This observation may be used to grade more precisely the risk of ulceration in elderly diabetic patients. Copyright © 2013 John Wiley & Sons. “
“The objective of this observational case report was to present the first case consistent with the ‘dead in bed’ syndrome in which hypoglycaemia

has been documented by real-time glucose monitoring at the time of death. We report the case of a 41-year-old male with type 1 diabetes. Diagnosed at age 14, he had poor glycaemic control during his teen years and suffered from severe hypoglycaemia unawareness. His diabetes was complicated by nephropathy, find more neuropathy and retinopathy. He was last seen alive and well by the family seven days before he was found dead in bed with his insulin pump and sensor in situ. The last recorded interaction between the patient and the pump system was seven days previously with evidence of prolonged hypoglycaemia around the time. Post-mortem examination showed no specific cause of death. The findings in this case report are consistent with ABT-199 cost the hypothesis that hypoglycaemia is a precipitant of the ‘dead in bed’ syndrome in diabetes and indicate that the presence of low glucose alarms does not provide complete protection against such an event. Copyright © 2013 John Wiley & Sons. “
“The primary aim of this study

was to better understand patients’ experience of admission to hospital with diabetic ketoacidosis (DKA) and its psychological impact. The secondary aim was to improve our service Cell press provision for patients following an episode of DKA. Forty patients who had been admitted to hospital with DKA were invited to participate. Four patients agreed to take part (three female, one male; mean age 34 years, range 21–49 years). All participants had type 1 diabetes.

Participants completed a semi-structured interview and psychometric questionnaires. Descriptive statistics were generated for demographic and questionnaire data. Interview transcripts were qualitatively analysed using thematic analysis. The thematic analysis showed three important themes: Consequences of DKA; Recognising and Managing DKA; and Hospital Experience. The theme of Recognising and Managing DKA highlighted that only one participant recognised insufficient insulin as a trigger for DKA, and other people first recognised symptom severity in every case. The theme Hospital Experience seemed to support a number of studies that have found poor provision of care for those presenting with DKA. It is important to note that there were only four participants who contributed, which limited the conclusions that can be drawn. It appeared some patients lack understanding of what DKA is. It seems that better provision of information on DKA needs to be given to both the individual and their family members. There was some evidence that an admission for DKA is a marker for follow-up psychological assessment. Copyright © 2013 John Wiley & Sons. “
“Type 2 diabetes is the disease of our times.