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Diabetes’ effect on mental health explored

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NEW research from Diabetes UK has found that seven out of ten people feel overwhelmed by the demands of living with diabetes, significantly affecting their mental and physical health.

The survey of more than 2,000 adults with Type 1, Type 2 and other types of diabetes from across the UK shows that the majority (three quarters) of those who feel overwhelmed say that this affects how well they can manage the condition.

In order to explore the links between mental health and diabetes, the charity collected extensive insights from people affected by the condition and healthcare professionals from across the UK.

The findings, published in the report “Too often missing: Making emotional and psychological support routine in diabetes care”, show that diabetes is much more than a physical condition.

Management of physical symptoms 24/7 – for example checking blood glucose levels, or managing diet – alongside the continual need to make decisions and take actions in order to reduce the likelihood of short and long-term complications, can affect every aspect of day-to-day life.

The research revealed that the relentless nature of diabetes can impact people’s emotional, mental and psychological wellbeing and health, from day-to-day frustration and low mood, to specific psychological and mental health difficulties such as clinical depression and anxiety.

Three-quarters of those needing specialist mental health support to help manage the condition, such as from a counsellor or psychologist, could not access it. Seven out of ten people with diabetes also reported that they are not helped to talk about their emotional wellbeing by their diabetes teams.

Healthcare professionals surveyed also revealed that there was more to be done in this area. Specifically, 40 per cent of GPs say they are not likely to ask about emotional wellbeing and mental health in routine diabetes appointments, while only 30 per cent feel there is enough emotional and psychological support for people living with diabetes when needed.

The report marks the launch of a Diabetes UK campaign to make the emotional and psychological demands of living with diabetes recognised and provide the right support to everyone who needs it.

Diabetes UK Cymru is marking the launch with an event on Wednesday 22 May at the Norwegian Church in Cardiff Bay from 12 pm to 2 pm.

The charity is urgently calling on each of the four nations’ health services to create national standards for diabetes emotional and mental healthservices. These should ensure that everyone is asked how they are feeling as part of every diabetes appointment and that a mental healthprofessional with knowledge of diabetes is part of every diabetes care team.

Dai Williams, National Director, Diabetes UK Cymru, said: “The day-to-day demands of managing diabetes can be a constant struggle, affecting people’s emotional wellbeing and mental health. In turn, people tell us that struggling emotionally can make it even more difficult to keep on top of self-management. And when diabetes cannot be well managed, the risk of dangerous complications, such as amputations, kidney failure and stroke increases.

“Diabetes services that include emotional and psychological support can help people improve both their physical and mental health, reduce pressure on services, and save money.

“Mental health and physical health go hand in hand, but services for people with diabetes don’t always reflect this. We need to bridge the divide between physical and mental health services to ensure those with emotional and psychological difficulties related to their condition do not have their needs overlooked. It is critical that all diabetes care sees and supports the whole person, and explores what matters most to them.”

Diabetes UK is launching a petition to call for national standards for diabetes mental health support and services.

To find out more about the campaign and sign the petition go to www.diabetes.org.uk/missing

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Health

Hay fever warning – Tree pollen on the rise across Wales

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POLLEN experts are warning that the next few days could be significant for those who suffer from hay-fever.

“The first medium pollen counts of the season are forecast across Wales over the next 5 days,” says airborne allergens expert Max Wiseberg, “and many hay fever sufferers start to experience symptoms when the count reaches this level. The main culprit at this time is birch pollen, the pollen most tree pollen allergy sufferers are allergic to. So now is the time for hay fever sufferers to prepare for the season ahead.”

“Birch is arguably the most problematic tree of them all for hay fever sufferers,” continues Max. “In the same family as alder and hazel trees, the birch is the worst of the bunch for the 25% of UK hay fever sufferers who are allergic to tree pollen. The peak of the birch pollen season can run throughout April to mid May.”

“So now is the time to start preparing for the season ahead. If you are already starting to experience hay fever symptoms or want to avoid them being triggered, start to apply an allergen barrier balmsuch as HayMax, which works by trapping pollen before it enters the body and starts to work straight away. If you use antihistamines, many manufacturers recommend starting a month before your season starts, so if you haven’t started already, now is the time. And it’s the same with nasal sprays; they need several days to build up to their maximum protective effect and some makers advise starting using them one month before your hay fever season begins.”

“If your symptoms are particularly bad on a given day, or you find that nothing really works, or the remedy you use stops working, try combining products for a greater effect, in other words create your own ‘Hay Fever First Aid Kit’, a combination of products which can be complementary to one another. My recommendation would be an allergen barrier balm to trap the pollen, one (and only one) antihistamine to combat the overproduction of histamines, one (and only one) steroid nasal spray, as the nasal area is where the pollen enters and is most affected, plus one or more drug-free or natural products.”

