Prepregnancy care, including optimization of glycemic control and selleck kinase inhibitor the use of folic acid supplements, improves pregnancy outcome. However, in the UK only a third of diabetic women attend for prepregnancy care. Type 2 diabetes is now the most common form of diabetes in pregnancy and these women are less likely to attend for prepregnancy care than women with Type 1 diabetes. It is important for all women with

diabetes to have regular preconception counseling throughout their reproductive years and have prompt referral for prepregnancy care when they wish to plan a pregnancy. “
“There is increasing emphasis on consultant delivered health care outside normal working hours, although its impact on outcomes away from emergency assessment units is not well known. We introduced structured seven-day working for consultants on a 28 bedded diabetes base ward. Subsequent evaluation of its impact on patient throughput measures is presented.

We measured discharge patterns and rates, length of stay and 30-day readmission following the introduction of seven-day consultant working including weekend ward rounds. Data collected over an identical seven-month period before and after the introduction of weekend consultant ward rounds were compared. Sixty percent of discharged patients in both periods compared had diabetes. The SCH772984 mouse number of discharges during the study period (seven months) increased from 459 to 496 almost entirely owing to increase in weekend discharges (45 to 83). The overall length of stay (LoS) was largely unchanged (11.3±15.4 vs 10.5±7.9), although there was a significant reduction in the LoS of weekend discharges (11.2±10.3 vs 7.9±6.4, p<0.01). Thirty-day emergency readmission fell from 132 to 107. Effectively this translated to 625 potential bed days gained over a seven-month period representing an annual saving of approximately £123 000 at basic tariff. We concluded that consultant

seven-day working is effective in facilitating increased discharges with reductions in LoS and readmissions, Enzalutamide chemical structure and has significant economic benefit. Additional work is needed to evaluate the impact on quality measures, especially with regard to specialty specific outcomes. Copyright © 2014 John Wiley & Sons. Practical Diabetes 2014; 31(2): 58–61 “
“Prostatic abscess is a rare and difficult condition to diagnose. Here we report two cases of type 2 diabetic patients with similar presenting features. Both had uncontrolled diabetes mellitus on admission and grew Staphylococcus aureus from blood cultures and aspirates. Diagnosis was made following computed tomography and magnetic resonance imaging. Treatment was with intravenous antibiotics and no surgical intervention was required. Copyright © 2013 John Wiley & Sons. “
“Failure of access to structured diabetes care is associated with adverse outcome.