Diabetes

Cardiovascular disease, diabetes and chronic kidney disease: Australian facts: prevalence and incidence – AIHW – 19 November 2014

Posted on November 20, 2014. Filed under: Cardiol / Cardiothor Surg, Diabetes, Health Status, Nephrology | Tags: |

Cardiovascular disease, diabetes and chronic kidney disease: Australian facts: prevalence and incidence – AIHW – 19 November 2014

“Cardiovascular disease, diabetes and chronic kidney disease—Australian facts is a series of 5 reports by the National Centre for Monitoring Vascular Diseases at the Australian Institute of Health and Welfare that describe the combined burden of cardiovascular disease (including coronary heart disease and stroke), diabetes and chronic kidney disease. This report on prevalence and incidence provides a comprehensive summary of the latest available data on the prevalence and incidence in the Australian population of these three chronic vascular diseases, acting alone or together. It examines age and sex characteristics and variations across population groups, by geographical location, and by socioeconomic disadvantage.”

ISSN ISSN 2204-1397; ISBN 978-1-74249-662-7

Cardiovascular disease, diabetes, chronic kidney disease affect over a quarter of Australians – AIHW – 19 November 2014

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Action for Diabetes – NHS England – 10 January 2014

Posted on January 14, 2014. Filed under: Diabetes, National Health Strategies |

Action for Diabetes – NHS England – 10 January 2014

Media release: NHS England vision for tackling diabetes in 2014

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Compromised Wounds in Canada – Canadian Institute for Health Information – 29 August 2013

Posted on August 30, 2013. Filed under: Chronic Disease Mgmt, Clin Governance / Risk Mgmt / Quality, Diabetes | Tags: , , |

Compromised Wounds in Canada – Canadian Institute for Health Information – 29 August 2013

“People with diabetes admitted to hospitals are nearly six times more likely than other patients to have wounds that don’t heal properly, reports the Canadian Institute for Health Information (CIHI).

In fact, diabetes doubles the risk of infections after operations and makes patients nearly 40 times more likely than other patients to develop wounds due to poor blood circulation.

This chronic illness was linked to more than 2,000 foot amputations in 2011–2012, many of which could have been avoided if proper wound care management and prevention had been in place.

CIHI’s unique study looked at persistent or “compromised” wounds—not only those infected or otherwise not healing, but also bed sores—among Canadians in hospitals, receiving home care and in long-term care during that same period.

“Compromised wounds are a burden to our health system,” said Kathleen Morris, CIHI’s Director of Health System Analysis and Emerging Issues. “They can be extremely painful and cause mobility problems and distress for patients.”

While any Canadian can be subject to a poorly healing wound, Compromised Wounds in Canada highlights the increased risks associated with chronic illnesses such as diabetes. It also reveals clear opportunities to reduce the frequency of occurrence.”

… continues on the site

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AusDiab 2012: the Australian diabetes, obesity and lifestyle study – Baker IDI Heart and Diabetes Institute – 19 August 2013

Posted on August 26, 2013. Filed under: Diabetes | Tags: , , |

AusDiab 2012: the Australian diabetes, obesity and lifestyle study – Baker IDI Heart and Diabetes Institute – 19 August 2013

ISBN: 0-9578310-3

“The Australian Diabetes, Obesity and Lifestyle study (AusDiab) is the first national Australian longitudinal population-based
study to examine the prevalence and incidence of diabetes and its complications, as well as high blood pressure, heart disease and kidney disease.”

Media release: Results of Twelve Year Study of Australian Adults’ Health Status Unveiled

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Best practice for commissioning diabetes services: An integrated care framework – NHS – March 2013

Posted on March 27, 2013. Filed under: Diabetes | Tags: |

Best practice for commissioning diabetes services: An integrated care framework – NHS – March 2013

Executive summary

“Diabetes mellitus is a complex condition that has a profound impact on the quality of life of people living with the condition and on the health economy as a whole. From the time of diagnosis to the development of severe complications such as foot amputations, the person with diabetes receives input from a wide spectrum of health and social care professionals. When this care is delivered in a fragmented manner it results in duplication, inefficiency and, worst of all, a poorer health experience.

As people with diabetes become older, we need to ensure their lives are not blighted by a toxic and expensive combination of conflicting priorities, poly-pharmacy and avoidable complications.”

… continues

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Putting Feet First: Fast Track For A Foot Attack: Reducing Amputations – Diabetes UK – February 2013

Posted on March 1, 2013. Filed under: Diabetes, Podiatry |

Putting Feet First: Fast Track For A Foot Attack: Reducing Amputations – Diabetes UK – February 2013

full text of the report: Putting Feet First: Fast Track For A Foot Attack

 “Each week in England there are around 120 amputations in people with diabetes. The majority of diabetes-related amputations are caused by a “foot attack” – a foot ulcer or infection failing to heal. When people with a foot attack get rapid access for treatment by a specialist multi-disciplinary team this has been shown to promote faster healing and fewer amputations, saving money and lives.

