Desang diabetes magazine, Abbott Freestyle Libre sensor

LIVINGLIVING

Real time advances

Then Lord Rennard took up the baton,

adding, "I know that the aim of reducing

variation in the management and care

of people with diabetes by 2020 is

included in the NHS England mandate,

but how this will be achieved? There

are implementation plans to facilitate the

wider provision of flash glucose monitoring

systems; how are these progressing? We

all know that we need to rely on NICE

conducting some sort of cost/benefit

analysis for any such product, but is its

processes for analysing the costs and

benefits of new technologies aimed at

improving diabetic control sufficiently long

term? Does any such analysis for public

policy factor in all the long-term costs to

the NHS and the welfare system of poor

diabetic control, as well as the wider

benefits to the economy and to society of

helping people to achieve good control?

"Flash glucose monitoring, real-time

continuous glucose monitoring and insulin

pumps may all provide technological

solutions to help people with Type 1

diabetes live healthier and happier lives for

very much longer. There is, for example, a

much greater provision of insulin pumps

in the United States than in this country,

and this is not simply because the US

has a greater love of technology than we

do. Overall, the US healthcare system

is known to be massively inefficient and

ineffective compared to our own NHS but,

with an insurance-based model, you know

that the insurance companies evaluate

the long-term costs to their businesses

of dealing with the complications that

arise from poor diabetic control. These

insurance companies appear to have

decided, on sound business grounds,

that much greater provision of insulin

pumps saves them money in the long

run, to say nothing of the wider benefits

to patients and everyone else."

You can see the full transcripts of the

debate at

www.theyworkforyou.com/lords

Saving the day

So on World Diabetes Day 2018 (14

November), the NHS announced that it

was to end the postcode lottery for the

Libre sensor. One diabetes consultant

who has championed the use of

diabetes technology, helping advance the

availability of the Libre in particular - but

as he states, that's just the start. He has

since commented, "This day which will

stay as a landmark for me, the culmination

of 12 months of work. NHS England has

stepped in and decided enough was

enough regards the postcode lottery in

relation to access to the Freestyle Libre

and has mandated a uniform uptake from

April 2019.

"The reason for the national push

was simple - this was a paradigm shift

in glucose monitoring, opening the world

of non-invasive glucose monitoring to

the many, and it so happened Freestyle

Libre was the first to come out. Within

4-5 years non-invasive technology will

be the norm. This was about the NHS

joining the diabetes technology curve on

a par with other nations, years later, as

normally happens with any technology.

The time has come to take up the battle

regards other CGM options, and insulin

pumps as well. We should also not forget

there is a vast amount of folks who don't

want technology either and that their care

needs to be well looked after too.

"The national diabetes audit shows

one thing consistently: that many people

with diabetes are not achieving their

Hba1c targets. That's not their fault, it's

the systems fault, in my opinion. It reflects

that we are failing to grasp the intricacies

of Type 1 diabetes management which,

to me, hinges on the availability of tools

for improved self-management, peer

support, and access to both trainers and

technology. And they need to be present

simultaneously. One NHS. One policy.

One rule. Type 1 diabetes care needs

do not change based on where you live.

Let's see whether we can do this without

having to go to a national mandate again."

Read Kar's full blog at

www.nhssugardoc.com

Giant steps

So moving on from the Lords, and

doctors, what about the attitude of the

government? The NHS announcement is

most certainly welcome. Matt Hancock,

the Secretary of State for Health and

Social Care gave a keynote speech on 22

November at a new event, Giant Health,

which has been set up by American-born

technology entrepreneur Barry Shrier

(who is now based in Oxford). This new

conference is dedicated to the promotion

of health technology, celebrating the

value of the contributions to healthtech

innovation from diverse people including

inventors, app developers, clinicians,

corporate enterprises, the investment

community, healthcare service

administrators and startups.

Both Hancock and Shrier have a

background in software technology,

Hancock has said, "I want the UK to

become the home of healthtech to

complement our world-leading life

science, artificial intelligence and genomic

We must embrace this coming wave of technology and

transform our NHS into an ecosystem of innovation

and enterprise so patients benefit from the latest

treatments - Health Secretary Matt Hancock"

Index

  1. Desang diabetes magazine diabetes information
  2. Abbott Freestyle Libre, Flash Glucose Monitoring, blood testing without lancets
  3. Desang diabetes magazine diabetes information, Sue Marshall
  4. Desang diabetes magazine diabetes news
  5. Desang diabetes magazine diabetes news
  6. Desang diabetes magazine diabetes news
  7. Dexcom CGM, continuous glucose monitoring
  8. Desang diabetes magazine diabetes news
  9. OneTouch Sports weekend, diabetes and exercise
  10. Ascensia art gallery World Diabetes day 2018 the family
  11. Ascensia Contour Next One Diabetes blood test meters
  12. Desang diabetes magazine Quality in Care diabetes awards
  13. Desang diabetes magazine Quality in Care diabetes awards
  14. Medtronic diabetes insulin pump, Medtronic Minimed 640G
  15. London Medical, London Diabetes Centre, private diabetes clinic
  16. Diabetes kit diabetes management equipment
  17. Medtrum diabetes technology, Medtrum insulin patch pump, insulin pump, CGM
  18. Desang diabetes magazine diabetes diet
  19. Desang diabetes magazine diabetes diet
  20. Accu-Chek Mobile blood glucose system
  21. Accu-Chek Mobile blood glucose system
  22. Desang diabetes magazine, digital detox, keep fit eat fit, angela coffey diabetes
  23. Desang diabetes magazine, digital detox, keep fit eat fit
  24. Desang diabetes magazine, digital detox, keep fit eat fit
  25. Omnipod Insulet insulin pump with insulin pods, podders
  26. Desang diabetes magazine, behaviour change, Our Path
  27. Desang diabetes magazine, behaviour change, Our Path
  28. Desang diabetes magazine, behaviour change, Our Path
  29. OurPath programme, Roche Diabetes Care
  30. Desang diabetes magazine, behaviour change, Our Path
  31. Medtronic Minimed 670G insulin pump
  32. Desang diabetes magazine, My Diabetes Kit, Paul Longley
  33. Desang diabetes magazine, My Diabetes Kit, Paul Longley
  34. Input Diabetes technology
  35. Desang diabetes kitbags
  36. Desang diabetes magazine, Abbott Freestyle Libre sensor
  37. Desang diabetes magazine, Abbott Freestyle Libre sensor
  38. Desang diabetes magazine, Abbott Freestyle Libre sensor
  39. Desang diabetes magazine, Abbott Freestyle Libre sensor
  40. Making Carbs Count the science of spice Dr Stuart Farrimond
  41. Making Carbs Count the science of spice Dr Stuart Farrimond
  42. Accu-Chek Insight insulin pump
  43. Accu-Chek Insight insulin pump
  44. Free diabetes magazine, living with diabetes, the diabetic diet, carb counting

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