Oily fish intake reduces risk of diabetic retinopathy, study shows

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Older patients with type 2 diabetes who consume dietary omega 3 fatty acids equivalent to at least two weekly servings of oily fish have a significantly lower risk of sight threatening diabetic retinopathy than those who eat less, a prospective observational study has shown.1

Diabetic retinopathy is a major cause of vision loss in older people. The pathogenesis is not fully understood, but inflammation, oxidative stress, and microvascular changes play important roles…

New films showcase leading Type 2 diabetes programmes in US and England

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The USA and England have joined forces on two films for healthcare professionals to show how they are reducing the combined 90million people living in their countries collectively who are on-track to develop Type 2 diabetes.

Top experts from both sides of the Atlantic shared tactics to reduce the 86 million Americans and 5million people in England at increased risk of developing the disease which can cause blindness and amputation.

Diabetes prevention counseling is cost effective, US study finds

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Medicare, the US insurance program for elderly people and people with disabilities, announced plans on 23 March to cover diabetes prevention programs that focus on lifestyle counseling, after an independent evaluation found that a pilot program had successfully reduced participants’ risk of developing type 2 diabetes while creating savings that more than covered the program’s cost.

Earlier this week, NHS England announced that it was launching a national lifestyle education program to reduce the risk of diabetes, with a similar approach to that taken in the US. The initiative, called the Healthier You: the NHS Diabetes Prevention Programme, will begin this year and will eventually enroll 100 000 participants a year by 2020.

Breast feeding may cut risk of diabetes in high risk women

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Women with gestational diabetes should be encouraged to breast feed exclusively for at least two months to reduce their risk of developing type 2 diabetes, say researchers.

A prospective cohort study published in the Annals of Internal Medicine found that breast feeding exclusively for two months halved the risk of diabetes in women with gestational diabetes.

Older patients with diabetes are often overtreated, say researchers

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Older patients with diabetes whose treatment had resulted in very low blood pressure or haemoglobin A1c levels rarely had their medicines reduced or withdrawn, a US study published in JAMA Internal Medicine has found.

The authors said that this represents a lost opportunity to reduce overtreatment among older people that can put them at risk of serious adverse events.

People who develop type 2 diabetes show increased antibiotic use before onset

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People who develop type 2 diabetes show increased use of antibiotics in the years before diagnosis than people who do not develop the condition, a Danish population based case-control study has shown.

The study, published in the Journal of Clinical Endocrinology and Metabolism, included all 170 504 people in Denmark who had newly diagnosed type 2 diabetes and were using glucose lowering agents for the first time from 1 January 2000 to 31 December 2012

5 Million people at high risk of Diabetes Type 2

Public Health England (PHE) have just published a new report estimating figures for how many people over 16 in England have blood sugar levels in a range indicating a high risk of developing Type 2 diabetes.   The report underlines the need to act on Type 2 diabetes, especially as it already results in 22,000 early deaths and costs the NHS £8.8billion every year.

The press release also has links to further information and the latest evidence report

NICE recommends tighter blood sugar control in diabetes to reduce risk of complications

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The National Institute for Health and Care Excellence (NICE) has recommended tighter blood sugar control for patients with diabetes, to minimise the risk of long term vascular complications, according to the BMJ.

An updated NICE guideline on diagnosing and managing type 1 diabetes in adults is now available.


Bariatric surgery is linked to more diabetes remission than lifestyle intervention alone, study finds

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Two thirds of obese patients with type 2 diabetes who had a gastric bypass did not need any diabetes drugs three years after their operation, a US study published in JAMA Surgery has shown. The research also found that a third of patients who had less invasive gastric banding showed remission of their diabetes.

Stand during working day to prevent health risks of sedentary jobs, says guidance

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People whose jobs are predominantly desk based should be encouraged to stand up and walk about for at least two hours during each working day, says the first UK guidance developed to reduce the health risks of prolonged sitting at work.

Growing evidence has shown links between a sedentary lifestyle and an increased risk of cardiovascular disease, diabetes, and some cancers. To help reduce this risk Public Health England and a UK community interest company, Active Working, asked an international group of experts in the field to review the available evidence and develop guidelines for employers to promote avoidance of prolonged periods of sedentary work

No blood pressure lowering agents prolong survival in diabetes and kidney disease, review shows

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No blood pressure lowering agents used either alone or in combination prolong survival in adults with diabetes and kidney disease, a meta-analysis published in the Lancet has found.

Researchers analysed 157 studies comparing blood pressure lowering agents in a total of 43 256 patients with diabetic kidney disease, mostly type 2 diabetes and chronic kidney disease

Risk of developing diabetes increases with time spent watching TV, study shows

Every hour a day spent watching television increases the risk of developing diabetes by 3.4%, the findings of a diabetes prevention programme have shown.

