New Clinical Solutions in Diabetes Care

Transcription

1 Welcome to the Diabetes Care in a Disjointed World Conference 2016

2 Conference Planning Team Dr Andrew Inglis - GP, Tadcaster Dr John Reid - GP, Selby Dr Sarah Eaton - GP, York Anne Phillips - Senior Lecturer University of York Carl Covill - Senior Lecturer University of Huddersfield Paul Pipe-Thomas - Specialist Dietitian Barnsley Catherine Storey Specialist Lead for Diabetes - Harrogate Clare MacArthur L/P -York & Northallerton Wendy Youngs - Advanced Nurse Practitioner - Sherburn in Elmet Gillian Brearley - Community Nursing Sister, Locala Social Enterprise Dr Jagannath Gopalappa - Consultant Diabetologist, York Kath Speak Specialist Podiatrist - Harrogate Helen Cressey - Practice Nurse, Skipton Gill Sykes - Specialist Podiatrist Calderdale Paula Maddison-Green Diabetes UK

3 It is estimated that approximately 380,000,000 people aged 16 years and over in England have diabetes (diagnosed and undiagnosed). This is equal to 8.6% of the 16+ population Diabetes Prevalence Model 2016

4 Insulin was discovered by Banting & Best in 1922.

5 International Diabetes Federation Global Estimate M

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7 Of 19 developed countries, the UK has the lowest rates of premature mortality from diabetes 2013: Global Burden of Disease

8 A 45 year old woman diagnosed with diabetes has a life expectancy 20 years lower than all women of the same age UK Prospective Diabetes Study

9 By 2035 the prevalence of diabetes in adults across Yorkshire and the Humber is estimated to rise to 9.8% Diabetes Prevalence Model 2016

10 In 2012 diabetes caused 1.5 million deaths. Higher-than-optimal blood glucose also caused an additional 2.2 million deaths, by increasing the risks of cardiovascular and other disease. World Health Organisation 2016

11 We hope you enjoy the conference! The Conference Planning Team

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13 Across England there are approximately 22,000 excess deaths among people with diabetes each year National Diabetes Audit 2012/13

14 Neuropathy affects 60% - 70% of people with diabetes YHPHO: Diabetes Key Facts

15 In 2015/16, diabetic prescriptions in England cost million (11% rise in net ingredient cost since 2014/15) NHS IC: Prescribing for Diabetes in England

16 In 2014/15 there were 1,733 emergency admissions for diabetic ketoacidosis and coma in Yorkshire and the Humber. The NHS IC Indicator Portal

17 A man diagnosed with diabetes aged 45 has an 11.5% chance of dying before his 60 th birthday YHPHO: Diabetes Key Facts

18 In 2015/16 diabetes accounted for 11% of all prescription costs in primary care NHS IC: Prescribing for Diabetes in England

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21 313,933 adults in Yorkshire and the Humber have been diagnosed with diabetes Quality and Outcomes Framework 2015/16

22 The global prevalence of diabetes is likely reach 642 million by 2040 International Diabetes Federation 2016

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27 Are you getting all the diabetes care you need?

28 Having the right care is essential for the health and wellbeing of all people with diabetes Type 1 and Type 2 diabetes Left unchecked diabetes can lead to serious complications Make sure you are getting all the care you deserve

29 Get your blood glucose levels measured An HbA1c blood test will measure your overall blood glucose control. This will help your healthcare team set your own target This is really important to get at least once a year

30 Have your blood pressure measured at least once a year This needs to be recorded as part of your ongoing care Your doctor should use it to set a target blood pressure that is right for you

31 Have your blood fats (such as cholesterol) measured every year You need to be told what your levels are Make sure your doctor uses this to set a target for you that is realistic

32 Have your eyes screened every year Diabetes can cause damage to your eyes (retinopathy) A specialist doctor should look at your eyes with a special digital camera this is not a normal optician s check If you think your eyesight is changing between checks then tell your doctor straight away

33 Have your feet checked annually Foot complications are a serious risk for people with diabetes The skin, nerves and circulation of your feet need to be checked A proper exam will mean you have to take your shoes and socks off

34 Have your kidney function monitored once a year There are two tests for the kidneys Urine test for protein Blood test for kidney function

35 Find out if you need to lose weight Have your weight checked and your waist measured to see if you need to lose weight

36 Get support if you are a smoker Having diabetes already increases the risk of heart disease and stroke Smoking further increases the risk of you getting sick from these problems You can get advice and support on how to quit smoking

37 Receive care planning to meet your individual needs Diabetes is something you live with every day You need to be involved in every aspect of your care Individual targets and goals need to be discussed and set with you