“There are several practical things you can do to reduce the effects of pollen:

  • When you’re outdoors wear wraparound sunglasses to stop pollen getting in your eyes. Apply an allergen barrier balm to help prevent pollen getting up your nose. And wear a cap or other head cover and tie up long hair to stop pollen getting trapped in your hair,
  • When you return home, take off your shoes at the front or back door so you don’t bring pollen indoors with you, Washing your face, changing your clothes and having a shower will all help by removing pollen from your hair and body.
  • Keep pollen out of your home. Keep doors and windows closed. Dust and vacuum regularly, including fabrics and upholstery, to remove pollen. Damp dusting will help stop pollen being dispersed back into the air. If you have a pet, keep it well groomed and washed regularly, to remove pollen from its fur and keep it out of the room in which you sleep.”

“There is currently no cure for hay fever – they’ve been working on it for years – but until there is there are many products – both natural and conventional – and lifestyle changes you can try. Check out my website www. https://haymax.biz/hay-fever/ for more ideas. Good luck!”

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Health

RCN’s three urgent steps to rescue Welsh NHS sent to First Minister

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HELEN WHYLEY, Director of the Royal College of Nursing (RCN) Wales, has written to the First Minister calling for immediate action in three key areas to protect patients and secure the future of nursing in Wales.

The RCN first urges Vaughan Gething to deliver on promises in the Welsh government’s 2023/24 pay offer – prioritising patient safety by ensuring there are enough nursing staff to deliver safe and effective care. Second, the organisation warns him to responsibly introduce registered nursing associates to Wales. The letter ends by asking him to strategically invest in the education of nurses at all career stages, to meet future health care demands.

Promises in the 2023/24 pay offer included action on patients being cared for in inappropriate places (so-called “corridor care”), better access to flexible working, a 36-hour week, and more.

Helen Whyley said: “Now is the time for the First Minister to refresh his public commitment to safe and effective care. That would go a long way towards assuring nursing staff that his government will address the extreme pressures they are under.

“What’s critical is that the First Minister keeps nurses nursing in the NHS. That’s why he must make sure the Welsh government keeps every promise it made to our members last year to end industrial action. Those important promises could make a real difference to nurses and to their patients. That’s why our members accepted them in good faith – but half a year later, they have yet to feel a difference.

“New nursing roles are fantastic, but patients need to understand what that means for them – and, crucially, they need to be funded properly. Any risk to patient safety from registered nurses being inappropriately replaced is completely unacceptable. And this can’t become a distraction from getting the basics right, either. A national strategy for commissioning nursing education, all the way from student to advanced and consultant level, would be a fitting ambition for a new First Minister with a commitment to improving health.”

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Health

Brain Injury Group Donates £3,000 to local services

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THE SOUTH WEST WALES BRAIN INJURY GROUP (SWWBIG) has announced donations to two local health boards, giving £1,000 each to Neath Port Talbot Neuro Rehabilitation Unit and the Community Brain Injury Services at Swansea Bay and Hywel Dda University Health Boards.

This funding boost for the health boards comes from the profits earned at the SWWBIG conferences in 2022 and 2023, which were organised and sponsored by JCP Solicitors and co-sponsored by Fieldbay (part of the ivolve Care & Support group).  

The conferences, which have taken place annually since 2011, provide an opportunity for individuals and families affected by brain injury, as well as healthcare professionals, charities, students and researchers across South West Wales to come together and explore the critical stages of survival and recovery. 

The 2022 and 2023 conferences each welcomed around 200 attendees and raised £3,000 in excess funds. The committee, made up of healthcare workers and practitioners in the field of brain injury, voted to donate to the brain injury services in their local health boards, ensuring that the funds can be used to assist the brain injury community in South West Wales in the best way possible. 

Suzanna Charles, Chair of SWWBIG said: “The South West Wales Brain Injury Conferences are always a huge success, as we are able to facilitate important conversations for professionals working in the field and offer support.

“What is more, the conferences raise vital funds which will go towards providing ongoing rehabilitation for those affected by brain injury. We are proud to provide this additional funding which will have a direct, positive impact on brain injury survivors in our local area. 

“The journey through rehabilitation is different for everyone, and it is so important to have a supportive network of healthcare professionals and experts to guide patients while listening to their individual needs.”

The main objective of the South West Wales Brain Injury Group is to provide a forum for individuals with an interest in acquired brain injury, to educate and encourage development and dissemination of good practice. For more information on SWWBIG or to register your interest to attend the conference in 2024, please visit www.swwbig.co.uk.   

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