What impact are psychotropic drugs having on our physical health?

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John Baker summarises the findings of a recent review of people with schizophrenia, bipolar disorder and depression. The study looks at the adverse effects on physical health of psychotropic drugs (antipsychotics, antidepressants and mood stabilisers).

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Nursing skills in diabetes, recognition and management: are learning disability and mental health nurses health literate?

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People with learning disabilities are more at risk of developing diabetes, but how prepared are learning disability nurses to support them?

Here, Paula Hopes looks at a pre- and post- test evaluation on a one-day workshop focusing on this very issue.

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Dementia risk factors in people with mild cognitive impairment

People with a learning disability and family carers are able to talk about end-of-life care and healthcare professionals need to acknowledge and respect this expertise

Akshay Nair summarises a recent systematic review and meta-analysis of modifiable predictors of dementia in mild cognitive impairment. The meta-analysis finds that diabetes and the presence of any neuropsychiatric symptoms significantly predicted the conversion of mild cognitive impairment to dementia.

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New-easy read booklet on type 2 diabetes for people with learning disabilities

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People with learning disabilities may be at higher risk of developing type 2 diabetes, but often struggle with technical language and complicated explanations. Here we look at a new easy read booklet published as part of an ongoing research project into diabetes people with learning disabilities.

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Periodontal treatment: another review finds that it has short term benefits for glycaemic control

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This is the most recent review of the link between periodontal treatment and glycaemic control in diabetic. In included 10 trials involving 1135 patients and found and improvement in Hb1Ac levels at 3 months but not at 6 months.

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Co-production is essential to effective commissioning and service development, says London’s diabetes care pathway

Sugar lumps with a dice in the middle with the options of yes or no

This guide is the result of discussions with health professionals and people with diabetes Types 1 and 2, and surveys investigating the levels of service provision in London. The reason for this work is because people with from diabetes often suffer from mental health issues, such as depression, anxiety, phobias, adjustment to their condition, eating [read the full story…]

Periodontal treatment may be effective in improving metabolic control in diabetics but clinical significance is unclear

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The destructive form of periodontal disease, periodontitis, affects approximately 50% of adults and over 60% of over 65 year olds, with severe periodontitis affecting 10–15% of populations. It is biologically plausible that chronic inflammation from periodontal disease has an impact on diabetes control and a number of epidemiological studies have highlighted associations between the two [read the full story…]

Little reliable evidence available to assess if dental implant failure is higher in diabetic patients

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Diabetics have been shown to have a higher frequency of periodontal disease and tooth loss. This together with the fact that diabetics also have delayed wound healing means that dental implant placement is more risky in these patients. The aim of this review was to investigate whether there are any effects of diabetes mellitus on [read the full story…]

Is treatment for depression cost-effective in people with diabetes?

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There is evidence to suggest that people with diabetes are twice as likely to suffer from depression. It’s therefore important that the cost-effectiveness of treatments for comorbid depression be indentified. The elves have already reported on a review of the effectiveness of collaborative care for people with diabetes and depression, suggesting that the intervention might be effective. While [read the full story…]