scholarly journals Impact of the UK COVID‐19 pandemic on HbA1c testing and its implications for diabetes diagnosis and management

2021 ◽  
Vol 75 (4) ◽  
Author(s):  
David Holland ◽  
Adrian H. Heald ◽  
Mike Stedman ◽  
Lewis Green ◽  
Jonathan Scargill ◽  
...  
Keyword(s):  
Diabetes Diagnosis ◽  
Diagnosis And Management ◽  
The Uk

scholarly journals Impact of the UK COVID-19 pandemic on HbA1c testing and its implications for diabetes diagnosis and management

2020 ◽  
Author(s):  
David Holland ◽  
Adrian Heald ◽  
Mike Stedman ◽  
Lewis Green ◽  
Jonathan Scargill ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Diabetes Diagnosis ◽  
Long Term Conditions ◽  
Diagnosis And Management ◽  
Increased Risk ◽  
Poor Outcomes ◽  
The Uk ◽  
The Impact

Our findings illustrate the widespread collateral impact of implementing measures to mitigate the impact of COVID-19 in people with, or being investigated for diabetes mellitus (DM). Ironically, failure to focus of the wider implications for people with DM and other groups with long-term conditions, may place them at increased risk of poor outcomes from SARS-CoV-2 infection itself, irrespective of the implications for their longer-term health prospects.

The diagnosis and management of factor VIII and IX inhibitors: a guideline from the UK Haemophilia Centre Doctors' Organization (UKHCDO)

2000 ◽  
Vol 111 (1) ◽  
pp. 78-90 ◽  
Author(s):  
C. R. M. Hay ◽  
T. P. Baglin ◽  
P. W. Collins ◽  
F. G. H. Hill ◽  
D. M. Keeling
Keyword(s):  
Factor Viii ◽  
Diagnosis And Management ◽  
Viii And Ix ◽  
The Uk

Abdominal aortic aneurysms

2021 ◽  
pp. 1-7
Author(s):  
Aadil Ahmed ◽  
Adam Heyes ◽  
Jagraj Pandher ◽  
Sriram Rajagopalan
Keyword(s):  
Vascular Surgery ◽  
European Society ◽  
Abdominal Aortic Aneurysms ◽  
Aortic Aneurysms ◽  
Substantial Proportion ◽  
Limb Loss ◽  
Diagnosis And Management ◽  
Abdominal Aortic ◽  
The Uk ◽  
Treatable Condition

Vascular surgery is a relatively new surgical sub-speciality in the UK, with treatment of abdominal aortic aneurysms forming a substantial proportion of the emergency and elective caseload. This article summarises the guidance from the National Institute of Health and Care Excellence and the European Society for Vascular Surgery that outlines the epidemiology, diagnosis and management of abdominal aortic aneurysms. This is important for both vascular and non-vascular trainees to understand because of the critical nature of the disease, which can cause catastrophic haemorrhage, limb loss and mortality. However, if discovered in time, abdominal aortic aneurysms are a very treatable condition.

scholarly journals Diagnosis and management of polycystic ovary syndrome in the UK (2004–2014): a retrospective cohort study

BMJ Open ◽  
2016 ◽  
Vol 6 (7) ◽  
pp. e012461 ◽  
Author(s):  
Tao Ding ◽  
Gianluca Baio ◽  
Paul J Hardiman ◽  
Irene Petersen ◽  
Cormac Sammon
Keyword(s):  
Cohort Study ◽  
Polycystic Ovary Syndrome ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Polycystic Ovary ◽  
Ovary Syndrome ◽  
Diagnosis And Management ◽  
The Uk

Reconsidering the HbA1c Cutoff for Diabetes Diagnosis Based on a Large Chinese Cohort

2019 ◽  
Author(s):  
Jiying Qi ◽  
Yang Su ◽  
Qianqian Song ◽  
Zhaojun Ding ◽  
Min Cao ◽  
...  
Keyword(s):  
Positive Association ◽  
Diabetes Diagnosis ◽  
Middle Aged ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Aged Population ◽  
Diagnosis And Management ◽  
Age Related ◽  
The Difference ◽  
Hba1c Levels

Abstract Introduction The HbA1c has been considered as the ‘gold standard’ in diabetes diagnosis and management, however, age, gender and body mass index (BMI) might have certain effects on HbA1c. We are aiming to further investigate the correlation between age and HbA1c, and whether it was affected by gender and BMI. Methods A cross-sectional survey including 135,893 nondiabetic individuals who took the physical examination between 2013 and 2017 was conducted. The subjects were grouped by gender, age and BMI, and the interactive and independent effects of the 3 factors on the HbA1c were detected. The median and 95% confidence interval (CI) of HbA1c levels were calculated. Results The HbA1c levels gradually increased along with age, both in female and male, and there is a positive association between BMI and the HbA1c. The difference on HbA1c in gender was associated with both age and BMI, the age-related increase in HbAlc was accentuated in the subgroup with higher BMI, and there was a marked accentuation of the positive association between BMI and HbA1c as age increased. In almost all the young and middle-aged (aged 20–59) subgroups, the 97.5th percentiles of HbA1c levels were lower than 6.5%, suggesting that the single HbA1c cutoff value is probably not applicable to the young and middle-aged population. Conclusions We recommend that the effects of age, gender and BMI should be taken into consideration when using HbA1c for the diagnosis and management of diabetes, especially in the young and middle-aged population.