In October 2012 people with diabetes, vascular surgeons, podiatrists, diabetologists, commissioners, researchers and policy advisers, GPs and a health economist came together in Westminster to spend a day sharing their expertise and experience of footcare for people with diabetes. They were all in agreement that rapid access to specialist assessment and treatment for all those with a foot problem would make all the difference in achieving the goal of reducing amputations by 50 per cent over the next five years.”

… continues

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Diabetes Outcomes Versus Expenditure Tool (DOVE) – Yorkshire & Humber Public Health Observatory – Updated 17 January 2013

Posted on February 5, 2013. Filed under: Diabetes, Health Economics |

Diabetes Outcomes Versus Expenditure Tool (DOVE) – Yorkshire & Humber Public Health Observatory – Updated 17 January 2013

“The Diabetes Outcomes Versus Expenditure (DOVE) tool allows users to compare expenditure on diabetes care with clinical outcomes for a selected CCG, other CCGs with similar populations and all other CCGs. Spending on diabetes care can be compared to a number of outcomes at CCG level.”

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IDF Diabetes Atlas 2012 – International Diabetes Federation – 14 November 2012

Posted on January 4, 2013. Filed under: Diabetes, Health Status |

IDF Diabetes Atlas 2012 – International Diabetes Federation – 14 November 2012

Regional and country fact sheets  

Media release

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Diabetes transition – Assessment of current best practice and development of a future work programme to improve transition processes for young people with diabetes – NHS Diabetes – 22 October 2012

Posted on October 24, 2012. Filed under: Child Health / Paediatrics, Diabetes |

Diabetes transition – Assessment of current best practice and development of a future work programme to improve transition processes for young people with diabetes – NHS Diabetes – 22 October 2012

“‘ Diabetes transition – Assessment of current best practice and development of a future work programme to improve transition processes for young people’ summarises the work by a number of small groups looking at transition in diabetes care and includes examples of good practice as well as principles for future consideration.”

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The 2011 National Diabetes Inpatient Audit (NaDIA) National Report and 2010/2011 Comparative Hospital Level Analysis – NHS Information Centre – 17 May 2012

Posted on May 21, 2012. Filed under: Diabetes | Tags: |

The 2011 National Diabetes Inpatient Audit (NaDIA) National Report and 2010/2011 Comparative Hospital Level Analysis – NHS Information Centre – 17 May 2012

News release: Hospitals make nearly four thousand medication errors in one week for inpatients with diabetes

“Nearly one in three hospital patients with diabetes are affected by errors which can result in dangerously high blood glucose levels, according to a national audit report released today.

Hospitals in England and Wales made at least one medication error in the treatment of 3700 inpatients with diabetes in one week, according to the National Diabetes Inpatient Audit (NaDIA).

This is a small improvement on the previous year according to the audit, which is managed by the Health and Social Care Information Centre in partnership with Diabetes UK and commissioned by the Healthcare Quality Improvement Partnership.

During the seven day audit period, the patients with errors suffered more than double the number of severe hypoglycaemic – “hypo” – episodes compared to patients without errors. Hypos occur when blood glucose levels drop dangerously low and if left untreated can lead to seizures, coma or death.

In addition, 68 patients developed diabetic ketoacidosis (DKA) during their stay in hospital. DKA occurs when blood glucose levels are consistently high which suggests that insulin treatment was not administered for a significant period of time. DKA can be fatal if not treated.

The audit examined bedside data for 12,800 patients and 6600 patient questionnaires, covering subjects including medication errors and patient harm over a seven day period in October 2011. It involved 11,900 patients in 212 English hospitals and 900 patients in 18 Welsh hospitals. ”

… continues on the site

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2010 Dietitian Workforce Survey Report – NHS Diabetes – March 2012

Posted on March 28, 2012. Filed under: Diabetes, Dietetics, Workforce | Tags: |

2010 Dietitian Workforce Survey Report – NHS Diabetes – March 2012

“Within an effective diabetes service, dietitians are expertly placed to encourage people to make healthier lifestyle choices and self-manage their diabetes through careful attention to diet. Dietitians can also help to prevent the ever-increasing rise in the number of people developing type 2 diabetes.

Both NHS Diabetes and Diabetes UK believe access to expert nutritional advice is a vital component of diabetes care. Statement two of the NICE Quality Standard for diabetes in adults focuses on nutrition. It calls for people with diabetes to “receive personalised advice on nutrition and physical activity from an appropriately trained healthcare professional or as part of a structured educational programme”.

During the ongoing uncertainty about reforms to the NHS, both of our organisations have been consistently highlighting the need to maintain and develop specialist staff and the services they provide to ensure effective integrated care. Staffing levels for nutrition specialists fall well below our recommended levels, and such short-sighted cost saving measures can only  increase the burden on an already overstretched NHS.