38 Attend an education course in your local area

39 Receive care from a specialist paediatric team if you are a child or young person

40 Receive high quality care if admitted to hospital Your diabetes needs to be managed when you are in hospital Specialised diabetes healthcare professionals need to look after you This needs to happen even if you weren t admitted due to your diabetes

41 Get information and specialist care if you are planning to have a baby Your diabetes control has got to be a lot tighter and monitored very closely when pregnant or trying for a baby Specialist healthcare professionals should be involved with every stage of your pregnancy

42 See specialist diabetes healthcare professionals Diabetes affects different parts of the body in different ways Specially trained healthcare professionals should help you at every step of your care

43 Get emotional and psychological support Diabetes is a tough long term condition to live with Being able to talk to specialist healthcare professionals can be a great help

44 WHAT CAN YOU DO? Download or order a free checklist pass them around your family and friends Watch and share our animation and help us spread the word Take our survey and tell us about the care available across the country For more information visit to or call

45 Conference presentations available on the University of York health sciences website: diabetes-conference

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47 Life expectancy for someone with Type 1 diabetes is reduced by 15 years YHPHO: Diabetes Key Facts

48 In the financial year 2015/16, 49.7 million items were prescribed for diabetes NHS IC: Prescribing for Diabetes in England

49 In 2014/15 HbA1c, cholesterol and blood pressure targets were met for: 19% of people with Type 1 diabetes 41% of people with Type 2 diabetes National Diabetes Audit 2014/15

50 24% of adults in England with diabetes have not yet been diagnosed. Diabetes Prevalence Model & Quality and Outcomes Framework 2014/5

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52 The prevalence of chronic kidney disease resulting from diabetes, varies from 18% to over 30% in all people with diabetes Diabetes with Kidney Disease: Key Facts

53 In 2014/ % of patients with Type 2 diabetes received eight* of the nine recommended care processes *eye screening excluded National Diabetes Audit

54 In 2014/15 only 38.7% of patients with Type 1 diabetes received eight* of the nine recommended care processes *eye screening excluded National Diabetes Audit

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56 In 2014/15 there were 11,200 hospital admissions due to diabetes with hypoglycaemic disorders in England In 2014/15 there were 26,500 emergency admissions for diabetes with hyperglycaemic disorders Source: Hospital Episode Statistics Admitted Patient care (Diabetes is from the KB01 & KB02 groups)

57 In 2014/15 there were 48,581 hospital admissions for Diabetes in England (40,861 were Emergency admissions). The Health and Social Care Information Centre, Hospital Episode Statistics for England. Admitted Patient Care statistics,

58 We hope you enjoy the conference! The Conference Team

59 Nationally there are 2.6 amputations per 1,000 adults with diabetes Diabetes Footcare Profiles 2016

60 Of 19 developed countries, the UK has the lowest rates of years of life lost due to premature mortality from diabetes 2013: Global Burden of Disease

61 Every year there are 19.8 episodes of inpatient care for diabetic foot disease per 1,000 adults with diabetes in England Diabetes Footcare Profiles 2016

62 Annually, nights are spent in hospital for diabetic foot disease per 1,000 people with diabetes in England Diabetes Footcare Profiles 2016

63 38.3% of audited inpatients with diabetes experienced at least one medication error National Diabetes Inpatient Audit 2015

64 Only 35.5% inpatients with diabetes had been visited by the diabetes specialist team National Diabetes Inpatient Audit 2015

65 39.1% of insulin treated and 31.2% of non-insulin treated audited inpatients with diabetes reported that the choice of meals in hospital was sometimes, rarely or never suitable National Diabetes Inpatient Audit 2015

66 Patients with medication errors had twice the rate of severe hypoglycaemia (15.5% vs. 7.5%) National Diabetes Inpatient Audit 2015

67 Conference Planning Team Dr Andrew Inglis - GP, Tadcaster Dr John Reid - GP, Selby Dr Sarah Eaton - GP, York Anne Phillips - Senior Lecturer University of York Carl Covill - Senior Lecturer University of Huddersfield Paul Pipe-Thomas - Specialist Dietitian Barnsley Catherine Storey Specialist Lead for Diabetes - Harrogate Clare MacArthur L/P -York & Northallerton Wendy Youngs - Advanced Nurse Practitioner - Sherburn in Elmet Gillian Brearley - Community Nursing Sister, Locala Social Enterprise Dr Jagannath Gopalappa - Consultant Diabetologist, York Kath Speak Specialist Podiatrist - Harrogate Helen Cressey - Practice Nurse, Skipton Gill Sykes - Specialist Podiatrist Calderdale Paula Maddison-Green Diabetes UK

68 Data in these slides and further information on diabetes can be found on the National Cardiovascular Intelligence Network (NCVIN) website:

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71 Conference presentations available on the University of York health sciences website: diabetes-conference