Title: Help me manage

Source:   Diabetes UK

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Date of publication:  November 2009

Publication type:  Case Study

In a nutshell: This case study documents the development of a PCT funded web site and information booklet to support people with Diabetes who have been transferred from secondary care to a primary care setting. The aim is to ensure that Diabetes sufferers have access to the same information as clinicians.  It highlights the collaboration between primary and secondary care.

Length of publication:  1 web page

Some important notes: You can access the project web site at http://www.portsmouthdiabetes.co.uk/

Title: Reaching the hard to reach

Source:   Diabetes UK

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Date of publication:  November 2009

Publication type:  Case Study

In a nutshell: To address health inequalities in a specific area of deprivation, NHS North East Essex created a new post of Diabetes Specialist Nurse to provide extra support to people with diabetes closer to their homes. This project has resulted in reduced admissions, admission avoidance, reduced referrals, improved Hba1cs & lipids, referrals to lifestyle interventions and 100% improved patient confidence.

Length of publication:  1 web page

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Title: Give pupils with diabetes equal access to activities

Source: Nursing Standard, 24 (1) p.10

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Date of publication: September 2009

Publication type: Journal article

In a nutshell: School pupils with diabetes are missing important parts of the curriculum because they are being withdrawn from physical education and other classes, the RCN claims.

Length of publication: 1 pages

Some Important Notes: You will need your NHS Athens username and password to access the full text of this article

Acknowledgement: Cinahl

Title: The Implementation of a NICE compliant Pathway of Care for the Initiation of Insulin in People with Type 2 Diabetes

Source: Diabetes UK

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Date of publication: Oct 2009

Publication type: Case Study

In a nutshell: The service is provided for the population of people with Type 2 diabetes in Newcastle within the North of Tyne Primary Care Trust. It was implemented in 2005 ot deliver the majority of diabetes care, for people with Type 2 diabetes in primary care. An integrated pathway of care included a Community Assessment Clinic (CAC) for GPs to access advice on management and referral for Insulin therapy, was also offered via a structured education programme.

Length of publication: 1 web page

Source: Nursing Times.net

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Date of publication: Oct 2009

Publication type: News story

In a nutshell: This article documents a new RCN accredited resource which has been developed to education practice nurses in Diabetes Type 2 therapy. The T2D zone toolkit has been developed to assist nurses in making evidence based decisions.

Length of publication: 1 web page

Some important notes: More information about the initiative is available at www.T2DZone.co.uk

Title: Development of a model of care and service specifications for adult patients with diabetes

Source: Diabetes UK

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Date of publication: Oct 2009

Publication type: Case Study

In a nutshell: NHS Somerset have developed a model of care involving patients, clinicians, commissioners and providers. The vision is for care to be more integrated and accessible, focussing on prevention, earlier diagnosis and support for self management. The model aims to deliver an equitable service across Somerset including: community based services, seamless care, educational programmes, healthy eating and physical activity programmes, management plans, access to specialist care and equality of access and choice. The majority of care for adult diabetes patients will take place in community settings, with specialist care (level 3) being provided in acute care hospitals.

Length of publication: 1 web page

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Title: Let’s get moving: Commissioning Guidance, a new physical activity care pathway for the NHS

Follow this link for full text 

Date of publication: 2009

Publication type: Report

In a nutshell: This document outlines an evidence based approach to promoting physical activity amongst PCTs and its potential impact on a number of long term conditions including diabetes. It highlights a physical activity based programme and includes examples of case studies within the Annexes.

Length of publication: 86 pages

Acknowledgement: NHS Institute for Innovation and Improvement Alerts

Source: Diabetes UK

Publication type: News story

In a nutshell: Diabetes UK has chosen three project partners for the User Involvement in Local Diabetes Care Project: NHS Lincolnshire, NHS Hammersmith & Fulham, and North Mersey Diabetes Network (consisting of Liverpool PCT, NHS Sefton and NHS Knowsley).  The project aims to develop systematic, structured and sustainable approaches to allow people with diabetes to influence the decisions taken about the services the NHS provides.

Some important information: The project has its own web site – http://www.diabetes.org.uk/localinvolvement

Acknowledgement: Diabetes UK

Source: Implementation Science, 2009, 4:41

Click here for full text [11 page pdf]

Publication type: Journal article

In a nutshell: This article describes a small scale qualitative research project undertaken with Belgian GPs to acquire a better understanding of the barriers to high-quality diabetes care and into the mechanisms of change brought about by an 18-month quality improvement program (QIP). The QIP was implemented to promote compliance with international guidelines and included interventions such as the introduction of an Interdisciplinary Diabetes Care Team.

