They report in Diabetes Care that, according to the PHQ-9, 13 (9.8%) participants were at risk for suicide.

Noting that the link between rural residency and major leg amputation was strengthened after taking comorbidity into consideration, the team suggests that other factors may be involved, such as the “eroding rural health care infrastructure,” and that improving access to multidisciplinary triage may be a “particularly effective” approach among Black rural residents.

These findings suggest that “nurse accessibility might be a key strategic point for DFU medical care,” write Bonnet et al in Diabetes Care .

Screening, emergency protocols, and person-centered care – just some of the ways healthcare professionals can identify and support people at increased risk for suicide. Click through for more.

Therefore, “[i]t is essential that antenatal care of pregnant women with microvascular disease should involve a multidisciplinary team, including maternal medicine and nephrology,” say Shakila Thangaratinam (University of Birmingham, UK) and colleagues.

“So I do think the dynamic is very different and type 2 diabetes probably lends itself much better to the real multidisciplinary team, where no one has the absolute say on what’s the best for any patient.”

“Some reported general dissatisfaction with care and even disengagement with care because of their negative experiences,” say the researchers.

Jay Shubrook, Chair of the American Diabetes Association’s Primary Care Advisory Group, outlines what's new in 2018's ADA Standards of Care update. 

Jay Shubrook, Chair of the American Diabetes Association’s Primary Care Advisory Group, outlines what's new in 2017's ADA Standards of Care update. 

Presenting the results at the 2018 Diabetes UK Professional Conference in London, Ceri Jagger (North East Essex Diabetes Service, Colchester, UK) explained that the virtual ward was developed in response to regular ambulance calls to care homes, with the aim of reviewing the suitability of medication regimes and educating community nurses about insulin.

Jennifer Raymond, from Children’s Hospital Los Angeles in California, USA, explained that the model, which is provided by a multidisciplinary team, allows the patients to have time alone with their care provider, as well as interactions with other similar aged patients.

The team, led by Timothy Middleton (University of Sydney, New South Wales), examined prospectively collected data from a center providing multidisciplinary secondary and tertiary level care to people with diabetes.

Fully closed-loop insulin delivery results in a markedly improved time in range among inpatients with type 2 diabetes receiving noncritical care, researchers have reported.

But the proportion of surgical patients with any psychiatric diagnosis increased, as was also the case in a matched group of 80 adolescents who received conventional care.

And they add that “[g]iven the increasing prevalence of diabetes, workforce shortages among front-line diabetes care providers, and the shift toward multidisciplinary team- based approaches to chronic care management, [occupational therapists] may merit consideration as an untapped resource to address the growing burden of diabetes in the U.S.”

In a linked editorial , Amir Ghaferi and Oliver Varban (both from University of Michigan, Ann Arbor, USA) say that the study “highlights the importance of setting appropriate expectations about weight loss and comorbidity resolution after bariatric surgery and also reinforces the concept that obesity is a chronic disease demanding long-term multidisciplinary care.”

“It is now time to integrate islet transplantation into the stepped care of these patients,” they say.