Have You Heard
Leading clinicians and researchers in the USA have proposed a new model for the development of type 2 diabetes which they call ‘Dysglycaemia-based chronic disease’ or DBCD. The four stages of type 2 diabetes have been presented in a recent position statement by the American Association of Clinical Endocrinologists and the American College of Endocrinology.
The Royal College of Physicians is calling for obesity to urgently be recognised as a disease by government and the broader health sector, and warning that until this happens its prevalence is unlikely to be reduced. According to Public Health England, in 2015 63% of adults were classed as being overweight or obese. In 2015 to 2016, 19.8% of children aged 10 to 11 were obese and a further 14.3% were overweight.
A new European position paper recommends that patients with type 2 diabetes should be prescribed physical activity to control blood sugar and improve heart health. The position paper from the European Association of Preventive Cardiology provides practical recommendations on how to motivate patients to incorporate physical activity into their daily routine, set achievable and measurable goals, and design individualised exercise training programmes.
The US National Institute of Health (NIH) has launched an App providing research-based information about the safety and effectiveness of herbal products. HerbList™ provides rigorously researched scientific information to provide consumers and health care practitioners with unbiased information to make informed decisions about supplement use.
The European Association for the Study of Diabetes (EASD) and the American Diabetes Association (ADA) have produced an updated consensus statement on how to manage hyperglycaemia in people with type 2 diabetes.
A new practice guide from the NHS Specialist Pharmacy Service provides practical advice on selecting the correct dose of direct acting oral anticoagulants (DOACs) in patients being treated for atrial fibrillation and renal impairment.
An update of the QOF indicator list by NICE suggests that eight new diabetes indicators should be added to QOF from 2019/20. NICE says that the new approach, which comes following a review of the QOF in England, will improve outcomes and decrease the risk of harm from over-treatment.
New commissioning support guidance has been issued by Public Health England to help commissioners and local authorities to develop joint strategic needs assessment and health and wellbeing strategies to reduce the harm caused by smoking, drinking and substance use in adults and children.