Tagged / Diabetes

New BU midwifery publication

Congratulations to Laura Stedman in the Centre for Midwifery & Women’s Health (CMWH) on the publication of a new paper in the international academic journal Midwifery.  This new paper Then they’re not there. Women’s experiences following admission of their newborn to a neonatal intensive care unit[1], has been co-authored with two fellow midwives: Associate Prof. Catherine Angell and Prof. Vanora Hundley.

The paper reports an online study into the experiences of UK women been diagnosed with Gestational diabetes mellitus (GDM) whose baby was admitted to a Neonatal Intensive Care Unit (NICU) at or shortly after birth. The qualitative analysis identified two themes: ‘experience’ and ‘understanding’; the former had five sun-themes and the latter was based on three sub-themes. A lack of understanding and knowledge was identified, with calls for enhanced education and joint decision making. Women recalled feelings of grief, isolation and stress as a result of the admission. For many, this experience was traumatic with lasting effects. For babies born at term, feelings of surprise and separation were paramount, in contrast to those born pre-term.  The authors concluded that there is need for more education and improved material to support for those facing this outcome. Future research should also focus on reducing the incidence of admission to NICU for women who have received a diagnosis of GDM.

Well done!
Prof. Edwin van Teijlingen
Reference:
  1. Stedman, L., Angell, C., Hundley, V. (2025) Then they’re not there. Women’s experiences following admission of their newborn to a neonatal intensive care unit, Midwifery [online first]

New BU paper on digital tools for diabetes

Congratulations to BU PhD student Nurudeen Adesina on the publication of his systematic review.  Nurudeen together with Huseyin Dogan in the Department of Computing & Informatics, Sue Green in the Nursing for Long-term Health Centre, and Fotini Tsofliou in Centre for Midwifery, Maternal & Perinatal Health (CMMPH) appeared in print just before Christmas with their paper ‘Effectiveness and Usability of Digital Tools to Support Dietary Self-Management of Gestational Diabetes Mellitus: A Systematic Review‘ [1].

This new paper highlights that advice on dietary intake is an essential first line intervention for the management of gestational diabetes mellitus (GDM). Digital tools such as web-based and smartphone apps have been suggested to provide a novel way of providing information on diet for optimal glucose regulation in women with GDM. This systematic review explored the effectiveness and usability of digital tools designed to support dietary self-management of GDM. A systematic search of Medline, Embase,
Cumulative Index to Nursing and Allied Health Literature (CINAHL), Cochrane Library, and Scopus using key search terms identified 1476 papers reporting research studies, of which 16 met the specified inclusion criteria. The quality of the included studies was assessed using the ErasmusAGE Quality Score or the Mixed Methods Appraisal Tool (MMAT) version 2018. The findings show that the adoption of digital tools may be an effective approach to support self-management relating to healthy diet, health behaviour, and adherence to therapy in women with GDM as a usable intervention. However, the four authors argue that there is a lack of evidence concerning the effectiveness of tools to support the dietary management of GDM. Consideration for ethnic specific dietary advice and evidence-based frameworks in the development of effective digital tools for dietary management of GDM should be considered as these aspects have been limited in the studies reviewed.

Reference:

Adesina, N.; Dogan, H.; Green, S.; Tsofliou, F. Effectiveness and Usability of Digital Tools to Support Dietary Self-Management of Gestational Diabetes Mellitus: A Systematic Review. Nutrients 2022, 14, 10. https://doi.org/10.3390/nu14010010

New BU diabetes research

Congratulations to Dr. Sarah Collard in the Department of Psychology, Dr. Pramod Regmi in the Department of Nursing Science and FHSS Visiting Professor Katherine Barnard-Kelly on their publication: ‘Exercising with an automated insulin delivery system: qualitative insight into the hopes and expectations of people with type 1 diabetes’  [1]. This paper in Practical Diabetes is a joint publication with several North American scholars.

The authors of this qualitative paper distilled three themes related to the benefits of automated insulin delivery systems: (a) more freedom and spontaneity in the individual’s ability to exercise; (b) relief
from worry of hypoglycaemia as a result of exercise; (c) removing the ‘guesswork’ of adjusting insulin for exercise, as well as two further themes relating to potential concerns with regard to safely exercising while wearing an automated insulin delivery system.

Well done!

Prof. Edwin van Teijlingen

CMMPH

 

Reference:

  1. Collard, S.S., Regmi, P.R., Hood, K.K., Laffel, L., Weissberg-Benchell, J., Naranjo, D., Barnard-Kelly, K. (2020) Exercising with an automated insulin delivery system: qualitative insight into the hopes and expectations of people with type 1 diabetes, Practical Diabetes 2020; 37(1): 19–23

Hat-trick of new diabetes papers

Diabetes editorial BarnardCongratulations to Katharine Barnard and Janet James in FHSS and their colleagues in the USA and Sweden on their latest publication on the ‘Impact of Chronic Sleep Disturbance for People Living with T1 Diabetes’ [1].  Recently Dr. Barnard also co-authored an editorial in the international journal Diabetes under the title ‘Psychosocial Aspects and Diabetes Technology – Head to Head or Hand in Hand?’ [2].  Finally, the third recent paper by Dr. Barnard and colleagues from across the UK was published in Diabetes Care, the journal of the American Diabetes Association [3].Barnard Diabetes 2016

Congratulations!

Prof. Edwin van Teijlingen

 

 

References

  1. Barnard, K., James, J., et al. Impact of Chronic Sleep Disturbance for People Living With T1 Diabetes J Diabetes Sci Technol 2016; 10: 762-767.
  2. Barnard K.D., Weissberg-Benchell, J., Psychosocial Aspects and Diabetes Technology – Head to Head or Hand in Hand? Diabetes 2016; 12(1): 35-36. DOI: http://doi.org/10.17925/EE.2016.12.01.35
  3. Barnard K.D, Holt, R.I. et al. ,Could the Discrepancy in Perceived Emotional Care Received and Provided Be a Barrier to Active Diabetes Self-management? Insights From the Second Diabetes Attitudes, Wishes and Needs (DAWN2) Study. Diabetes Care 2016; 39(2): e20-e21.  DOI: http://dx.doi.org/10.2337/dc15-0674