By carrying out the workforce survey, we have been able to start to create a picture of how many dietitians we have to support people, where they work and what levels of expertise and experience they have. Unfortunately, we know from the survey and through other means there is an average of only two fulltime specialist diabetes dietitians supporting each diabetes service.

The results show differences in the quantity of dietetic services and level of specialist service across the country, with half of diabetes dietetic care being provided by non-specialists. Also, nearly half of those surveyed said their staff have access to less than three hours of professional development per month, which has dire implications for the continuing development of these skilled specialists and the service they are delivering.

Perhaps most worrying is of those surveyed, no service delivers a comprehensive range of services across all settings, and they also feel unable to influence systematic commissioning. This is vital if services are to be developed and maintained to meet the needs of people with diabetes, and the rising need in the future.”

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Self-management of diabetes in hospital – Joint British Diabetes Societies for Inpatient Care Group – March 2012

Posted on March 28, 2012. Filed under: Diabetes |

Self-management of diabetes in hospital – Joint British Diabetes Societies for Inpatient Care Group – March 2012

“These guidelines have been commissioned by the Joint British Diabetes Societies for Inpatient Care Group in collaboration with NHS Diabetes.

The aim of the document is to improve the safety of the in hospital management of diabetes. Diabetes care is very individualised, especially if that person is using insulin. It follows that the person with the greatest expertise in managing diabetes is commonly the individual themselves. Allowing patients to self manage their diabetes in hospital should significantly improve patient safety. The correct support structures need to be provided to ensure that this is properly  monitored but this must be done without creating unnecessary bureaucracy.

Target audience

These guidelines emphasise that, at all stages of care in hospital the patient should remain in charge of their diabetes care unless there is a specific reason not to. It is hoped that they will be of use to all healthcare professionals who are involved in the delivery of diabetes care in hospital. The target audience specifically includes:
• Ward nursing staff
• Ward pharmacists
• The inpatient diabetes specialist team
• Most importantly those involved in the writing and implementation of local diabetes care policies.”

… continues

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Join Us On Our Journey: developing a new model of care for children and young people with type 1 diabetes. Final report for NHS Diabetes – March 2012

Posted on March 27, 2012. Filed under: Child Health / Paediatrics, Diabetes | Tags: |

Join Us On Our Journey: developing a new model of care for children and young people with type 1 diabetes. Final report for NHS Diabetes – March 2012

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Join Us on Our Journey – Developing a new model of care for children and young people with Type 1 diabetes – NHS Diabetes – March 2012

Posted on March 22, 2012. Filed under: Child Health / Paediatrics, Diabetes | Tags: , |

Join Us on Our Journey – Developing a new model of care for children and young people with Type 1 diabetes – NHS Diabetes – March 2012

April 2009 – April 2012

Background

NHS Diabetes commissioned Leeds Metropolitan University to undertake a research project called ‘Join Us on Our Journey’, to look at Type 1 diabetes service provision for children and young people across the Yorkshire and the Humber region. The original idea for ‘Join Us on Our Journey’ was developed by exploring the experiences of children and young people with Type 1 diabetes, their parents and professionals working in the field; the model incorporates the phrase ‘bus stops’ which was created by children and young people to describe the various points along their diabetes journey where they felt they needed to ‘get off the bus’ to access support (medical, emotional, social or educational) from different professionals and organisations.

Aim of this project

To develop and pilot a model of care that will deliver the aspirations of the policy document, ‘Making Every Young Person with Diabetes Matter’.
The ‘Join Us on Our Journey’ model will be used to improve the care provision for children and young people with Type 1 diabetes in England.”

… continues on the site

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Allied Health Professionals QIPP Toolkits – NHS – 14 March 2012

Posted on March 22, 2012. Filed under: Allied Health, Diabetes, Dietetics, Neurology, Oncology, Physiotherapy |

Allied Health Professionals QIPP Toolkits – NHS – 14 March 2012

“The Strategic Health Authority AHP Leads for England have worked with NHS London who compiled the AHP QIPP Toolkits These are designed to help commissioners design services that are of high quality whilst reducing cost. The Toolkits will be launched by Karen Middleton and Jim Easton at the kings Fund in London on March 19th Clinicians and provider organisations can use the toolkits to stimulate discussion and help planning. The NHS needs to find £20 billion pounds of savings through working transformationally. These toolkits show how AHPs are a vital part of that solution. The toolkits have been designed collaboratively with all 12 Allied Health Professional Bodies who endorsed their content and have been co produced in many areas with National clinical directors.”

