Diabetes Care in British Prisons: Existing Problems and Potential Solutions

Gill, Geoffrey; MacFarlane, I. A.; Tucker, Natalie

doi:10.1111/j.1464-5491.1992.tb01745.x

Cited by 16 publications

(6 citation statements)

References 13 publications

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“…19 Health care for prisoners with diabetes or hypertension requires the provision of medications, special meals and regular glucose monitoring. 2 These two conditions require continuous treatment to avoid longer-term complications. As seen in this study, nearly one-third of the prisoners with diabetes had random BSL >11 mol/L, suggesting less than ideal diabetic control.…”

Section: Hypercholesterolaemiamentioning

confidence: 99%

“…20 Therefore, exercise facilities should be made available in prisons. 2 Prisoners represent a marginalised group in society but follow the same profile of the general population in terms of their CVD and diabetes risk factors apart from an exceptionally high frequency of smoking that far exceeds that in the general population. As shown by this study, prisoners manifest CVD risk factors at a relatively young age.…”

Section: Hypercholesterolaemiamentioning

confidence: 99%

“…In Britain and the US, studies show that diabetic prisoners face problems relating to diet, self-monitoring facilities, and access to specialist help. 2,3 There are significant problems facing diabetic prisoners and clinics providing health care in a correctional setting because prisons tend to be overcrowded, understaffed and lack physicians and/or adequate health services. 4 In addition, exercise facilities are often nonexistent in older jails or are at times inaccessible.…”

mentioning

confidence: 99%

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Assessment of cardiovascular disease risk factors and diabetes mellitus in Australian prisons: is the prisoner population unhealthier than the rest of the Australian population?

D’Souza

Butler

Petrovsky

2005

Australian and New Zealand Journal of Public Health

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Section: Hypercholesterolaemiamentioning

confidence: 99%

Section: Hypercholesterolaemiamentioning

confidence: 99%

mentioning

confidence: 99%

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Assessment of cardiovascular disease risk factors and diabetes mellitus in Australian prisons: is the prisoner population unhealthier than the rest of the Australian population?

D’Souza

Butler

Petrovsky

2005

Australian and New Zealand Journal of Public Health

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“…Problems of diabetes care in prisons include inappropriate foods and meal times and limited opportunities for exercise, but glycaemic control can be improved by input from a multidisciplinary diabetes team who must be fully aware of the realities of prison life [118]. Dieticians must be available to all prisons, for both general advice and individual consultation.…”

Section: Special Groupsmentioning

confidence: 99%

The implementation of nutritional advice for people with diabetes

2003

Diabetic Medicine

141

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These consensus-based recommendations emphasize the practical implementation of nutritional advice for people with diabetes, and describe the provision of services required to provide the information. Important changes from previous recommendations include greater flexibility in the proportions of energy derived from carbohydrate and monounsaturated fat, further liberalization in the consumption of sucrose, more active promotion of foods with a low glycaemic index, and greater emphasis on the provision of nutritional advice in the context of wider lifestyle changes, particularly physical activity. Monounsaturated fats are now promoted as the main source of dietary fat because of their lower susceptibility to lipid peroxidation and consequent lower atherogenic potential. Consumption of sucrose for patients who are not overweight can be increased up to 10% of daily energy provided that this is eaten in the context of a healthy diet and distributed throughout the day [corrected]. Evidence is presented for the effectiveness of advice provided by trained dieticians. The increasing evidence for the importance of good metabolic control and the growing requirement for measures to prevent Type 2 diabetes in an increasingly obese population will require major expansion of dietetic services if the standards in National Service Frameworks are to be successfully implemented.

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“…Problems of diabetes care in prisons include inappropriate foods and meal times and limited opportunities for exercise, but glycaemic control can be improved by input from a multi‐disciplinary diabetes team who must be fully aware of the realities of prison life (Gill et al. , 1992).…”

Section: Institutional Carementioning

confidence: 99%

The dietitians challenge: the implementation of nutritional advice for people with diabetes*

Connor¹

2003

J Human Nutrition Diet

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The evidence base for current nutritional recommendations has been extensively reviewed on behalf of the European Association for the Study of Diabetes (EASD) 1998 and the American Diabetes Association (ADA) 2002. The nutrition Sub-Committee of Diabetes UK is in general agreement with those recommendations. This paper provides consensus-based recommendations that emphasize the practical implementation of nutritional advice for people with diabetes, and describe the provision of dietetic services required to provide the information. Important changes from previous Diabetes UK (previously British Diabetic Association Diabet. Med. 9, 189) recommendations include greater flexibility in the proportions of energy derived from carbohydrate and monounsaturated fat, further liberalization in the consumption of sucrose, more active promotion of foods with a low glycaemic index, and greater emphasis on the provision of nutritional advice in the context of wider lifestyle changes, particularly physical activity. Monounsaturated fats are now promoted as the main source of dietary fat because of their lower susceptibility to lipid peroxidation--and consequent lower atherogenic potential. Consumption of sucrose for patients who are not overweight can be increased up to 10% of daily energy derived from carbohydrate provided that this is eaten in the context of a healthy diet and distributed throughout the day. The role of the dietitian is outlined in facilitating lifestyle changes and evidence is presented for the effectiveness of advice provided by trained dietitians. The increasing evidence for the importance of good metabolic control and the growing requirement for measures to prevent Type 2 diabetes in an increasingly obese population will require major expansion of dietetic services if the standards in National Service Frameworks are to be successfully implemented at local level.

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Diabetes Care in British Prisons: Existing Problems and Potential Solutions

Cited by 16 publications

References 13 publications

Assessment of cardiovascular disease risk factors and diabetes mellitus in Australian prisons: is the prisoner population unhealthier than the rest of the Australian population?

Assessment of cardiovascular disease risk factors and diabetes mellitus in Australian prisons: is the prisoner population unhealthier than the rest of the Australian population?

The implementation of nutritional advice for people with diabetes

The dietitians challenge: the implementation of nutritional advice for people with diabetes*

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