Management of diabetes during the last days of life: Attitudes of consultant diabetologists and consultant palliative care physicians in the UK

Palliative Medicine

Volumn 20, Issue 3, 2006, Pages 197-203

  Ford Dunn, Suzanne ^a,b   Smith, A ^a   Quin, J ^a  

^a UK   (United Kingdom)

^b St Barnabas Hospice   (United Kingdom)

Author keywords

Diabetes; Dying; Withdrawing treatment

Indexed keywords

GLICLAZIDE; INSULIN; INSULIN GLARGINE; ISOPHANE INSULIN; NEUTRAL INSULIN; ORAL ANTIDIABETIC AGENT;

ARTICLE; BENEFICENCE; BLOOD GLUCOSE MONITORING; CAREGIVER; CLINICAL PROTOCOL; COMORBIDITY; CONSENSUS DEVELOPMENT; CONSULTATION; DRUG HALF LIFE; DYING; EMOTIONAL STRESS; HUMAN; HUMAN EXPERIMENT; HYPERGLYCEMIA; HYPOGLYCEMIA; INSULIN DEPENDENT DIABETES MELLITUS; MEDICAL DECISION MAKING; MEDICAL SPECIALIST; NON INSULIN DEPENDENT DIABETES MELLITUS; NORMAL HUMAN; PALLIATIVE THERAPY; PHYSICIAN ATTITUDE; POSTAL MAIL; PRACTICE GUIDELINE; PROGNOSIS; QUESTIONNAIRE; SEMI STRUCTURED INTERVIEW; TERMINAL CARE; TREATMENT OUTCOME; UNITED KINGDOM;

ATTITUDE OF HEALTH PERSONNEL; ATTITUDE TO HEALTH; CONSULTANTS; DIABETES MELLITUS, TYPE 1; DIABETES MELLITUS, TYPE 2; DISEASE MANAGEMENT; HEALTH CARE SURVEYS; HUMANS; HYPERGLYCEMIA; HYPOGLYCEMIA; MEDICAL STAFF, HOSPITAL; PALLIATIVE CARE; PATIENT PARTICIPATION; PROGNOSIS; TERMINAL CARE; TERMINALLY ILL; WITHHOLDING TREATMENT;

EID: 33745048300     PISSN: 02692163     EISSN: None     Source Type: Journal    
DOI: 10.1191/0269216306pm1128oa     Document Type: Article

References (11)

1. British Diabetic Association. Guidelines of practice for residents with diabetes in care homes, 1999.
2. Turner H, Wass J. Diabetes: classification and diagnosis. In Oxford handbook of endocrinology and diabetes. Oxford University Press, 2002.
3. General Medical Council. Witholding and withdrawing life prolonging treatments: good practice in decision making. London, 2002.
4. Poulson J. The management of diabetes in patients with advanced cancer. J Pain Symptom Manage 1997; 13: 339-46.
5. Ford-Dunn S, Smith A, Quin J. Management of diabetes during the last days of life - a retrospective survey of dying patients in the hospital and hospice settings. Diabetic Med 2004: 21: 83.
6. McCoubrie R, Jeffrey D, Paton C, et al. Managing diabetes mellitus in patients with advanced cancer: case note audit and guidelines. Eur J Cancer Care 2005; 14: 244-48.
7. Ford-Dunn S, Smith A, Quin J. Blood glucose levels in diabetic patients during the terminal phase: is continuation of treatment necessary? Palliat Med 2004; 18: 161.
8. Warren RE, Deary IJ, Frier BM. The symptoms of hyperglycaemia in people with insulin treated diabetes: classification using principal components analysis. Diabetes Metab Res Rev 2003; 19: 408-14.
9. Edmonds P, Rogers A. 'If only someone had told me...' A review of the care of patients dying in hospital. Clin Med 2003; 3: 149-52.
10. Lamont EB, Christakis NA. Some elements of prognosis in terminal cancer. Oncology 1999; 13: 1165-70.
11. Boyd K. Diabetes mellitus in hospice patients: some guidelines. Palliat Med 1993; 7: 163-64.