AHP Stroke toolkit

AHP ONS toolkit – Oral Nutritional Support

AHP Musculoskeletal (MSK) care toolkit

AHP Cancer toolkit

AHP Diabetes toolkit

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Diabetes: the silent pandemic and its impact on Australia – Baker IDI Health and Diabetes Institute, Diabetes Australia, Juvenile Diabetes Research Foundation – March 2012

Posted on March 20, 2012. Filed under: Chronic Disease Mgmt, Diabetes | Tags: |

Diabetes: the silent pandemic and its impact on Australia – Baker IDI Health and Diabetes Institute, Diabetes Australia, Juvenile Diabetes Research Foundation – March 2012

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Footcare for People with Diabetes: The Economic Case for Change – NHS Diabetes – 7 March 2012

Posted on March 14, 2012. Filed under: Diabetes, Health Economics, Podiatry |

Footcare for People with Diabetes: The Economic Case for Change – NHS Diabetes – 7 March 2012

“A new report published today by NHS Diabetes sets out the shocking cost to both patients and the NHS of poor quality diabetic foot care. The report shows that around £650 million (or £1 in every £150 the NHS spends) is spent on foot ulcers or amputations each year. It also highlights the devastating consequences of foot problems in people with diabetes. Around 7% of people with diabetes currently have, or have had, a foot ulcer, which can lead to amputation. 50% of people who have a major amputation die within two years; many of these amputations could be avoided with the right care.

NHS Diabetes is calling on the NHS to set up specialist diabetes foot care teams as a matter of urgency. Foot care multi disciplinary teams (MDTs) can generate savings for the NHS that substantially outweigh the cost of the team. One example shows how a local hospital team costing around £33,000 a year generated savings of almost £¼ million a year for the local NHS. Most importantly MDTs have been shown to reduce amputations by up to two thirds.”

… continues

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Inpatient Care for People with Diabetes: The Economic Case for Change – NHS Diabetes – 2 November 2011

Posted on November 14, 2011. Filed under: Diabetes, Health Economics |

Inpatient Care for People with Diabetes: The Economic Case for Change – NHS Diabetes – 2 November 2011

“NHS Diabetes is today calling for more investment in specialist diabetes care to reduce the estimated £600 million excess spend on treating diabetes in hospitals identified in a new report.

People with diabetes are more likely to be admitted to hospital and have longer stays than people of the same age without the condition.

The research, titled ‘Inpatient Care for People with Diabetes: The Economic Case for Change (PDF 10.5MB)’, found that the NHS in England spends more than £2.3 billion a year[1] on inpatient care for people with diabetes. That’s 11% of NHS inpatient care expenditure.

About £600 million of this outlay is estimated to be excess expenditure on diabetes – that is, over and above the sum spent on a population of the same age and gender without the condition. Inpatient care for someone with diabetes costs the NHS 35% more a year than care for someone of the same age without diabetes.

In spite of these high levels of expenditure, the report presents evidence that diabetes inpatient care is poor in many areas. Specialist diabetes inpatient teams can improve outcomes for patients and generate savings that substantially outweigh the cost of such teams.”

… continues

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Diabetes Integrated Care Research – London Councils – 12 October 2011

Posted on October 18, 2011. Filed under: Diabetes, Public Hlth & Hlth Promotion |

Diabetes Integrated Care Research – London Councils – 12 October 2011

“Diabetes is a serious condition which requires a complex web of care. If diagnosed late, left untreated, or poorly managed, it can lead to life-threatening complications. Ensuring people with diabetes are able to access the care they need to stay healthy is vital.

The prevalence of diabetes nationally continues to increase, in 2009-10 numbers grew by 150,648 to hit a new UK record high of 2,784,911 – 4.26% of the UK population. There is a body of evidence which suggests that an integrative care approach which brings together hospitals, community care services, social care and the local authority, can improve access for patients and encourages a stronger focus on their long term needs.

London Councils working with Diabetes UK commissioned Apteligen Limited and PHAST (Public Health Action Support Team) to undertake research to examine the barriers to integration between health and social care in London and to assess opportunities for closer working in the future.

This report sets out the evidence for greater integration between health and social care demonstrating how strong preventative work combined with effective patient-centred care can greatly reduce diabetes and improve lifestyles for patients and at the same time deliver significant cost benefits.”

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Diabetes in Australia: A Snapshot, 2007-08 – ABS – released 16 September 2011

Posted on September 16, 2011. Filed under: Diabetes | Tags: |

Diabetes in Australia: A Snapshot, 2007-08  – ABS – released 16 September 2011
4820.0.55.001  Australian Bureau of Statistics

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National Diabetes Audit (NDA) Executive Summary 2009-2010 – NHS Information Centre – released 29 June 2011

Posted on July 1, 2011. Filed under: Diabetes |

National Diabetes Audit (NDA) Executive Summary 2009-2010 – NHS Information Centre – released 29 June 2011

Extract from the press release

“NHS faces potential care time bomb for younger people with diabetes, says largest ever audit for England and Wales

The NHS may be facing a diabetes time bomb involving the future care of hundreds-of-thousands of younger patients, the biggest ever audit of diabetes in England and Wales has found.