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The study, reported in Diabetologia, followed up 3232 people aged at least 25 who were overweight. They were randomised to lifestyle intervention with a healthy diet that aimed to achieve a 7% weight loss and at least 150 minutes of moderate intensity activity each week or to treatment with metformin, to see whether these strategies prevented or delayed type 2 diabetes when compared with placebo

Major bid to prevent illness with launch of national diabetes prevention drive


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The NHS and Public Health in England on Thursday started a major national initiative to prevent illness by unveiling the first ever at-scale National NHS Diabetes Prevention Programme.

Simon Stevens, NHS England’s Chief Executive, announced the move in a major speech at the Diabetes UK conference in London.

The programme, which is a joint initiative between NHS England, Public Health England (PHE) and Diabetes UK, aims to significantly reduce the four million people in England otherwise expected to have Type 2 diabetes by 2025

Super self-help books added to stock

DSCF0870Starting the New Year off in style, the library is pleased to announce the re-stocking of the Wellbeing and Leadership sections.  Lots of super self-help titles now grace the shelves including:

  • Heal your headache
  • The feeling good handbook
  • Say No to Diabetes
  • IBS: free at last
  • The cancers survivor’s companion
  • Freedom from the diet trap
  • Treat your own back

In the Leadership section you will also find books on Employee Engagement which may be helpful to new managers.

  • Leadership plain and simple
  • Managing stress in the workplace
  • The extraordinary leader
  • Employee engagement 2.0
  • Carrots and sticks don’t work
  • Team building

Come in and take a look at the whole range or email us at ecn-tr.stafflibrary.nhs.net to reserve any of those listed above.

Diabetes Week: 8-14 June 2014

Diabetes Week is Diabetes UK’s annual awareness and fundraising week.  Taking place from Sunday 8 to Saturday 14 June, thetheme is ‘I Can’.


Here are some useful website links to reputable sites:


Recent search articles from NHS Evidence:

Why do young adults with Type 1 diabetes find it difficult to manage diabetes in the workplace?

Author(s) Balfe, Myles, Brugha, Ruairi, Smith, Diarmuid, Sreenan, Seamus, Doyle, Frank, Conroy, Ronan
Citation: Health & Place, 01 March 2014, vol./is. 26/(180-187), 13538292
Publication Date: 01 March 2014
Source: CINAHL
Patients with diabetes in cardiac rehabilitation:attendance and exercise capacity.

Author(s) Armstrong MJ, Martin BJ, Arena R, Hauer TL, Aggarwal S, Sigal RJ
Citation: Medicine & Science in Sports & Exercise, May 2014, vol./is. 46/5(845-50), 0195-9131;1530-0315 (2014 May)
Publication Date: May 2014
Source: Medline
Hormone replacement therapy for women with type 1 diabetes mellitus (The Cochrane Library)

Liz Mackay , Lynn Kilbride ,et al.  Online Publication Date: June 2013


Well worth a look in QIPP

“The Quality, Innovation, Productivity and Prevention (QIPPcollection is intended to be a resource for everyone in the NHS, public health and social care for making decisions about patient care or the use of resources.”

As part of NICE Evidence (National Institute for Clinical Excellence), this site is well worth exploring and encourages submissions from others. Here are some sample topics which give a flavour of the collection:

  • Giving intravenous iron in patients’ homes and community hospitals

    The rural geography of Cornwall means that many patients needed to travel for up to 1 hour to receive a dose of intravenous iron. This journey time increased during the summer because of the extra traffic caused by seasonal …

    QIPP, 22 August 2013 – Publisher: Royal Cornwall Hospitals Trust – Publication type: Quality and productivity collection examples

    read summary

  • Diabetes inpatient care: ThinkGlucose programme

    ThinkGlucose is designed to improve the care of people with diabetes when they are admitted to hospital. Patients with a secondary diagnosis of diabetes who receive the right care for their diabetes are able to return home fitter, more safely and ….

    QIPP, 20 June 2013 – Publisher: NHS Institute for Innovation and Improvement – Publication type: Quality and productivity collection examples

    read summary

  • Safety Express: a national pilot to deliver harm free care

    The QIPP Safe Care workstream launched its pilot, ‘Safety Express’, in January 2011. Over 1000 frontline staff in England worked collaboratively with a shared aim to deliver ‘harm-free’ care, defined as the absence of pressure ulcers, falls, …

    QIPP, 20 June 2013 – Publisher: QIPP Safe Care Programme, Salford Royal NHS Foundation Trust and University of Central Lancashire – Publication type: Quality and productivity collection examples

    read summary

  • Self management for chronic knee pain: using group physiotherapy to teach exercises and coping strategies

    Chronic peripheral joint pain (usually labelled osteoarthritis) is a major cause of suffering, physical disability, psychosocial distress, and direct and indirect healthcare and socioeconomic costs. Pain induced limitation of mobility and

