However, we scored sub-optimally in terms of the following parameters: smoking cessation, pregnancy planning, structured education, measurement of waist circumference and psychological assessment. In conclusion, the Diabetes UK ‘essentials’ checklist may be viewed as mechanistic, but it provides a useful starting point to assess the effectiveness of a diabetes service in providing the basics of patient care in much the same way as the WHO surgical checklist reduces adverse outcomes. We have been able to see where the deficiencies in our own service Fluorouracil mw lie and have made amends to ensure that these areas are covered in future. One issue that arose is that there are certain other ‘essentials’

that would be good to include in such a checklist, such as: erectile dysfunction (as suggested by the NICE guidelines), obstructive sleep apnoea, vitamin D deficiency, neuropathy screening and Vincristine chemical structure monitoring of liver function to rule out incipient steatohepatitis/fatty

liver disease. Copyright © 2012 John Wiley & Sons. “
“There is growing evidence that the physical and mental health of people with, or at risk of, diabetes can benefit from support from a person with diabetes: known as diabetes peer support. Peer support involves the social and emotional help that supplements the assistance provided by health professionals and others in the life of the person with diabetes. By sharing, discussing, finding and facilitating the ways that can improve diabetes and overcome barriers to care and self-care, metabolic control and wellbeing can improve. Linking peer support to clinical care is thought to strengthen its effectiveness. Peer support complements diabetes education and facilitates implementation of the knowledge gained. There are a range of different ways in which peer support can be provided. Peer support might arise from a casual discussion with another person with diabetes or within a more structured programme. The degree of training can vary from life with diabetes in the casual encounter,

to group leadership, to paraprofessional training including motivational interviewing and a range of educational and management skills. The media for delivery vary from face-to-face, telephone and online approaches. At a time of a growing diabetes epidemic, ADP ribosylation factor peer support could well be a key strategy in supporting those with and at risk of diabetes, reducing downstream demands on health services while improving quality of life. If this turns out to be the case, every neighbourhood, village and clinic should have one or more peer coaches to support diabetes prevention and diabetes management. Copyright © 2013 John Wiley & Sons. This paper was presented as the 2013 Janet Kinson Lecture at the 2013 Diabetes UK Annual Professional Conference held in Manchester “
“Factitious hypoglycaemia is a challenging diagnosis to confirm.