The National Diabetes Stakeholders Covid-19 Response Group was formed in early April 2020 as a rapid action by the Joint British Diabetes Societies for Inpatient Care, Diabetes UK, the Association of British Clinical Diabetologists, and Diabetes Frail to address and support the special needs of residents with diabetes in UK care homes during Covid-19. It was becoming obvious that the care home sector was becoming a second wave of Covid-19 infection and that those with diabetes residing in care homes were at increased risk not only of susceptibility to infection but also to poorer outcomes. Its key purposes included minimising the morbidity and mortality associated with Covid-19 and assisting care staff to identify those residents with diabetes at highest risk of Covid-19 infection. The guidance was particularly created for care home managers, other care home staff, and specialist and non-specialist community nursing teams. The guidance covers the management of hyperglycaemia by discussion of various clinical scenarios that could arise, the management of hypoglycaemia, foot care and end of life care. In addition, it outlines the conditions where hospital admission is required. The guidance should be regarded as interim and will be updated as further medical and scientific evidence becomes available.
Keywords: Covid-19; Diabetes; care homes; frailty; insulin; residents.
This article is protected by copyright. All rights reserved.
Guidelines for the management of diabetes services and patients during the COVID-19 pandemic.Diabet Med. 2020 May 4. doi: 10.1111/dme.14316. Online ahead of print. Diabet Med. 2020. PMID: 32365233
Commentary: COVID in Care Homes-Challenges and Dilemmas in Healthcare Delivery.Age Ageing. 2020 May 13:afaa113. doi: 10.1093/ageing/afaa113. Online ahead of print. Age Ageing. 2020. PMID: 32402088 Free PMC article.
International COVID-19 palliative care guidance for nursing homes leaves key themes unaddressed.J Pain Symptom Manage. 2020 May 10:S0885-3924(20)30372-9. doi: 10.1016/j.jpainsymman.2020.04.151. Online ahead of print. J Pain Symptom Manage. 2020. PMID: 32437942 Free PMC article.
Challenge Demcare: management of challenging behaviour in dementia at home and in care homes – development, evaluation and implementation of an online individualised intervention for care homes; and a cohort study of specialist community mental health care for families.Southampton (UK): NIHR Journals Library; 2017 Aug. NIHR Journals Library. 2017. PMID: 28783270 Free Books & Documents. Review.
Recommendations and guidance for providing pharmaceutical care services during COVID-19 pandemic: A China perspective.Res Social Adm Pharm. 2020 Mar 26:S1551-7411(20)30284-9. doi: 10.1016/j.sapharm.2020.03.012. Online ahead of print. Res Social Adm Pharm. 2020. PMID: 32249102 Free PMC article. Review.