Public Health England | 27 November 2020| COVID-19: the green book, chapter 14a
The provisional guidance is subject to MHRA (Medicines Medicines and Healthcare products Regulatory Agency approval of vaccine supply. It identifies patients with type 1 diabetes, type 2 diabetes requiring insulin or oral hypoglycaemic drugs, diet-controlled diabetes as being part of the clinical risk groups, people 18 years of age and over who should receive COVID-19 immunisation.
Public Health England COVID-19: the green book, chapter 14a (Provisional guidance subject to MHRA approval of vaccine supply)
In the news:
The Times People with diabetes to be prioritised for Covid-19 vaccine
The Guardian Extremely vulnerable in UK given high priority for coronavirus vaccine
Partridge, H., et al. |2020|Type 1 diabetes and disordered eating (T1DE): the ComPASSION Project–Wessex|Practical Diabetes| 37|(4)|P. 127-132.
A multidisciplinary team at the Royal Bournemouth Hospital work collaboratively to provide a service specifically for people with type 1 diabetes, whereby the whereby the diabetes teams and eating disorders teams in Wessex work side by side. NHS England are funding the pilot at this hospital and one other, to better understand how to treat patients with type 1 whose chronic condition affects their mental health.
The combination of type 1 diabetes and an eating disorder is ill understood with no clear
nomenclature, definition or evidence base defined for management and support. It is well
recognised that diabetes and mental health concerns often co-exist and type 1 diabetes per se is associated with specific self-management requirements which may predispose an individual to challenging cognitions and behaviours around food due to the nature of
carbohydrate counting and insulin management.
While most diabetes teams recognise the mental health concerns around diabetes, there
are few areas where multidisciplinary teams work cohesively combining diabetes care and mental health care. This is particularly relevant in the case of eating disorders where neither team are likely to be sufficiently skilled to manage the combination of type 1 diabetes and an eating disorder individually, and a strong multidisciplinary team approach with shared learning and a holistic ethos is paramount.
We describe here an NHS England funded pilot whereby the diabetes teams and eating
disorders teams in Wessex work side by side developing a service specifically for people with this incredibly complex and challenging combination.
Further details about the project are available in the primary paper
Type 1 diabetes and disordered eating (T1DE): the ComPASSION Project – Wessex
In then news:
BBC News ‘Diabetes burnout’: The mental-health impact of diagnosis