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Diabetes

Behaviour change: A bitter pill to swallow

29 Mar, 16 | by Hemali Bedi

By Kristian Dye

The case reported by Dunton et al comes from a very particular cultural context, and yet it demonstrates things that all practitioners see in almost all healthcare settings.

The patient reported is a 60 year old man with type 2 diabetes, who despite taking his medications, is unable to make the diabetes-592006_1920behaviour change that could impact the course of his disease.

The report looks at the complex nature of this phenomenon, that it is not as simplistic as ‘not wanting to change’, but that there are cultural and sociological issues at play.

The real question for clinicians across the globe for many long-term conditions is no longer how to treat them, but how to support patients to manage their own conditions.

What skills are most important for clinicians to facilitate the self-care that long-term conditions rely upon?

Australian boy is first to receive ‘artificial pancreas’ insulin pump

26 Jan, 15 | by Dr Dean Jenkins

Xavier Hames is a four year old boy with Type 1 diabetes and he has been fitted with an insulin pump that senses glucose levels and stops insulin – a step closer to an ‘artificial pancreas’. An artificial pancreas adds a glucose sensor to an insulin pump so that it can sense when to reduce or stop insulin to avoid hypoglycaemia. More sophisticated devices are being developed to improve the management of people requiring insulin.

Xavier’s story has been widely reported in the news:

“Diabetes breakthrough hailed as Australian boy given artificial pancreas” http://www.theguardian.com/society/2015/jan/21/australian-boy-given-artificial-pancreas-to-help-manage-type-1-diabetes

“World-first insulin pump for diabetic Perth boy Xavier Hames” http://www.abc.net.au/news/2015-01-21/perth-boy-becomes-first-patient-fitted-with-artifical-pancreas/6032388

“Four-year-old Perth boy Xavier Hames has become the first patient in the world to receive an artificial pancreas as part of his routine diabetic care.” https://lockerdome.com/biosolutionscorp/7346894150058004

“A four-year-old Australian boy has been fitted with an artificial pancreas in what researchers said was a world first treatment for managing type 1 diabetes.” http://medicalobserverph.com/features-australian-boy-4-gets-world-first-artificial-pancreas/

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