Nearly 300,000 children and younger adults with diabetes have high risk, and 144,000 dangerously high risk, blood sugar levels that will lead to high levels of severe and disabling complications like kidney failure, limb amputation and stroke, according to the National Diabetes Audit 2010.”  … continues

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Diabetes prevalence in Australia: detailed estimates – AIHW – 30 June 2011

Posted on June 30, 2011. Filed under: Diabetes | Tags: |

Diabetes prevalence in Australia: detailed estimates – AIHW – 30 June 2011

“This report presents the most up-to-date estimates of the number of people with diagnosed diabetes in Australia based on self-reports to the Australian Bureau of Statistics’ 2007-08 National Health Survey. The number of people with diabetes is presented by diabetes type, age, sex, state of usual residence and remoteness.”

ISSN 1444-8033; ISBN 978-1-74249-180-6; Cat. no. CVD 56; 26pp

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Diabetes and poor mental health and wellbeing: an exploratory analysis – AIHW – 23 June 2011

Posted on June 23, 2011. Filed under: Diabetes, Mental Health Psychi Psychol | Tags: |

Diabetes and poor mental health and wellbeing: an exploratory analysis – AIHW – 23 June 2011

“Diabetes and poor mental health and wellbeing are both common health conditions in Australia and contribute substantially to the overall burden of disease. A large proportion of people with diabetes are also living with poor mental health and wellbeing, with 41.6% of adult Australians with diabetes also reporting medium, high or very high levels of psychological distress. Australians with diabetes are significantly more likely than other Australians to have poor mental health and wellbeing.”

ISSN 1444-8033; ISBN 978-1-74249-175-2; Cat. no. CVD 55; 79pp

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Prevalence of Type 1 diabetes in Australian children, 2008 – AIHW – 17 June 2011

Posted on June 23, 2011. Filed under: Child Health / Paediatrics, Diabetes | Tags: |

Prevalence of Type 1 diabetes in Australian children, 2008 – AIHW – 17 June 2011

“Type 1 diabetes is a serious, life-long disease which causes a major health, social and economic burden for individuals with the disease, their families and the community. Prevalence of Type 1 diabetes in Australian children, 2008 presents for the first time estimates of the prevalence of Type 1 diabetes in children aged 0-14 years in 2008, based on Australia’s National Diabetes Register data. In 2008, it is estimated that over 5,700 children aged 0-14 years had Type 1 diabetes in Australia. The prevalence rate increased with age and varied by state and territory. Assuming that new cases of Type 1 diabetes in 0-14 year old children continue increasing at the rate observed between 2000 and 2008, it is estimated that the prevalence rate will increase by 10% between 2008 and 2013.”

ISBN 978-1-74249-172-1; Cat. no. CVD 54; 29pp

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Costing care pathways: Understanding the cost of the diabetes care pathway – Audit Commission [UK] – 16 May 2011

Posted on May 17, 2011. Filed under: Diabetes, Health Economics | Tags: |

Costing care pathways: Understanding the cost of the diabetes care pathway – Audit Commission [UK] – 16 May 2011
 
“This briefing, produced jointly with the Association of Chartered Certified Accountants (ACCA), finds that care pathways are altered, and commissioning decisions made, with the intention of benefitting patients, but often without fully understanding the cost implications.

Poor quality data across outpatient and community services was the most common barrier to costing the pathways.

Using diabetes as an illustration, the briefing shows how organisations can use nationally available data to chart spending at a high level for various conditions.

This information can be used to help track changes in pathways and the impact on costs.

It can also be used to compare costs between Primary care Trusts and to identify possible areas for savings.”

… continues on the site

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Sharing Data for Public Health Research by Members of an International Online Diabetes Social Network

Posted on May 4, 2011. Filed under: Chronic Disease Mgmt, Diabetes, Health Informatics |

 

Citation: Weitzman ER, Adida B, Kelemen S, Mandl KD (2011) Sharing Data for Public Health Research by Members of an International Online Diabetes Social Network. PLoS ONE 6(4): e19256. doi:10.1371/journal.pone.0019256

“Background
Surveillance and response to diabetes may be accelerated through engaging online diabetes social networks (SNs) in consented research. We tested the willingness of an online diabetes community to share data for public health research by providing members with a privacy-preserving social networking software application for rapid temporal-geographic surveillance of glycemic control.   … 

Conclusions
Success within an early adopter community demonstrates that online SNs may comprise efficient platforms for bidirectional communication with and data acquisition from disease populations. Advancing this model for cohort and translational science and for use as a complementary surveillance approach will require understanding of inherent selection and publication (sharing) biases in the data and a technology model that supports autonomy, anonymity and privacy.”