Acknowledgement: CINAHL

Source: Diabetes UK

Publication type: News story

In a nutshell: More money is spent on diabetes medication in primary care than on treatments for any other condition, with almost £600 million of medicines prescribed by doctors last year, according to the report ‘Prescribing for Diabetes in England’, produced by the NHS Information Centre.

Some important information: The 22 page report is available as a pdf -
http://www.ic.nhs.uk/statistics-and-data-collections/primary-care/prescriptions/prescribing-for-diabetes-in-england:-supplement–january-2002-to-march-2009

Acknowledgement: Diabetes UK

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Source:   Journal of Diabetes Nursing, 13 (4) p.139-144

Follow this link for abstract

Date of publication:  01 April 2009

Publication type:  Journal article

In a nutshell: This article describes the the Birmingham Own Health programme, a Non-NHS diabetes service provider and discusses how this links with existing services provided by GP practices and the community team in NHS Birmingham East and North.

Length of publication:  5 pages

Some Important Notes: Please contact your local NHS library for the full text of the article. Follow this link to find your local NHS library.

Acknowledgement: Cinahl

Source:  Lancashire Teaching Hospitals NHS Foundation Trusts

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Date of publication: 27.7.09

Publication type: Press realease

In a nutshell: Leading up to Ramadan, Preston launched a series of diabetes clinics for Muslim patients providing specialist advice about coping with the condition whilst fasting.

Length of publication: 1 web page

Some important notes:   Please contact your local NHS library for the full text of the article. Follow this link to find your local NHS library.

Source:  Department of Health

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Date of publication:  July 2009

Publication type:  Best Practice Guides

In a nutshell: These 6 guides can contribute to the deliver of the next stage of High Quality Care for all and should be read in conjunction with the quality framework/quality indicators. Each guide focusses on one of the key areas for community services: health, well-being and reducing inequalities; children, young people & families; acute care closer to home; long term conditions;  rehabilitation; end of life care. The long term conditions guide can be used to benchmark provision, identifiy gaps and have informed discussions about future directions for Diabetes Type 2 specifically.

Length of publications: Various

Acknowledgement: Nursing Times

Source: Nursing Times, 105 (27) Supplement: Transforming Community Services Pt 2 p.3

Date of publication: 14 July 2009

Publication type: Journal article

In a nutshell: This article outlines the work carried out by Southwark provider services to support people to self manage diabetes within the community setting. The work on Diabetes care in the community was nominated for the TCS Innovation & Leadership Award and won £85,000 funding to develop the service. the project will include training staff about self management; provide information for people with diabetes; distric nurses and GPs collaborating to identify people at high risk and detect new cases early.

Length of publication: 1 page

Some important notes: The full text of this project is not available online, but can be accessed in the Nursing Times Supplement. Please contact your local NHS library for the full text of the article. Follow this link to find your local NHS library.

Acknowledgement: Cinahl

Source: Diabetes UK

Date of publication: July 2009

Publication type: Blog

In a nutshell: Andy Kliman, 36, was diagnosed with Type 2 diabetes in May 2009. Andy has chosen to share his experience via a blog. Andy’s story is a good example of what someone can go through when they are suddenly diagnosed with Type 2 diabetes.

Length of publication: Web page

Some important notes: Link to the blog: http://diabetes.org.uk/Get_involved/Online-communities/Blogs/Type-2-diabetes—youve-got-to-be-kidding/

Acknowledgement: Diabetes UK

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Source:   Health Expectations, 12 (2) p.138-148

Follow this link for abstract

Date of publication:  June 2009

Publication type:  Journal article

In a nutshell: 20 patients with type 2 diabetes in Lothian were interviewed about their long term experiences of diabetes care/reviews since transferred from secondary to primary care. Patients perceived the transferrence of care as a mixed blessing. It concludes that patients should be educated about their care pathways and reassured regarding the quality of primary care received.

Length of publication:  10 pages

Some Important Notes: Please contact your local NHS library for the full text of the article. Follow this link to find your local NHS library.

Acknowledgement: Cinahl

Source:   British Journal of Nursing 18 (13) p.804-810

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Date of publication:  July 2009

Publication type:  Review article

In a nutshell:   This article considers issues relating to the management of the diabetic foot and the development of interdisciplinary relationships between allied health professionals  with a view to delivering more holistic long term care.

