Berkshire West Diabetes Newsletter - December 2015

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 December 2015
Monthly diabetes news for healthcare professionals and
others in Berkshire West
  Training courses  

Foundation course in diabetes workshops 2016

The popular foundation course in diabetes will be running on 10th March 2016. To book on the course email Further information is available on the Berkshire west diabetes website here.

Half day diabetes workshops - 'Hot topics in diabetes'
There are two identical morning workshops running on 4th February (Earley) and 11th February (Padworth) covering such topics as:

  • Should we be using the new insulins? – the evidence
  • Use of existing and new GLP-1s
  • Using SGLT2's (e.g. Dapagliflozin etc.) – our evidence
  • Does your patient have T1, T2 or MODY?

To book on the course email You can find more information here on the Berkshire west diabetes website here.

  Thames Valley Footcare Pathway
The Thames Valley Strategic Clinical Network has produced a comprehensive footcare pathway for use by HCPs at all levels. This is an excellent resource for all of us involved in care of the diabetic foot.

Foot assessment training for nurses 
The Podiatry Department are offering training for nurses on carrying out foot assessments for patients with diabetes. The dates are; 8th January, 5th and 25th  February and 4th March 2016. Further details are available here on the events section of the Berkshire west diabetes website.

Foot care conference - save the date
This conference is being held on 16th March 2016; Thames Valley 'Foot care conference' is currently being organised and the venue and further details will be confirmed soon.
  Therapeutics – Insuman insulin and Pioglitazone  

Replacing Insuman insulin; Pioglitazone shortages

Insuman insulins not available – what to do

Supplies of Sanofi Insuman insulins (especially Basal and Comb 25) are going to vanish until summer 2016. We suggest you switch patients from Basal to Humulin I, and from Comb 25 to Humulin M3 using the Humapen Savvio with cartridges, or the disposable Kwikpen.

You could do an Eclipse search, using 'insuman' and search in 'Ad-hoc search' to create a list of patients. You can then write to them enclosing new prescriptions for Humulin I/M3 and the pen (if necessary) and ask the community pharmacist to demonstrate the new device.

CAUTION: Where the HbA1c is within or below target range you should probably reduce the dose by 10%, then review after two weeks to reduce hypo risk (other patients can simply use the same dose). A flowchart for switching is available here and there will also be an evening seminar about switching in Padworth on 14th and 20th January 2016 - further details here.

Pioglitazone shortages
Some of you will have noticed problems with Pioglitazone supply. A generic manufacturer has just released supplies onto the market so this should be rectified soon.

Diabetes Specialist Nurse Hotline: 07879 814922 (Monday to Friday 10am – 4pm) Consultant Hotline: 07717 867448. Email:
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