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Health Inequalities National Support Team Diagnostic Workbook. Assessment of Services to Reduce Diabetes-related Mortality – 1 April 2011

Posted on April 29, 2011. Filed under: Diabetes, Evidence Based Practice, Public Hlth & Hlth Promotion |

Health Inequalities National Support Team Diagnostic Workbook. Assessment of Services to Reduce Diabetes-related Mortality – 1 April 2011

“Includes potential key actions to reduce mortality.  Identifying strengths and effective practice and making tailored recommendations on how to address gaps in service delivery.”

“This workbook was developed by the Health Inequalities National Support Teams (HINST) with 70 local authorities covering populations in England. Local areas could use this approach when analysing whether a population level improvements could be achieved from a set of best-practice and established interventions. This is offered as useful resource for commissioners: use is NOT mandatory.”

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NHS Diabetes Press Release: People with diabetes fill 15 per cent of hospital beds – April 2011

Posted on April 14, 2011. Filed under: Diabetes |

NHS Diabetes Press Release: People with diabetes fill 15 per cent of hospital beds – April 2011

“People with diabetes account for 15 per cent of inpatients in England, according to an audit published today by NHS Diabetes. Analysing clinical data of over 12,000 inpatients with diabetes from 206 hospitals as well as nearly 5,000 patient questionnaires, the ‘National Diabetes Inpatient Audit (NaDIA) 2010 (England)’ also found that at the time of the audit people with diabetes had been in hospital for an average of eight days, approximately three days longer than all inpatients. Nearly all (86.7 per cent) were admitted as an emergency.

The audit also discovered that over one third (37.1 per cent) of inpatients with diabetes experienced at least one medication error, a quarter (26.0 per cent) of their charts had prescription errors and a fifth (20.0 per cent) had one or more medication management errors. Insulin overdoses can result in potentially fatal hypoglycaemic episodes (‘hypos’)1 and insufficient insulin can lead to diabetic ketoacidosis (DKA)2 which, if left untreated, can also prove fatal. The audit found that patients with medication errors had twice the rate of severe hypoglycaemia (18.1 vs 7.9 per cent). Of further concern, whilst in hospital 44 people (0.4 per cent) developed DKA and 266 (2.4 per cent) had hypoglycaemia severe enough to require injectable treatment.”

…continues

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Diabetes: Canada at the Tipping Point. Charting a New Path – Canadian Diabetes Association – April 2011

Posted on April 8, 2011. Filed under: Diabetes |

Diabetes: Canada at the Tipping Point. Charting a New Path – Canadian Diabetes Association – April 2011

“The Canadian Diabetes Association, in partnership with Diabète Québec, has released Diabetes: Canada at the Tipping Point – Charting a New Path, a report which assesses the burden of diabetes and government response across Canada.

Canada is at the tipping point concerning diabetes. Despite progress in governments’ efforts to address diabetes over the past five years, it is dwarfed by the growing burden of this disease across Canada. Unless action is taken, diabetes will threaten the lives of millions more Canadians and the future sustainability of the Canadian healthcare system and our economy. The report calls for immediate government action to ‘tip’ the course of diabetes.”

…continues on the site

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International Diabetes Foundation releases position paper on bariatric surgery – 28 March 2011

Posted on March 30, 2011. Filed under: Diabetes | Tags: , |

International Diabetes Foundation releases position paper on bariatric surgery – 28 March 2011

“The International Diabetes Federation has released its Position Statement on Bariatric Surgery. The Paper calls for bariatric surgery to be considered earlier in the treatment of eligible patients, to help stem the serious complications that can result from diabetes. The position paper was presented to leading experts at the 2nd World Congress on Interventional Therapies for Type 2 Diabetes in New York on 28 March.

The statement was written by experts in diabetes and bariatric surgery and contains a series of recommendations on the use of weight loss surgery as a cost effective treatment option for severely obese people with type 2 diabetes.” …continues on the site

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Incentivising Wellness: Improving the treatment of long-term conditions – Policy Exchange – 25 November 2010

Posted on January 14, 2011. Filed under: Chronic Disease Mgmt, Diabetes |

Incentivising Wellness: Improving the treatment of long-term conditions – Policy Exchange – 25 November 2010

 By Henry Featherstone and Lilly Whitham, Edited by Max Chambers

“Incentivising Wellness shows how the NHS can save tens of billions of pounds while also taking better care of one of the UK’s fastest-growing diseases – diabetes.

The report calls for new business models to be introduced to the NHS in a bid to harness modern technology like insulin pumps and telemonitoring that can help diabetes sufferers stay out of hospital and stop their condition getting worse.”

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The cost of diabetes in Ontario – and – The burden of diabetes in Ontario – 8 September 2010

Posted on September 10, 2010. Filed under: Diabetes, Health Economics |

The cost of diabetes in Ontario – and – The burden of diabetes in Ontario – 8 September 2010

Ontario economic prosperity threatened by diabetes
Wednesday, September 8th, 2010

Canadian Diabetes Association Releases Ontario Diabetes Report

“TORONTO, ONTARIO (September 8, 2010) – The Canadian Diabetes Association released today the findings from its Ontario Diabetes Cost Model. The model shows that the cost and prevalence of diabetes in the province has risen sharply over the last 10 years and, without action, will continue to increase substantially over the next 10 years.”