Length of publication:  6 pages

Some Improtant Notes: You will need your NHS Athens username and password to access the full text of this article.

Acknowledgement: Cinahl

Source:   Practice Nurse, 37 (10) p.36-39

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Date of publication:  May 2009

Publication type:  Journal article

In a nutshell: This article indicates that the use of care plans by practice nurses can help patients feel supported to self care. It outlines the necessity with reference to a range of UK evidence and guidance including the NSF, “Our health, Our care, Our Say”, the NHS Modernisation Agency and the Audit Commission. The article also provides a model for an effective approach to improvement.

Length of publication:  3 pages

Some Important Notes: You will need your NHS Athens username and password to access the full text of this article.

Acknowledgement: Cinahl

Source:   Health Education & Behavior 36 (3) p.615-626

Follow this link for abstract

Date of publication:  June 2009

Publication type:  Journal article

In a nutshell:   A 9 week intervention assessed diet, knowledge, expectations, self-efficacy and empowerment   regarding GI & GL in adults age 40-70 years old with type 2 diabetes. The findings indicate that nutrition education regarding GI & GL can improve diabetes management.

Length of publication:  9 pages

Some Improtant Notes: Please contact your local NHS library for the full text of the article.  Follow this link to find your local NHS library.

Acknowledgement: Cinahl

Source:   Healthier Horizons – This Vision: One Year On

Link here to view full text

Date of publication:  July 2009

Publication type:  Case study

In a nutshell:   NHS Central Lancashire have developed the PACE model, (Personalised, Advanced, Care, Environments) to deliver responsive and flexible care. This study shows the PACE model in action at the Minerva Health Centre, bringing a range of health service together to meet the needs of people with long terms conditions like Diabetes.

Length of publication:  1 page

Acknowledgement:  NHS Northwest

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Source:   Diabetes UK

Date of publication:  June 2009

Publication type:  Case study

In a nutshell:   The X PERT education programme includes 6 weekly sessions (tailored to groups needs), based on activation, discovery learning and empowerment. It  was devised for people with Type 2 Diabetes and was delivered in several community venues within Burnley, Pendle and Rossendale, Lancashire. The programme attracted a cultural mix of people from different educational and economic backgrounds. It is now being rolled out in the UK and Ireland.

Length of publication:  1 web page

Acknowledgement: Diabetes UK

Source:   Sheffield Health

Date of publication:  June 2009

Publication type:  News story

In a nutshell:   A community-based specialist diabetes support team has been launched by Central Sheffield GP Consortium, a cluster of 28 practices working together to improve services for patients in the centre of the city.
The groundbreaking team will not only deliver specialist support clinics in the community but provide training for GP practice nurses to provide ongoing diabetic care for patients who currently have to attend hospital outpatient clinics.

Length of publication:  1 page

Some important notes:  Includes a link to ‘Contact us’ for more information about the project.

Acknowledgement: NHS Diabetes

Source:   Diabetes UK

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Date of publication:  29 May 2009

Publication type:  News story

In a nutshell:   During July and August 2008 Diabetes UK ran an online survey about people’s views and experiences of diabetes found that the majority of participants had no problems with the idea of injecting insulin should they need to. There were 2,390 respondents, including 1,412 people with Type 2 diabetes and 873 with Type 1.

Length of publication:  Web page

Acknowledgement: Diabetes UK

Source:   Diabetes UK

Date of publication:  June 2009

Publication type:  Case study

In a nutshell:  Maslaha was commissioned by Tower Hamlets Primary Care Trust to develop a new web based and DVD resource to engage Muslim patients in order to tackle the low rates of access to healthcare within the Muslim community and improve self management. This is a good example of shared practice because a wide range of stakeholders were engaged including patients and healthcare professionals.

Length of publication:  1 web page

Acknowledgement: Diabetes UK

Source:    Diabetes Educator, March 2009, 35 (2)

Follow this link for edition

Date of publication:  March 2009

Publication type:  Journal articles

In a nutshell:  This issue includes a number of articles which outline the Diabetes Prevention Program and different ways of translating this into effective practice within the community. 

Length of publication:   Various

Some important notes:  Please contact your local NHS library for the full text of the article. Follow this link to find your local NHS library.

Acknowledgement   Cinahl

Source:   J Health Serv Res Policy. 2009 Apr;14(2):82-7.

