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Hypoglycaemia

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No additional cardiovascular risk with linagliptin

The CARdiovascular Outcome Study of LINAgliptin versus glimepiride in patients with type 2 diabetes (CAROLINA) trial is the last planned cardiovascular outcome trial on a dipeptidyl peptidase 4 inhibitor. Researchers found that there were no substantial differences in cardiovascular events between linagliptin and glimepiride, although they found a significantly higher risk of hypoglycaemia and modest weight gain in the glimepiride group.

Free e-learning module: Diabetes in children and young people – Parts 1–3

CPD for healthcare professionals covering epidemiology, guidelines, diagnosis, diabetic ketoacidosis, the prescribing and monitoring of insulin, education, diet and lifestyle in children and young adults with diabetes.

iLet bionic pancreas improves blood glucose control

Peak CVD and mortality risk in month after severe hypoglycaemia

People with diabetes who experience severe hypoglycaemia are at a high risk of cardiovascular events. Investigators wanted to clarify the temporal relationship between hypoglycaemia and cardiovascular events, so they conducted a large matched-control, longitudinal study. Within the first month following a severe hypoglycaemic event, there was a significant increase in the incidence of cardiovascular disease and all-cause mortality. These increased risks dropped significantly each month for 6 months after the severe hypoglycaemic event.

Free e-learning module: Diabetes in children and young people – Parts 2 and 3

CPD for healthcare professionals covering the prescribing and monitoring of insulin, education, diet and lifestyle in children and young adults with diabetes.

14th National Conference of the PCDS

The key learning points and their application to practice from the broad range of topics presented at the conference.

CGM with remote monitoring in children improves parents’ quality of life

Switching from flash to CGM reduces hypoglycaemia risk

Keeping abreast of the latest diabetes research: Intensive treatment, hypoglycaemia and mortality, HIIT, and IVI protocols

Too busy to keep up to date with the latest research? Erwin Castro, a Diabetes Nurse Consultant in Hastings, selects the latest papers of interest to diabetes nurses.

Launch of new hypoglycaemia digital education programme

A new digital education programme has been launched to help educate people with diabetes, parents and carers, teachers, and healthcare professionals on managing the risks and challenges of hypoglycaemia.

New consensus on hyperglycaemia management in type 2 diabetes

The American Diabetes Association and the European Association for the Study of Diabetes have published a new consensus guidance document on the management of type 2 diabetes in adults. The guidance does not take a target-driven approach, rather suggesting that patient factors and preferences should inform the process of individualising treatment goals and strategies. It points out that not all people living with diabetes should have the same level of diabetes control and that patient-centred care is vital. It also acknowledges that the goals of treatment for type 2 diabetes are to prevent or delay complications and maintain quality of life.

Pilot study of a hypoglycaemia care bundle label

This article discusses the implementation and initial outcomes of a pilot project to devise a hypoglycaemia care bundle label to improve compliance amongst ward-based staff with the documentation of hypoglycaemia events, and to prompt correct hypoglycaemia treatment and management.

The role of a healthy-eating educational module during Ramadan in a community health centre

The impact of an educational module and individual follow-up on adherence to a healthy diet, medication use and glucose levels during Ramadan in a community setting.

Unit 3 – Core aspects of care: Diabetes care for older people: A practical view on management

This issue’s free CPD module looks at specific needs, treatments and assessments for older people with diabetes in the community, care homes or hospital.

Point-of-care simulation training to address serious untoward incidence of hypoglycaemia

The success of simulation training for the management of hypoglycaemia in hospital in the authors' hospital Trust.

Inpatient nursing staff knowledge on hypoglycaemia management

A study of healthcare professionals' knowledge of hypoglycaemia management in hospital.

Association between severe hypoglycaemia and CV outcomes and mortality

In an analysis conducted as part of the study DEVOTE (Trial Comparing Cardiovascular Safety of Insulin Degludec vs Insulin Glargine in Patients with Type 2 Diabetes at High Risk of Cardiovascular Events), the incidence and rates of severe hypoglycaemia and all-cause mortality were analysed. There was a significantly higher risk of all-cause mortality for people who had experienced severe hypoglycaemia during the trial. There was also a higher risk of all-cause mortality up to 1 year after experiencing severe hypoglycaemia compared with no severe hypoglycaemia in the same time interval.

Glucagon availability and training in Yorkshire and the Humber: A survey and a new consensus guideline

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