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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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…]
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…]
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…]
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…]
Last month, the Department of Health published the ‘Closing the Gap’ report, which highlighted the importance of better integration of physical and mental health care at every level. The report specifically flagged up the need for frontline services to respond better to people who self-harm, and cited statistics that emphasise the cyclical nature of the [read the full story…]
This document is aimed at clinical commissioning groups, health care planners, hospital senior managers, and clinical teams in primary and secondary care. It is an amalgamation of good practice examples where diabetes services have improved, with bed occupancy and costs being reduced. There is a specific focus on elderly, diabetic patients, and other similarly vulnerable [read the full story…]
Background In 2010, Emerson and Baines in a search of the literature on healthcare issues for people with learning disabilities identified at least one study where increased rates had been reported. In 2011, we reported on a US study which found in one cohort, significantly higher prevalence of diabetes in adults with ‘cognitive limitations’ when [read the full story…]
The link between depression and diabetes mellitus (DM) is well established. Around 20% of patients with DM meet diagnostic criteria for depression. The National Institute for Health and Care Excellence (NICE) issued guidance impressing the importance of diagnosing and treating depression in long-term conditions such as DM (NICE, 2009). However, depression in the presence of [read the full story…]
The lines between physical health and mental health are blurred in lots of ways, and one example is the fact that people with chronic physical conditions are also more likely to suffer from depression. As well as adding to their burden of illness, there’s also some evidence that those patients with comorbid depression have worse [read the full story…]
