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Medicine Matters Diabetes
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Medicine Matters diabetes


Carmen Soto


Carmen Soto, MBBS BMedSci (Hons) MSc MRCPH PhD, is a pediatrician at University College London Hospital. Her PhD focused on the perceptions of children and their family into their perceptions and experiences of healthcare and promoting patient safety. The learnings from this have helped her to improve outcomes in young complex individuals by focusing on engagement with the family structure.


Dr Soto’s principle findings suggest that a considerable barrier to improving outcomes was the language used. Traditional healthcare consultations focused on imparting information to the healthcare subject – very much separating the doctor from the patient. Moving the conversation to open an open communication acknowledges that the mindset of the person with the illness is as much part of the treatment as the interventions themselves. Her expertise in this co-production model of healthcare is effective in the management of many other chronic diseases, and she is engaged in teaching these techniques to doctors, nurses and healthcare professionals to improve outcomes.

W David Strain


W David Strain, MBChB BSc (Hons) MD FRCP, is a Senior Clinical Lecturer at the University of Exeter Medical School. His main focus is the health of older adults with diabetes; ensuring the right patient gets the right treatment. This includes research exploring the mechanism that some medications give benefits for people with diabetes beyond their effect on sugar and blood pressure, to determine if we can better select the medication for each patient. He has performed the only study to date demonstrating the feasibility of individualizing targets for older adults across Europe. This has informed the new UK guidance document for the management of older adults with diabetes and Frailty, of which he was lead author.


Additionally, he has performed a global project exploring the causes of clinical inertia, that is the reason why doctors and people with diabetes don’t escalate their treatments in a timely manner. He chairs the steering committee in association with the former International Diabetes Federation (IDF) president, Sir Michael Hirst called ‘Time 2 Do More in Diabetes™’, aiming to reduce this phenomenon.


He has published in excess of 120 manuscripts, abstracts and book chapters and is an associate editor of Diabetic Medicine and the Journal of Diabetes Research.