The secure environment, of which prison is one, is an area in which the care and management of diabetes have been currently identified as being quite variable in terms of practice. This selleck inhibitor clearly needs to be investigated

in order to strive for the implementation of gold standards of care for this client group. This article pinpoints the current strengths and weaknesses, as well as suggesting potential recommendations to improve current clinical practices regarding the care and management of prisoners with diabetes. The focus is primarily on the United Kingdom, but a number of the points made, as well as the potential care recommendations, could be implemented globally. Copyright © 2014 John Wiley & Sons. Practical Diabetes 2014; 31(2):

62–66 “
“This article aims to investigate the prevalence of female sexual dysfunction and sexual health problems in women with diabetes. We explore the causes, natural history and available treatments. We have examined evidence from clinical LY2157299 mouse and non-clinical studies for sexual dysfunction in women with diabetes and report this information alongside our own large, self-reported study of sexual health problems. Sexual dysfunction is more prevalent in diabetic women compared to controls. Problems identified include reduced vaginal lubrication, inability to achieve orgasm, dyspareunia and reduction in libido. Other sexual health concerns include genito-urinary infection, problems of self-image, depression and mood-related issues, plus a range of reproductive and contraceptive worries. PDK4 In conclusion, sexual health problems are common in women with diabetes. Women should be encouraged to talk about sexual health issues, and specialist advice and therapies should be made available to those who need it. Psychological factors have a more profound effect on sexual functioning in women with diabetes compared to men where physical sexual dysfunction (erectile dysfunction) is the

dominant problem. Copyright © 2013 John Wiley & Sons. “
“The aim of this study was to establish the characteristics of adults with type 1 diabetes who disengaged entirely from diabetes care provision. Those who were classified as disengaged had no recorded HbA1c value in either primary or secondary care during the preceding 15 months. A clinical database was used to identify patients with type 1 diabetes who were disengaged and to generate comparative data on those patients who had at least one HbA1c value recorded in the previous 15 months (classified as engaged). Of 2772 adults with type 1 diabetes in Grampian, there was no recorded HbA1c value for 229 (8.3%) in the previous 15 months. Those who were disengaged were significantly younger (p<0.001), more commonly experienced clinical levels of anxiety (Fisher’s exact test, p=0.0442) and depression (Fisher’s exact test, p=0.