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Association between HbA1c variation and cognitive decline in older people

15th National Conference of the PCDS: Part 2

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

15th National Conference of the PCDS: Part 1

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

Reducing diabetes medication benefits older people

Polypharmacy increases complications and mortality in older people

Peripheral neuropathy reduces muscle strength in men with diabetes

Hypoglycaemia increases risk of adverse events in older patients with dementia

Deintensifying treatment benefits older patients with type 2 diabetes

Innovative use of a flash glucose monitor in frail elderly patients: A case series

Through the use of flash glucose monitoring technology, this community nursing team has closely followed daily blood glucose patterns in their patients who need support to adminster their insulin, and has used them to adjust insulin regimens, thus reducing both the risk of hypoglycaemia (particularly nocturnal) and the number of nurse visits required.

Oral semaglutide significantly reduces cardiovascular events

An outcome study for oral semaglutide has evaluated the drug’s cardiovascular safety against placebo when added to standard care. Semaglutide is an injectable incretin that has recently become available; oral semaglutide has not yet been approved by the European Medicines Agency. Results showed no significant difference in three-point major adverse cardiac events, but there was a significant reduction in cardiovascular death and all-cause mortality with oral semaglutide.

Service update: The success of District Nursing virtual clinics in Somerset

Su Down examines the results of holding virtual clinics to reduce the demand on district nursing teams to administer insulin across rural Somerset.

New thinking in dementia and diabetes

An assessment of the evidence linking dementia to metabolic health and how lifestyle advice may offer hope to patients.

Diabetes and dementia: A double dilemma

An in-depth review of coexisting diabetes and dementia, and the implications for treatment.

Setting up a service for people with diabetes and dementia: Experiences from the DIADEM project

Amar Puttanna offers some practical suggestions on designing a service and managing patients with diabetes and dementia, drawing on his experience of creating the award-winning DIADEM project.

Diabetes and dementia: Personal and service impacts

Sara Da Costa introduces a special section on diabetes and dementia, asking how we can keep these patients at the centre of care in spite of insufficient resources and rising demand.

Dementia risk doubled in poorly controlled type 1 diabetes

Glycaemic control influences dementia risk in type 1 diabetes

Symptom burden greatest in undiagnosed diabetes

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