious with few symptoms, although an increased frequency of hypoglycaemic symptoms and/or raised serum cholesterol levels often prompted thyroid function testing. In contrast, the patients with thyrotoxicosis had florid symptoms, weight loss (mean 8.12 kg), palpable goitres, increasing insulin requirements, and low cholesterol levels. Six patients did not achieve remission or had recurrent thyrotoxicosis after oral antithyroid treatment and required 131I or thyroid surgery. A family history of autoimmune disease was present in 25% of patients with thyroid disorders (seven thyroto...
Article points 1. Following the success of DAFNE (Dose Adjustment for Normal Eating), many centre... more Article points 1. Following the success of DAFNE (Dose Adjustment for Normal Eating), many centres have developed their own programmes teaching insulin dose adjustment and carbohydrate counting. 2. In this article, the authors assess the effectiveness of their “4-step” programme. 3. The authors conclude that although their programme did not demonstrate a significant improvement in HbA1c, it did appear to improve quality of life and there was a trend towards hypoglycaemia awareness. It was also concluded that the dietary freedom enjoyed by participants did not result in weight gain.
Sam Pearson is Lecturer in Nurse Education; Maureen Wallymahmed is Lecturer in Advanced Nursing P... more Sam Pearson is Lecturer in Nurse Education; Maureen Wallymahmed is Lecturer in Advanced Nursing Practice, both at Edge Hill University. In 2018, the Nursing and Midwifery Council published several documents relating to new standards of proficiency for registered nurses, standards for student supervision and assessment, and standards for non-medical prescribing programmes. In addition, the Code of conduct for nurses and nursing associates was updated. This article explains the changes that have been made both to pre-registration student supervision and assessment and to non-medical prescribing programmes, and discusses how this may affect diabetes specialist nursing services. These changes need to be implemented by September 2020.
60 Journal of Diabetes Nursing Volume 18 No 2 2014 This year marks the 80 th anniversary of Diabe... more 60 Journal of Diabetes Nursing Volume 18 No 2 2014 This year marks the 80 th anniversary of Diabetes UK. The charity was founded in 1934 under the name The Diabetic Association by Dr RD Lawrence and the writer HG Wells, both of whom had diabetes and were quick to realise that living with a chronic condition, such as diabetes, required ongoing education, advice and support. Prior to this, in 1925, Dr Lawrence published a book The diabetic life: Its control by diet and insulin ; this book was aimed at people with diabetes and healthcare professionals (then mainly doctors) and proved to be a big seller, reaching its 15 edition in 1944.
Practical Diabetes International
Journal of Diabetes Nursing, Sep 1, 2005
Journal of Diabetes Nursing, Nov 1, 2003
Journal of Diabetes Nursing, Feb 1, 2006
Journal of Diabetes Nursing, Jul 1, 2009
Diabetic Medicine a Journal of the British Diabetic Association, Jul 1, 2006
To implement a protocol-driven, nurse-led cardiovascular risk reduction clinic using an open clin... more To implement a protocol-driven, nurse-led cardiovascular risk reduction clinic using an open clinical algorithm. The primary aim of the clinic was to optimize blood pressure (BP) control; secondary aims were to reduce modifiable cardiovascular risk factors.
Journal of Diabetes Nursing, Mar 1, 2008
Prescriber, 2011
CLIFF BAILEY: Our brief is to look at the use of combined drug therapy in the treatment of type 2... more CLIFF BAILEY: Our brief is to look at the use of combined drug therapy in the treatment of type 2 diabetes and in particular the role of combined product formulations. The first issue that should be considered is the guiding principles that would lead us from the use of one to more than one drug. Diabetes is increasing in prevalence, and occurring more often in overweight and younger people; healthcare professionals are struggling to get people to the glycaemic target required.
Practical Diabetes, 2011
Severely unstable, or 'brittle', type 1 diabetes is characterised by recurrent admissions, usuall... more Severely unstable, or 'brittle', type 1 diabetes is characterised by recurrent admissions, usually in diabetic ketoacidosis and life disruption. It is associated with excess mortality and increased risk of diabetic complications. The long-term social and life effects of survivors have not, however, been previously explored.
Nursing standard (Royal College of Nursing (Great Britain) : 1987)
Blood pressure measurement is an essential clinical skill for all nurses. However, if the procedu... more Blood pressure measurement is an essential clinical skill for all nurses. However, if the procedure is not followed carefully there is potential for error that can adversely affect patient management. Nurses performing blood pressure measurement should be appropriately trained and updated on the procedure and the correct use of equipment. This article outlines the procedure for measuring blood pressure using a conventional mercury or aneroid sphygmomanometer and an electronic blood pressure monitor. It also identifies potential sources of error.
Nursing standard (Royal College of Nursing (Great Britain) : 1987)
This article, the first in a series of articles relating to clinical skills in nursing, outlines ... more This article, the first in a series of articles relating to clinical skills in nursing, outlines the procedure of capillary blood glucose monitoring. This is a convenient way of monitoring blood glucose patterns and can be a useful aid in guiding treatment changes in patients with type 1 and type 2 diabetes, especially during periods of illness or frequent hypoglycaemia.
Nursing standard (Royal College of Nursing (Great Britain) : 1987)
This article describes the role of insulin therapy in the management of patients with type 1 and ... more This article describes the role of insulin therapy in the management of patients with type 1 and type 2 diabetes. It outlines the different types of insulin available, insulin regimens and the key role of nurses in patient education.
Postgraduate medical journal, 1999
In a clinic population of 509 type 1 diabetic patients aged 16-45 years, 5.5% had received treatm... more In a clinic population of 509 type 1 diabetic patients aged 16-45 years, 5.5% had received treatment for thyroid disorders (20 hypothyroid, three males; eight thyrotoxicosis, four males), and Addison's disease was present in four patients (0.8%, one male). In all patients, type 1 diabetes preceded the diagnosis of the other autoimmune disorder. The clinical presentation of hypothyroidism was usually insidious with few symptoms, although an increased frequency of hypoglycaemic symptoms and/or raised serum cholesterol levels often prompted thyroid function testing. In contrast, the patients with thyrotoxicosis had florid symptoms, weight loss (mean 8.12 kg), palpable goitres, increasing insulin requirements, and low cholesterol levels. Six patients did not achieve remission or had recurrent thyrotoxicosis after oral antithyroid treatment and required 131I or thyroid surgery. A family history of autoimmune disease was present in 25% of patients with thyroid disorders (seven thyroto...