    QIPP, 09 April 2013 – Publisher: Sevenoaks District General Hospital – Publication type: Quality and productivity collection examples

    read summary

  • Wireless working in hospitals: Improving efficiency and safety of out-of hours

    Coordination and communication between hospital wards and team members has been a major issue locally and nationally. Standard pager and landline telephone systems are prone to delays. When pagers are answered, tasks must be interrupted to …

    QIPP, 09 April 2013 – Publisher: Nottingham University Hospitals NHS Trust – Publication type: Quality and productivity collection examples

    read summary

July update from AQuA


In this edition you will find:


• AQuA launches Improving Outcomes Pack for Diabetes

• AQuA Improvement Methodologies Plus (AIM+)

• AQuA’s Lean Network

• Spotlight on organisational improvement

• Safety Seminar with Robert Francis QC

• Patient Safety Champions

• Academy events round-up

• Community SAFE – programme update

• A New Role for Finance in Quality Improvement – Cohort 4

• Update on Academic Health Science Networks

• Showing the value – EPaCCS Economic Evaluation Report now available

• Advancing Quality under conference spotlight

• iNetwork’s services free to AQuA’s members

• Shared Decision Making’s Ask 3 Questions campaign shortlisted for efficiency award

• AQuA at this year’s NHS Confederation annual conference and exhibition

• Annual report highlights mortality rates for people with severe mental illness

• Sharing the Shared Decision Making process

• Chance to join Advancing Quality’s new COPD Pilot

• Twitter round up

Recently published Obs/Gynae articles

Athens account details may be required or in some cases articles can be requested through our inter-library loan service.

Title: Acute liver failure in an obstetric patient: challenge of critical care for 1 patient with 2 subspecialty needs.
Citation: Critical Care Nurse, Feb 2013, vol. 33, no. 1, p. 48-56, 0279-5442 (February 2013)
Author(s): Castello, Holly, Schoch, Lisa, Grogan, Tracy A.
Source: BNI
Full text: Available EBSCOhost at Critical Care Nurse
Title: A new model for preconception care in women with diabetes
Citation: Journal of Diabetes Nursing, Feb 2013, vol. 17, no. 2, p. 56-61, 1368-1109 (February 2013)
Author(s): King, Paru
Source: BNI
Title: Spontaneous vaginal delivery or caesarean section? What do Turkish women think?
Citation: International Journal of Nursing Practice, Feb 2013, vol. 19, no. 1, p. 1-7, 1322-7114 (February 2013)
Author(s): Atan, Senay Ünsal, Duran, Emel Tasci, Kavlak, Oya, Donmez,
Source: BNI
Title: Normal birth and its meaning: a discussion paper
Citation: Evidence-Based Midwifery, Mar 2013, vol. 11, no. 1, p. 16-20, 1479-4489 (March 2013)
Author(s): Clews, Claire
Source: BNI

News from NICE

Help with identifying meningitis in children and young people
NICE?s latest quality standard on bacterial meningitis in children and young people can help GPs and other primary care professionals spot early signs and symptoms of the condition.
July 25, 2012
New treatment for blood clots approved by NICE
Patients with blood clots can be now be offered rivaroxaban as an alternative to warfarin for the treatment of blood clots following latest guidance from NICE.
July 25, 2012
First set of local government briefings launch
Tobacco, physical activity and workplace health are the topics covered in NICE?s first set of local government public health briefings.
July 25, 2012
NICE to assess high cost drugs for rare conditions
NICE will take on the role of assessing very high cost drugs for people who suffer with rare conditions, under the Health and Social Care Act 2012.
July 20, 2012
Healthy diet and exercise key to reducing the risk of type 2 diabetes
Simple lifestyle changes, such as increased physical activity or eating more healthily, can prevent or delay type 2 diabetes, says NICE.
July 12, 2012

Map of Medicine News

Improving care in diabetes

Since 2005, there has been a 50% increase in the number of people diagnosed with diabetes. Prevalence in England is expected to rise….

Read more about this story ….
UK | 23 Jul 12

Leeds Clinical Commissioning groups launch MSK care maps

The three newly-formed clinical commissioning groups (CCGs) in Leeds have launched an ambitious project to improve the quality of referrals by adding local pathways….

Read more on Leeds….
UK | 23 Jul 12

3 part online Diabetes course

OnMedica are offering a comprehensive three-part course on diabetes covering all the aspects ranging from epidemiology to latest treatments. Each independently authored module contains exclusive videos with diabetologist Professor Steve Bain and is worth 2 hours of CME credit. And as with all the OnMedica learning, the course is accredited by the RCGP’s EPASS scheme. Don’t miss out, click on the links below to start the modules now: