{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T14:44:53Z","timestamp":1783176293422,"version":"3.54.6"},"reference-count":9,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T00:00:00Z","timestamp":1730764800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabet Med"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The primary purpose of the original <jats:styled-content style=\"fixed-case\">NAPCHD<\/jats:styled-content> project was to develop a national Strategic Document of Diabetes Care for Care Homes which has now been completed and well received as a worthwhile, sustainable, and effective guidance for delivering quality diabetes care in the UK. A Working Group of NAPCHD was established to produce a Position Statement on type 1 diabetes in care homes since this area was recommended as a topic to further develop. There are currently limited data on the prevalence and clinical outcomes associated with type 1 diabetes in care homes and management policies have been non\u2010existent in the UK. Communication among all key stakeholders involved in direct care of residents with type 1 diabetes is generally fragmented and lacks coordination. This is compounded by a slowly growing utilisation of diabetes technology and the absence of a standard\/agreed community\u2010based model of interdisciplinary collaboration. The Rationale and Objectives were defined prior to commencing the work and a work plan with individual tasks was initially set out. After multiple correspondences and Team calls over a period of 9\u2009months, the Group successfully generated a first draft in October 2023. This draft was then finalised the following month and circulated among stakeholders for feedback. Nine chapters have been provided including minimum standards of diabetes care, insulin regimens, avoiding hospitalisation and discharge planning. A scheme for a community\u2010based model of care for type 1 diabetes has been included. Eight key messages were developed. In addition, an Appendix has been created which includes key assessments such as nutritional assessment, detection of frailty, sick day rules and foot risk stratification (available online).<\/jats:p>","DOI":"10.1111\/dme.15457","type":"journal-article","created":{"date-parts":[[2024,11,6]],"date-time":"2024-11-06T02:04:34Z","timestamp":1730858674000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Type 1 Diabetes in care homes: A practical guide on management"],"prefix":"10.1111","volume":"42","author":[{"given":"A. J.","family":"Sinclair","sequence":"first","affiliation":[{"name":"Foundation for Diabetes Research in Older People and King's College  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Bellary","sequence":"additional","affiliation":[{"name":"University of Aston and University Hospitals Birmingham NHS Foundation Trust  Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Middleton","sequence":"additional","affiliation":[{"name":"Person Living with Diabetes (PLWD) and Diabetes, Diabetes Research Steering Group  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Morris","sequence":"additional","affiliation":[{"name":"Diabetes UK  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Walker","sequence":"additional","affiliation":[{"name":"Successful Diabetes  Northampton UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K.","family":"Winkley Bryant","sequence":"additional","affiliation":[{"name":"King's College  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"U.","family":"Dashora","sequence":"additional","affiliation":[{"name":"East Sussex Healthcare NHS Trust and Joint British Diabetes Societies\u2010IP Care JBDS\u2010IP and Association of British Clinical Diabetologists (ABCD)  Saint Leonards on Sea UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9808-3841","authenticated-orcid":false,"given":"M.","family":"Karamat","sequence":"additional","affiliation":[{"name":"University Hospitals Birmingham Foundation Trust  Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Rayner","sequence":"additional","affiliation":[{"name":"Hallmark Care Homes  Essex UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Tomlinson","sequence":"additional","affiliation":[{"name":"Medwyn Surgery Dorking and University of Roehampton  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6770-3569","authenticated-orcid":false,"given":"G.","family":"Maltese","sequence":"additional","affiliation":[{"name":"Epsom and St Helier University Hospitals NHS Trust, and King's College  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,11,5]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.24.6.1066"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/dme.13702"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/dme.15088"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.18.6.862"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2009.02.010"},{"key":"e_1_2_10_7_1","unstructured":"Diabetes UK.Good Clinical Practice Guidelines for Care Home Residents with Diabetes.2010http:\/\/www.diabetes.org.uk\/Documents\/About%20Us\/Our%20views\/Care%20recs\/Care\u2010homes\u20100110.pdf"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pcd.2015.03.002"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjdrc-2021-002705"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.2337\/dci23-0021"}],"container-title":["Diabetic Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/dme.15457","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,13]],"date-time":"2025-02-13T12:56:16Z","timestamp":1739451376000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/dme.15457"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11,5]]},"references-count":9,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025,3]]}},"alternative-id":["10.1111\/dme.15457"],"URL":"https:\/\/doi.org\/10.1111\/dme.15457","archive":["Portico"],"relation":{},"ISSN":["0742-3071","1464-5491"],"issn-type":[{"value":"0742-3071","type":"print"},{"value":"1464-5491","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,11,5]]},"assertion":[{"value":"2024-06-14","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-10-06","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-11-05","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e15457"}}