…continues

About the Ontario Diabetes Cost Model
The Ontario Diabetes Cost Model was created for the Association by the Centre for Spatial Economics based on the Canadian Diabetes Cost Model developed by Informetrica Limited. The two main sources of data used for the estimate and forecasts come from the National Diabetes Surveillance System (NDSS) and Health Canada’s study the Economic Burden of Illness in Canada (EBIC). The Model aimed to integrate the administrative prevalence and incidence estimates from NDSS with the economic cost estimates from EBIC. The Ontario Diabetes Cost Model follows the Association’s An Economic Tsunami: The Cost of Diabetes in Canada. This economic report was supported by an unrestricted educational grant provided by Novo Nordisk Canada Inc.

The cost of diabetes in Ontario

The burden of diabetes in Ontario

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Diabetes type 1 in childhood. National Service Framework for children, young people and maternity services – UK – 7 September 2010

Posted on September 9, 2010. Filed under: Child Health / Paediatrics, Diabetes |

Diabetes type 1 in childhood. National Service Framework for children, young people and maternity services – UK – 7 September 2010

Document type: Guidance
Author: Department of Health

This exemplar describes a care pathway for a child with Type 1 diabetes.

Download Diabetes type 1 in childhood exemplar (PDF, 2712K)

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Incidence of Type 1 diabetes in Australian children 2000-2008 – AIHW – 5 August 2010

Posted on August 11, 2010. Filed under: Child Health / Paediatrics, Diabetes | Tags: |

Incidence of Type 1 diabetes in Australian children 2000-2008 – AIHW – 5 August 2010

“Type 1 diabetes is a serious, life-long disease which causes a major health, social and economic burden for individuals with the disease, their families and the community. There were over 8,000 new cases of Type 1 diabetes diagnosed in Australian children between 2000 and 2008, an average of two new cases every day. But, while the rate of new cases increased significantly over the first part of the decade (2000-2004), there has been little change since 2005. Incidence of Type 1 diabetes in Australian children 2000-2008 presents the latest available national data on new cases of Type 1 diabetes for children from Australia’s National Diabetes Register.”

Authored by AIHW.

Published 5 August 2010; ISSN 1444-8033; ISBN-13 978-1-74249-042-7; AIHW cat. no. CVD 51; 35pp

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How to Why to Guide on Continuous Subcutaneous Insulin Infusion – NHS Technology Adoption Centre – June 2010

Posted on June 21, 2010. Filed under: Diabetes | Tags: |

How to Why to Guide on Continuous Subcutaneous Insulin Infusion – NHS Technology Adoption Centre – June 2010

“Diabetes in the UK 2010: Key statistics on diabetes estimates that up to one in twenty people in England have diabetes (diagnosed and undiagnosed). For adults it is estimated that 1 in 200 have type 1 diabetes and that the current prevalence of type 1 diabetes in children in the UK is approximately one per 700-1,000. Providing effective diabetes services accounts for a significant amount of NHS resource, and commissioners must work collaboratively with providers to ensure that diabetes services are continually improved in the wake of increased demand.

The results of this technology implementation project demonstrated that there are major challenges with successfully embracing Continuous Subcutaneous Insulin Infusion (CSII, also known as Insulin Pump Therapy), a NICE approved technology (appropriate for certain people with type 1 diabetes), which has now become a routine treatment option for patients in the NTAC project implementation sites.

This How to Why to Guide aims to provide practical guidance to enable the successful implementation of insulin pump therapy and to release the benefits a pump service can bring. The guide has been specifically designed to save you time, improve patient outcomes and enhance overall productivity. It will be beneficial to Trusts who currently provide, or plan to provide an insulin pump therapy service.”  …continues

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Prevention of cardiovascular disease, diabetes and chronic kidney disease: targeting risk factors – AIHW – 11 December 2009

Posted on December 11, 2009. Filed under: Cardiol / Cardiothor Surg, Chronic Disease Mgmt, Diabetes, Nephrology, Public Hlth & Hlth Promotion | Tags: , |

Prevention of cardiovascular disease, diabetes and chronic kidney disease: targeting risk factors

Authored by AIHW – Australian Institute of Health and Welfare

“Cardiovascular disease (CVD), diabetes and chronic kidney disease (CKD) account for around a quarter of the burden of disease in Australia, and just under two-thirds of all deaths. These three diseases often occur together and share risk factors, such as physical inactivity, overweight and obesity, and high blood pressure. This report includes information on the national prevalence of the main risk factors for CVD, CKD and diabetes as well as population initiatives and individual services that aim to prevent or control these risk factors. It shows the prevalence of some risk factors is increasing-notably obesity, which rose from 11% of adults in 1995 to 24% in 2007-08. This is the first report to present a systematic approach to monitor prevention in Australia, providing a baseline for future monitoring.”

