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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

Give someone “the best gift” this Christmas by giving blood in West Wales

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A MOTHER who needed in-the-womb blood transfusions during her pregnancy and a man who depends on regular, lifesaving blood donations are encouraging communities across Wales to give “the best gift” this Christmas by donating blood.

The Welsh Blood Service is preparing to face Winter pressures on its services and is hoping their new Christmas campaign, “the best gift” will raise awareness about the importance of donating blood and the lifesaving difference it makes.

Last December over 900 donations of blood and blood products were needed across Ceredigion, Carmarthenshire and Pembrokeshire to provide care to patients at Prince Philip, Withybush, Bronglais and Glangwili hospital. 

These donations play a vital role by supporting a range of treatments from helping recovering accident victims and patients with blood cancers to supporting mothers and new-born babies during childbirth.

Blood donations were needed during both pregnancies for mother of two, Shelley Parry. After her own life was saved during her first pregnancy, Shelley received several more blood transfusions directly into her womb to keep her youngest daughter alive.

Shelley explains: “Receiving blood is truly the best gift we have ever received. We’re forever indebted as a family to those who have taken the time to donate. Without the generosity of blood donors, quite simply, we wouldn’t be parents. Thanks to their selfless act, we can look forward to Christmas together as a family.

“It only takes one hour of your time to donate, if you can, please consider donating.”

Giggs and his daughter

Also supporting the campaign is blood recipient Giggs Kanias. Since birth, Giggs has received over 1,000 blood transfusions as part of his treatment for beta thalassaemia major, a severe blood disorder. Thanks to blood donors, Giggs is looking forward to celebrating Christmas with his family.

Giggs said: “I am so thankful to the incredible people who give blood. When I’m in hospital, I stare at the bags of blood being transfused into me and always wonder, who is the person that has helped me?

“I know the difference these people have made to my life and I’m so grateful to each and every one of them. Without their generosity, I wouldn’t be here today, I wouldn’t be a dad, or have had the opportunity to see my daughter grow up. Receiving blood is truly the best gift anyone could ever receive.”

Alan Prosser, Director of the Welsh Blood Service, said: “For patients like Giggs, receiving blood will be the best gift they receive this Christmas. It truly is the best gift you can give.

“Blood products have a short shelf life and is needed by hospitals 365 days a year, including Christmas day, to help support patients in need, which is why we can’t stop collecting.”

The Welsh Blood Service provides lifesaving blood products to 20 hospitals across Wales and four Wales Air Ambulance aircraft for use in emergencies.

Alan continues: “It is critical the service prepares. We need to build up blood stocks ahead of a potentially challenging winter, where seasonal illnesses and Covid-19 may exacerbate the usual winter pressures faced by the NHS.

“We are reaching out to communities across Wales to ask them to make a lifesaving blood donation and give “the best gift” this festive season.”

Do something amazing this Christmas. Give someone the best gift. Give blood. If you are aged 17 or over, book to give blood at: www.wbs.wales/Xmas21 or call 0800 252 266 today.

Appointments are available in Pembrokeshire on 7 December and January 6 and 20 in Tenby, 16 December and 27 January in Crymych, 20 December and 17 January in Haverfordwest, 10 January in Letterston Village Hall and 21 January in Milford Haven. 

Appointments are available in Carmarthenshire on 10 December in Pontyberum, 29 December and 13 January in Carmarthen, 28 January in Kidwelly Community Hall, 23 and 24 December and 4, 12 and 25 January in Parc Y Scarlets and 31 January in Llandeilo.

Appointments are available in Ceredigion on 14 December in Newcastle Emlyn, 14 January in Aberaeron and 18 January in Lampeter.

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Health

Council makes available wellbeing and mental health support for social care providers

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The programme will run until March 2022

IN RECOGNITION of the important work of the social care sector and impact of the Covid pandemic on social care providers and their staff, Ceredigion County Council has made available a programme of wellbeing and mental health support sessions.

The programme consists of Wellbeing and Mental health Awareness, Mental Health First Aid (Adults and Youth) and also offers facilitated support sessions.

The programme of events will run from December through to March 2022.

Any social care provider, carer or personal assistant can request more information or book a place on these sessions by emailing Dysgu@ceredigion.gov.uk

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Health

Information on the All Wales Avian Influenza Prevention Zone

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Keepers with more than 500 birds will also be required to take extra biosecurity measures

ON NOVEMBER 1 2021, the Chief Veterinary Officer for Wales confirmed a case of Highly Pathogenic Avian Influenza (HPAI) in a small backyard flock of chickens in Wrexham. This was following a case at a wild bird rescue centre in Worcestershire on the 27 October 2021.

A risk assessment has been prepared in light of these findings, and on 01 November, the UK risk level for disease incursion in wild birds was raised from medium to high. Additionally, the risk to poultry has been increased from low to medium, where biosecurity is inadequate. Effective biosecurity measures play a vital part in helping to reduce this risk. 

Prevention Zone

As a precautionary measure, in response to the increased risk level and to mitigate the risk of infection to poultry and other captive birds by wild birds, it has been declared that an all Wales Avian Influenza Prevention Zone, under Article 6 of the Avian Influenza and Influenza of Avian Origin in Mammals (Wales) (No. 2) Order 2006 has been put into place. The Prevention Zone applies from 17:00 on 03 November 2021.

From 00:01 on 8 November 2021, no gatherings of poultry, galliforme or anseriform birds are permitted. Galliforme birds include pheasants, partridge, quail, chickens, turkey and guinea fowl. Anseriform birds include ducks, geese and swans. See the following guidance for more information: https://www.gov.uk/guidance/bird-gatherings-licences

The Prevention Zone will require all keepers of poultry and other captive birds, irrespective of how they are kept, to take appropriate and practicable steps, including:

  • Ensure the areas where birds are kept are unattractive to wild birds, for example, by netting ponds and by removing wild bird food sources;
  • Feed and water your birds in enclosed areas to discourage wild birds;
  • Minimise movement of people in and out of bird enclosures;
  • Clean and disinfect footwear and keep areas where birds live clean and tidy;
  • Reduce any existing contamination by cleansing and disinfecting concrete areas, and fencing off wet or boggy areas.
  • Keep domestic ducks and geese separate from other poultry.

Keepers with more than 500 birds will also be required to take extra biosecurity measures, including restricting access to non-essential people, changing clothing and footwear before entering bird enclosures and cleaning and disinfecting vehicles.

This Avian Influenza Prevention Zone will remain in place until a reduction in risk levels indicates it is no longer required. The Zone will be kept under regular review.

Councillor Gareth Lloyd, Ceredigion County Council’s Cabinet Member responsible for Finance and Public Protection Services, said: “We strongly encourage all poultry keepers, even those with fewer than 50 birds, to sign up to the Poultry Register. This will ensure you can be contacted immediately, via email or text update, in an avian disease outbreak, enabling you to protect your flock at the earliest opportunity.”

Further information

The following link provides guidance on how to register your flock: https://www.gov.uk/government/publications/poultry-including-game-birds-registration-rules-and-forms

Information on the requirements of the Avian Influenza Prevention Zone, guidance and latest developments will be available on the Welsh Government website: https://gov.wales/avian-influenza

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