We conclude that glucose self-monitoring in the weeks prior to outpatient CF clinic review could become the preferred tool for screening and monitoring of dysglycaemia in adult CF. Copyright © 2011 John Wiley & Sons. “
“In the UK, optometrists examine 17 million people yearly, many of whom will not have consulted a doctor and may have undiagnosed diabetes. Selective testing in optometry practices presents a new detection strategy. The purpose of this research was to ascertain optometrists’ perceptions, attitudes and beliefs towards diabetes and screening, prior to evaluating GSI-IX cost a
pilot service. Focus groups and interviews were conducted with 21 optometrists in Northern England. Analysis was based on grounded theory. Four themes emerged: varying awareness of diabetes and
its early diagnosis, a reluctance in accepting a screening role, organisational barriers in implementing such a service, and controversies around the changing roles of optometrists. Although optometrists’ awareness of diabetes was varied, all had seen patients they suspected of having diabetes and felt that the public under-estimated risks of diabetes. Some felt GSK126 mw that diagnosis of asymptomatic diabetes was unnecessary, although most felt that early diagnosis would be beneficial. Optometrists believed that the public and doctors had mixed attitudes to their possible involvement in screening. Specific barriers included additional Glycogen branching enzyme cost, time, remuneration and litigation fears. However, optometrists felt that their professional role has evolved and that a greater, extended clinical involvement would be positive. In conclusion, optometrists are willing to carry out capillary blood glucose tests, provided that the scheme is simple, is supported by other health care professionals and is properly funded.
There is a clear advantage in identifying undiagnosed diabetes in people attending optometry practices who are not accessing other health care providers. Copyright © 2010 John Wiley & Sons. “
“There are four major hypertensive disorders in pregnancy: chronic hypertension, gestational hypertension, pre-eclampsia and chronic hypertension with superimposed pre-eclampsia. The indications for and efficacy of antihypertensive treatment in the different hypertensive disorders are evaluated. Advantages and disadvantages of different classes of antihypertensive drugs during pregnancy and lactation are described. “
“Detection of ketonaemia is a key factor in diagnosing diabetic ketoacidosis (DKA). Measurement of urinary ketones via the nitroprusside reaction is the most commonly employed diagnostic test; however, near patient testing of blood ketones is now widely available. In the clinical setting we wished to compare the utility of urine and blood ketone measurements to predict acid base balance and need for admission in patients with type 1 diabetes.