Published 11 December 2009; ISBN-13 978 1 74024 984 3; AIHW cat. no. PHE 118; 140pp. 

Australian Government Reaction – Funding Supports Local Communities to Take Action on Obesity  –  11 December 2009

“Local government areas will receive a funding boost from the Rudd Government to foster healthier lifestyles in their communities, as the release of a sobering report shows risk factors of chronic disease continue to rise.

The Australian Institute of Health and Welfare report, Prevention of cardiovascular disease, diabetes and chronic kidney disease: targeting risk factors, says the prevalence of some risk factors – such as obesity is increasing.” … continues on the website

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Diabetes Care Gaps and Disparities in Canada – 3 December 2009

Posted on December 11, 2009. Filed under: Diabetes | Tags: |

Diabetes Care Gaps and Disparities in Canada – 3 December 2009

Press release

December 3, 2009—While most Canadian adults living with diabetes get regular care, they are not always getting all of the clinically recommended tests they require to prevent health complications. A new study released by the Canadian Institute for Health Information (CIHI) looked at the extent to which Canadians age 18 and older living with diabetes received four specific tests. Although many receive individual tests, such as blood glucose (HbA1c) tests, urine protein tests and dilated eye exams, and are having their feet checked for sores or irritations, the results found that fewer than one-third (32%) reported receiving all four of these clinically recommended tests from their health providers.

“This indicates there is room for improvement in the care Canadians living with diabetes are receiving,” says Greg Webster, Director of Primary Health Care Information at CIHI. “Better management and control of diabetes can help prevent serious health complications and prolong life for people with diabetes.”   … continues on the press release website

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An Economic Tsunami: The Cost of Diabetes in Canada – 7 December 2009

Posted on December 11, 2009. Filed under: Diabetes, Health Economics |

An Economic Tsunami: The Cost of Diabetes in Canada – 7 December 2009

“To help fully understand the current and future economic burden of diabetes in Canada, the Canadian Diabetes Association, with the support of Novo Nordisk Canada Inc., has published An Economic Tsunami: The Cost of Diabetes in Canada.

This report introduces an important new tool in the fight against diabetes in Canada—the Canadian Diabetes Cost Model—and has been developed to achieve the following objectives:

To estimate the cost of diabetes in Canada, including direct and indirect costs
To create a forecasting model to project future costs associated with diabetes
To examine the potential of policy interventions to offset the economic burden of diabetes on Canadians

The Model is the first to use Canadian data to determine the economic impact of diabetes on Canadian society, both now and in the future.”  

An Economic Tsunami: The Cost of Diabetes in Canada (pdf)

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NICE short clinical guideline increases treatment options for patients with type 2 diabetes – 27 May 2009

Posted on May 27, 2009. Filed under: Diabetes | Tags: |

2009/033 NICE short clinical guideline increases treatment options for patients with type 2 diabetes

“The National Institute for Health and Clinical Excellence (NICE) have today (27 May 2008) issued guidance on the use of newer agents for blood glucose control in adults with type 2 diabetes. The new short clinical guideline is a partial update of last year’s clinical guideline “Type 2 Diabetes (Update)” and examines several new and existing treatments for the management of blood glucose levels in individuals with type 2 diabetes.

The management of blood glucose levels, reflected in a patient’s value of haemoglobin HbA1c , is a central part of diabetes treatment. The NICE guidance recommends a number of new treatments to help manage levels of blood glucose, positioning these treatments among existing therapies for type 2 diabetes.  These include recommendations on the use of long-acting insulin analogues, inhibitors of dipeptidylpeptidase-4 (DPP-4 inhibitors), glucagon-like peptide-1 (GLP-1) mimetics and thiazolidinediones within their licensed recommendations.”

2009/033 NICE short clinical guideline increases treatment options for patients with type 2 diabetes (38 Kb 11 sec @ 28.8Kbps)

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Gestational diabetes mellitus in Australia, 2005-06 Published 3 Dec 2008

Posted on March 25, 2009. Filed under: Diabetes, Obstetrics |

Gestational diabetes mellitus in Australia, 2005-06
Diabetes series no. 10

This is the first national report on the incidence of gestational diabetes mellitus among Australian women. The report uses data from the National Diabetes Services Scheme and the National Hospital Morbidity Database to determine the number of cases of GDM among Australian women of child-bearing age. Trends in the incidence of the condition over time, changes in insulin treatment status and differences by high-risk groups-including women aged over 30 years, women who identify as Aboriginal or Torres Strait Islander and women born overseas-are also included in the report.

Authored by Pieris-Caldwell I & Templeton M.

Published 3 December 2008; ISSN 1444-8033; ISBN-13 978 1 74024 859 4; AIHW cat. no. CVD 44; 49pp.

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