scholarly journals Diagnosis and management of bile acid diarrhoea: a survey of UK expert opinion and practice

2019 ◽  
Vol 11 (5) ◽  
pp. 358-363 ◽  
Author(s):  
Julian R F Walters ◽  
Ramesh Arasaradnam ◽  
H Jervoise N Andreyev ◽  
Keyword(s):  
Bile Acid ◽  
Expert Opinion ◽  
Best Practice ◽  
Online Survey ◽  
Design Method ◽  
Diagnosis And Management ◽  
Bile Acid Malabsorption ◽  
Presenting Symptoms ◽  
Wide Range ◽  
The Uk

ObjectiveBile acid diarrhoea (BAD), which includes bile acid malabsorption, causes a variety of digestive symptoms. Diagnostic rates and management vary considerably. We conducted a survey of current practice to review expert opinion and provide guidance on diagnosis and management.Design/methodAn online survey was conducted of clinical members of the UK Bile Acid Related Diarrhoea Network, who had all published research on BAD (n=21). Most were National Health Service consultants who had diagnosed over 50 patients with the condition.ResultsThe preferred terminology was to use BAD, with primary and secondary to classify causes. A wide range of presenting symptoms and associated conditions were recognised. SeHCAT (tauroselcholic acid) was the preferred diagnostic test, and 50% of respondents thought general practitioners should have access to this. Patients who met the Rome IV diagnostic criteria for functional diarrhoea, irritable bowel syndrome (IBS) with predominant diarrhoea or postcholecystectomy diarrhoea were usually investigated by SeHCAT, which was used sometimes in other types of IBS. Treatment with a bile acid sequestrant was offered to patients with low SeHCAT values, with expected response rates >70% in the most severe. Colestyramine was the usual sequestrant, starting between 2 g and 8 g daily; colesevelam was an alternative. In patients who had an incomplete response, increasing the dose, changing to an alternative sequestrant, use of loperamide and a low fat diet were suggested. Recommendations for follow-up and to improve the overall patient experience were made.ConclusionThis expert survey indicates current best practice in the diagnosis and management of BAD.

Impact of the Oil Industry on Malaria Diagnosis and Management in North-East Scotland (1992-99)

2000 ◽  
Vol 45 (3) ◽  
pp. 72-74 ◽  
Author(s):  
A. R. Mackenzie ◽  
R. B. S. Laing ◽  
J. G. Douglas ◽  
N. A. Scott ◽  
C. C. Smith
Keyword(s):  
Falciparum Malaria ◽  
Malaria Diagnosis ◽  
Oil Industry ◽  
The Other ◽  
Current Pattern ◽  
Diagnosis And Management ◽  
Advisory Service ◽  
North East ◽  
Oil Workers ◽  
The Uk

In order to assess the current pattern of malaria presenting to the Aberdeen Infection Unit a retrospective casenote review was undertaken of 110 patients admitted with that diagnosis between 1st January 1992 and 31st August 1999. Oil-related work was the reason for travel in 48 (43.6%) of the UK residents, holiday in 35 (31.8%), backpacking in 8 (7.3%) and other work in 5 (4.5%). Sixty-five patients (59.1%) had PL falciparum malaria (pure or mixed), 25 (22.7%) had PL vivax, 6 (5.4%) PL ovale and 3 (2.7%) PL malariae infection. No prophylaxis had been taken by 66% of the 47 UK-based oil workers and by 36% of the other 48 UK residents who had returned from Africa. There is a need for better education of oil workers and holidaymakers travelling to areas endemic for malaria. We are now setting up a travel advisory service in our Unit to address the problem.

Influenza

2014 ◽  
Vol 7 (10) ◽  
pp. 616-623
Author(s):  
Chantal Simon
Keyword(s):  
Respiratory Tract ◽  
Acute Infection ◽  
Fold Increase ◽  
Respiratory Illness ◽  
Acute Illness ◽  
Diagnosis And Management ◽  
The Uk ◽  
Autumn And Winter

Influenza (or flu) is an acute infection of the respiratory tract that causes sporadic respiratory illness, usually during Autumn and Winter. In the UK, it is responsible for at least 100 deaths a year, with epidemics every 2 to 3 years leading to a 10-fold increase in deaths, and pandemics every 30–40 years killing many more. This article aims to provide an overview of influenza for GPs involved in the management of flu, from prevention, to diagnosis and management of the acute illness in the community.

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