A combination of routinely measured clinical factors and adiponectin measured in the early second trimester in obese women may provide a useful approach to the prediction of gestational diabetes. Validation in a large prospective study is required to determine the usefulness of this algorithm in clinical practice.
The administration of continuous insulin in patients with T2DM with severe hypertriglyceridaemia is a simple and safe method of significantly reducing the immediate risk associated with this metabolic complication and should be considered in any T2DM patient presenting with severe hypertriglyceridaemia and hyperglycaemia.
-Reports have highlighted a shortage of consultant diabetologist posts in the UK. The number of doctors completing specialist training in diabetes has increased in recent years, but little is known about their employment after they receive their certificate of completion of training. An online survey was sent to all doctors who completed specialist diabetes training from January 2008 to September 2010. Of the 95 eligible respondents, 69 (73%) completed the survey (61% men; median age 36 years). Forty-three (62%) respondents secured substantive NHS consultant posts, and of those who gave their job breakdown, 48/51 (94%) were contributing to specialist diabetes care. Five (7%) respondents held substantive academic positions, while 11 (16%) were locum consultants. Seven (9%) respondents worked abroad, with half of these attributing their emigration to lack of opportunities in the UK. When asked about alternative choices, 39% of respondents were likely to seek 'general physician' roles, which equalled the number who would consider emigrating. Overall, only two-thirds of doctors who complete specialist training in diabetes secure substantive NHS consultant positions, which suggests a failure in workforce planning and a lack of expansion of the number of consultant posts despite progression of the diabetes epidemic.Kelly Cheer, 1 specialty trainee in diabetes and endocrinology; Jyothis T George, 2 specialist registrar in diabetes and endocrinology, YDF chair 2012-13. Paul Grant, 3 specialist registrar in diabetes and endocrinology; Roselle Herring, 4 specialist registrar in diabetes and endocrinology; Rahat A Maitland, 5 specialist registrar in diabetes and endocrinology; Milan Piya, 6 specialist registrar; Hermione C Price, 7 specialist registrar in diabetes and endocrinology and YDF Chair 2011-12; Emma G Wilmot, 8 clinical research fellow in diabetes and YDF Chair 2010-11; Rowan Hillson, 9 national clinical director for diabetes and consultant physician and diabetologist
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