Follow this link for an abstract

Date of publication:  June 2009

Publication type:  Qualitative research

In a nutshell:   The authors undertook qualitative semi-structured interviews to examine patients’ experiences of continuity of care in the context of different long-term conditions and models of care, and to explore implications for the future organization care of long-term conditions. They conclude that continuity experiences, meanings and expectations, as well as barriers and facilitators, are influenced by the model of care rather than type of condition.

Length of publication:  1 page (original research = 5 pages)

Some important notes:  Please contact your local NHS library for the full text of the article.  Follow this link to find your local NHS library.

Acknowledgement: PubMed

Title: Effectiveness of diabetes self-management education intervention elements: a meta-analysis

Source:  Canadian Journal of Diabetes, 01 March 2009, 33 (1) p.18-26

Follow this link for full text

Date of publication:  March 2009

Publication type:  Meta-analysis

In a nutshell:   This analysis examines differences in knowledge, self-management behaviours and metabolic control associated with diabetes self-management education (DSME) interventions. It highlights differences in outcomes for number of sessions, duration of intervention and provision of booster sessions.  It is useful to inform the design and development of effective DSME interventions. 

Length of publication:  8 pages

Acknowledgement  Cinahl

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Title:  Treating type 2 diabetes: how safe are current therapeutic agents?

Source:   International Journal of Clinical Practice; 63 (2) p.321-322

Follow this link for abstract

Date of publication:  01 February 2009

Publication type:  Review

In a nutshell:   This article reviews the use of oral hypoglycaemic agents (OHAs) from the standard Sulphonylureas (SUs) and biguanides (metformin) to the more recent thiazolidinediones, glinides, a-glucosidase inhibitors, glucagonlike peptide-1 agonists, amylin analogues and dipeptidyl peptidase-IV inhibitors. Whilst the safety of SUs and metformin have been established through long term use, clinical trials relating to the newer OHAs are needed to measure their risk benefit ratio against the standard regimens. It recommend that until established trials are available, patients should be treated on an individual basis weighing benefits and costs of individual medications.

Length of publication:  1 page

Some important notes:   Please contact your local NHS library for the full text of the article. Follow this link to find your local NHS library.

Acknowledgement  Cinahl

Source: Diabetes UK

Follow this link for full text

Date of publication: 2009

Publication type: News story

In a nutshell: During its 30 episodes, Simply Health will aim to teach and inform South Asian viewers about good nutrition and a healthy lifestyle particularly in relation to Type 2 diabetes, heart disease and stroke.  It can be seen on the satellite channel Sony TV Asia on Fridays at 6.30pm, Saturdays at 9.00am and Sundays at 11.30am.

Length of publication: 1 page

Some important notes: none

Acknowledgement: Diabetes UK

Source: International Diabetes Federation

Follow this link for full text

Date of publication: 2009

Publication type: Statistics

In a nutshell: Web site providing facts and figures about diabetes and its complications, as well as statistical information about the extent and impact of diabetes around the globe.  With links to useful sound bites, costs and Diabetes Atlas, 3rd edition (2006).

Length of publication: 1 page

Some important notes: none

Acknowledgement: International Diabetes Federation

Source: J Adv Nurs. 2009 Apr 30. [Epub ahead of print]

Follow this link for abstract

Date of publication: 2009

Publication type: Journal article

In a nutshell: Using data from focus groups, the authors conclude that people with type 2 diabetes appreciate their care management within the primary care setting where there has been investment in staff to deliver this care. Healthcare resources are required to support the development of staff and the necessary infrastructure to undertake management in primary care. Policy makers need to address the balance of resources between primary and secondary care.

Length of publication: unknown

Some important notes: Please contact your local NHS library for the full text of the article.  Follow this link to find your local NHS library.

Acknowledgement: PubMed

Title:   Beyond good intentions: the role of proactive coping in achieving sustained behavioural change in the context of diabetes management

Source:    Psychology & Health; 24 (3) p.237-254

Follow this link for abstract

Date of publication:  01 March 2009

Publication type:  Clinical trial

In a nutshell:   This RCT examines a self-management intervention to support patients recently diagnosed with type-2 diabetes to improve their self-care behaviours. The intervention is based on proactive coping to predict the maintenance of changes in behaviour, examining the role of anticipation and planning in maintaining self care. The intervention was successful regarding improved diet and exercise resulting in weight loss over 12 months. Proactive coping was seen to be a good predictor of long term self management.

Length of publication:   17 pages

Some important notes:  Please contact your local NHS library for the full text of the article. Follow this link to find your local NHS library.

