Educational materials to support MeReC Bulletin Vol.17 No.4
Type 1 Diabetes quiz
Test your knowledge of the evidence-base around the management of type 1 diabetes. Simply download the quiz, complete it and then download the quiz and answers to see how many you answered correctly.
Type 1 Diabetes quiz and answers
Quiz and answers.
Type 1 Diabetes case study
Mrs DM, a 35-year-old patient comes to see you, as she is worried about having repeated severe hypoglycaemic attacks during the night for the last 3 weeks. She tells you that when this happens her blood glucose levels have been around 2.0-3.0mmol/L. She is concerned, as she is not having any preceding warning signs prior to the attack. She also mentions that over the last couple of months she has gone up 2 dress sizes despite not changing her diet at all and requests some orlistat (which she read about in the Daily Mail). How would you approach the management of a patient like this?
Download the case study first and then answer the questions contained within it. Then download the suggested answers and check to see if your choices are in line with the evidence-base.
Type 1 Diabetes case study and answers
Case study and answers.
Type 1 Diabetes data-focused commentary
This commentary outlines some of the key aspects of the current evidence base for the management of type 1 diabetes and attempts to link this with current prescribing data from primary care in England. However, it is impossible to determine whether prescribing is related to treatment of type 1 or 2 diabetes. Download this commentary to read about this with an opportunity to consider your own practice in this area.
Type 1 Diabetes PowerPoint presentations
Type 1 Diabetes key slides
- Type 1 Diabetes Mellitus – insulins
- Type 1 vs. type 2 diabetes
- Goals of management
- Approximate pharmacokinetic profiles of human insulin and insulin analogues
- Which insulin regimens are used?
- Tight control with intensive insulin reduces development and progression of microvascular complications
- Are insulin analogues better?
- What is the optimum HbA1C threshold?
- What is a NICE regimen?
Download this PowerPoint presentation to use in your discussions with prescribers around the management of Type 1 diabetes. Extensive teaching notes are also available in the accompanying PDF file.
Type 1 Diabetes PowerPoint presentation notes
Type 1 Diabetes key slides notes pages
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Type 2 Diabetes quiz
Test your knowledge of the evidence-base around the management of type 2 diabetes. Simply download the quiz, complete it and then download the quiz and answers to see how many you answered correctly.
Type 2 Diabetes quiz and answers
Quiz and answers.
Type 2 Diabetes case study 1—Ted
Ted is a 56 year old salesman for a local engineering firm. He is married to Carol (also one of your patients). He smokes 20 cigarettes a day and drinks two or three units of alcohol a day.
Ted spends a lot of time on the road and over the last few months he’s found he has to go to the lavatory (to urinate) more than in the past, which is inconvenient for him. He is worried about whether he might have prostate problems. On further enquiry, he feels thirsty a lot of the time, and is more lethargic than he used to be. He also sometimes feels sick and has lost 5kg in weight over the last couple of months. You test his urine and find he has marked glycosuria, suggesting diabetes mellitus. He does not have proteinuria or microalbuminuria.
Type 2 Diabetes case study 1 and answers
Case study and answers.
Type 2 Diabetes case study 2 — Carol
Meet Carol. She is married to Ted, another of your patients, who has recently been diagnosed with diabetes [link to Ted’s case study]. Carol is 54 years old and a teacher. She’s read the leaflets you gave Ted and also found out a bit more about the possible causes of type 2 diabetes. She knows she is overweight, has a stressful job and doesn’t take much exercise. She doesn’t have any diabetes symptoms (such as polyuria, polydypsia, lethargy, nausea) but she wants to check whether she is at risk of developing it.
Type 2 Diabetes case study 2 and answers
Case study and answers.
Type 2 Diabetes data-focused commentary — Glitazones
Use of the thiazolidinediones rosiglitazone and pioglitazone (more usually known as the glitazones) has increased substantially over the last few years. This is despite an uncertain entry to the market in December 1997, when troglitazone (Romozin®) was withdrawn only six weeks after it was launched due to concerns over liver toxicity, including fatal liver failure. What evidence has prompted this wide adoption of these drugs, and is their enthusiastic use justified? Download this commentary to read about this with an opportunity to consider your own practice in this area.
Type 2 Diabetes data-focused commentary — Self-monitoring of blood glucose
The practice of encouraging patients with type 2 diabetes to monitor their blood glucose at home (self-monitoring of blood glucose, SMBG) is widespread. The NHS spends many millions of pounds on testing strips and lancets. Despite a lack of good evidence that SMBG improves clinical outcomes in type 2 diabetes, questioning of its usefulness has generated criticism for prioritising resourcing issues over patient care. So, what is the evidence for and against SMBG, and what are the implications for patients, health professionals and the NHS? Download this commentary to read about this with an opportunity to consider your own practice in this area.
Type 2 Diabetes PowerPoint presentations
Type 2 Diabetes key slides 1
- Lending our patients a hand
- Blood glucose or blood pressure?
- So what did UKPDS find? - summary
- Sulphonylurea or insulin (10 years)
- Tight BG control with sulphonylurea or insulin (10 years)
- Metformin in obese patients (10 years)
- Blood pressure control (8 years)
- So what are the three steps to type 2 diabetes heaven™?
Type 2 Diabetes key slides 2
- Lending our patients a hand
- What about people with diabetes in ALLHAT?
- What’s a NICE antihypertensive?
- Role of statins in type-2 diabetes
- NICE Inherited Clinical Guideline Management of blood glucose – general (Sept 2002)
- Summary for prescribers
- So what are the three steps to type 2 diabetes heaven™?
Download these PowerPoint presentations to use in your discussions with prescribers around the management of type 2 diabetes. Extensive teaching notes are also available in the accompanying PDF file.
Type 2 Diabetes PowerPoint presentation notes
Type 2 Diabetes key slides 1 notes pages
Type 2 Diabetes key slides 2 notes pages
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