Patient-centred care


Polycystic ovary syndrome and women with diabetes

Polycystic ovary syndrome (PCOS) is the most common endocrine disorder to affect women of reproductive age. Although it was first described almost 70 years ago, there has been no universal agreement about its definition. Eleni Kousta and Stephen Franks describe the prevalence, symptoms, and cause of PCOS, and look at long-term health implications and the available and possible future treatments for women with the syndrome.

Patient education and psychological care

People with diabetes deliver most of their own care. This reflects the observation that diabetes and its associated features touch on most aspects of daily living, and aspects as fundamental as eating and physical activity. To deliver such care requires knowledge, but even with knowledge it may not be easy to adjust to optimal self-care. This makes patient education a complex therapeutic issue.

Outpatient and inpatient diabetes care delivery

Diabetes care is inherently complex – hence the need for 19 chapters of evidence review and recommendations in the Global Guideline. Pulling all the recommendations together to ensure the implementation of effective delivery of care therefore needs some organization of its own, as is discussed in this article. A special situation is that of people with diabetes in hospital, who are often subject to disruption of lifestyle due to illness, procedures, or surgery, with knock-on effects on their diabetes management.

National and regional organization: the key to effective diabetes care in Moscow

According to the federal statistics agency of the Russian Federation, the country’s population is in a phase of negative growth and currently stands at around 143 million. There are 2.3 million people registered with diabetes, 2 million of whom have type 2 diabetes. However, according to recent epidemiological research, there may be some 8 million people living with the condition in Russia. Success in addressing the problems relating to diabetes and its complications largely depends on the effective organization of diabetes care at regional and national levels.

From practice and research to large-scale implementation: the 3rd DAWN summit

The Diabetes Attitudes Wishes and Needs (DAWN) programme was launched in 2001 with the global DAWN study. Initiated by Novo Nordisk in partnership with the International Diabetes Federation (IDF) and an international expert advisory board, the DAWN programme aims to respond to shortcomings in diabetes care; less than half of the people who are diagnosed with diabetes worldwide reach optimal health and quality of life. The 3rd DAWN summit, which was held recently in Florence, Italy, gathered 900 experts, people with diabetes, policy-makers

The role of IAPO in improving healthcare worldwide

The International Alliance of Patients’ Organizations (IAPO) is a global coalition of patient groups, representing people of all nationalities and across all disease areas, which promotes patient-centred healthcare. The members of IAPO are organizations that at the local, national, regional and international levels support patients and their families and carers. Emma Rigby describes the objectives, work and achievements of IAPO, and focuses on the promotion of patient-centred healthcare – a central aspect of the Alliance’s mission and

Diabetes care in Taiwan: a case-management initiative

Diabetes, now a global epidemic, is the fourth leading cause of death in Taiwan. The most recent epidemiological data demonstrated that the prevalence of diabetes is approaching 5% and that the number of people with diabetes in Taiwan

Preventing non-communicable diseases: an integrated community approach

The drastic rise in childhood obesity worldwide reflects the impact of unhealthy modern lifestyles. Over the last decade and a half, the increase of high-sugar, high-fat processed foods in our diets has combined with sedentary behaviour to radically and negatively affect the health of our societies. Initiatives are urgently required which can reduce the resulting individual and societal burden to physical and psychological health and economic development.

Multidisciplinary care: saving Mr L's toe

This is the story of ‘Mr L’, a man in Australia with type 2 diabetes and severe diabetes nerve damage (peripheral neuropathy). He developed neuropathy-related ulcers on one of his toes, which remained untreated for a number of months. He faced the prospect of having his left foot amputated. However, this was prevented because Mr L was linked to a multidisciplinary hospital-based diabetic foot clinic.

Can a peer-care model improve diabetes outcomes?

Recent studies have highlighted the importance of good blood glucose control in people with type 2 diabetes and emphasized the importance of reducing cardiovascular risk, particularly in relation to the control of blood pressure. However, achieving this represents a real challenge for people who live with diabetes and those who deliver diabetes care. By way of a response to the need for improved diabetes care, the authors describe plans to initiate a peer-care model in Ireland.