Acknowledgement   Cinahl

Source: Diabetes Care. 2009 Mar;32(3):404-9

Follow this link for abstract

Date of publication: 2009

Publication type: Journal article

In a nutshell: The introduction of a pay for performance incentive in U.K. primary care was associated with improvements in the intermediate outcomes of diabetes care for all ethnic groups. However, the magnitude of improvement appeared to differ between ethnic groups, thus potentially widening existing disparities in care. Policy makers should consider the potential impacts of pay for performance incentives on health disparities when designing and evaluating such programs.

Length of publication: 5 pages

Some important notes: Please contact your local NHS library for the full text of the article.  Follow this link to find your local NHS library.

Acknowledgement: PubMed

Source: NHS Diabetes

Follow this link for full text

Date of publication:2009

Publication type: News story

In a nutshell: Ten healthcare scientists from across England have been awarded research fellowships worth a total of over £1million for projects that will lead to improvements in patient care.  One involves diabetes testing in primary care.

Length of publication: 1 page

Some important notes: none

Acknowledgement: NHS Diabetes

Source: Patient Educ Couns. 2009 Feb;74(2):258-63

Follow this link for abstract

Date of publication: 2009

Publication type: Journal article

In a nutshell: Findings from in-depth interviews suggest providing diet and physical activity information together encourages patients to use physical activity in strategic ways to aid disease management and that most patients find undertaking multiple lifestyle changes helpful. Practitioners should provide diet and physical activity information together to encourage patients to use physical activity strategically to maintain dietary changes.

Length of publication: 5 pages

Some important notes: Please contact your local NHS library for the full text of the article.  Follow this link to find your local NHS library.

Acknowledgement: PubMed

Title:  Switching patients from insulin glargine-based basal-bolus regimens to a once daily insulin detemir-based basal-bolus regimen: results from a subgroup of the PREDICTIVE study

Source:  International Journal of Clinical Practice, 63 (3) p.425-432

Follow this link for abstract

Date of publication:  01 March 2009

Publication type:  Clinical Trial

In a nutshell: The PREDICTIVE[TM] study, a large, multinational observational trial, was to evaluate the efficacy and safety of insulin detemir (IDet) in routine clinical practice. Twelve-week follow-up data from patients with type 1 (T1D) or type 2 (T2D) diabetes in the European cohort switched from once or twice daily insulin glargine (IGlarg) to qd IDet in a basal-bolus regimen. Switching from IGlarg to qd IDet was associated with improvements in glycaemic parameters and no increase in hypoglycaemic episodes or weight gain. Patients with T1D and T2D may be switched from IGlarg to qd IDet as part of a basal-bolus regimen.

Length of publication: 7 pages

Some important notes:  Please contact your local NHS library for the full text of the article. Follow this link to find your local NHS library.

Acknowledgement  Cinahl

Source: Diabetes UK

Follow this link for full text

Date of publication: 2009

Publication type: News story

In a nutshell: A new DVD, called ‘Diabetes – Living a healthier Life’, will enable this audience to have access to the same information about the condition as people with Type 2 diabetes who do not have learning disabilities.

Length of publication: 1 page

Some important notes: none

Acknowledgement: Diabetes UK

Source: Primary Care Diabetes, 3(1): p 23-28

Follow this link for abstract

Date of publication: 2009

Publication type: Journal article

In a nutshell: This study investigated the organisation of insulin therapy in general practice in the Netherlands where shared care was not a preferred service model.  This nation-wide overview shows that insulin therapy is no longer a secondary care based activity. However, there is still need to enlarge the practice staff and to overcome the perceived skills deficit. 

Length of publication: 5 pages

Some important notes: Please contact your local NHS library for the full text of the article.  Follow this link to find your local NHS library.

Acknowledgement: NHS Evidence – Diabetes

Title: A treatment decision aid may increase patient trust in the diabetes specialist. The Statin Choice randomized trial

Source: Health Expectations; 12 (1); p. 38-44

Follow this link for abstract

Date of publication: March 2009

Publication type: Clinical trial

In a nutshell: This article outlines a trial about a decision aid to help patients with diabetes decide about statins (Statin Choice) and to determine whether it effects their trust in the clinician. This trial was blinded and included 98 patients with type 2 diabetes. This trial suggests that decision aids do not have a large impact on trust in the physician and may increase trust through improvements in the decision making process.

Length of publication: 6 pages

Some important notes: Please contact your local NHS library for the full text of the article. Follow this link to find your local NHS library.

Acknowledgement Cinahl