Publications by authors named "S L ROWLES"

Older adults with diabetes may carry a substantial health burden in Western ageing societies, occupy more than one in four beds in care homes, and are a highly vulnerable group who often require complex nursing and medical care. The global pandemic (COVID-19) had its epicentre in care homes and revealed many shortfalls in diabetes care resulting in hospital admissions and considerable mortality and comorbid illness. The purpose of this work was to develop a national Strategic Document of Diabetes Care for Care Homes which would bring about worthwhile, sustainable and effective quality diabetes care improvements, and address the shortfalls in care provided.

View Article and Find Full Text PDF

Sodium glucose co-transporter 2 (SGLT2) inhibitors are now an established class of medications for the treatment of type 2 diabetes (T2D), no longer reserved for use by specialists in diabetes. They are being used increasingly for their cardiac and renal benefits by primary care, cardiology and renal teams for indications in parallel with diabetes care as part of holistic management. This guidance provides essential information on SGLT therapy, including the main advantages and the important risks of which healthcare professionals should be aware.

View Article and Find Full Text PDF
Article Synopsis
  • Dapagliflozin and sotagliflozin are SGLT inhibitors recommended for people with type 1 diabetes and a BMI of 27 kg/m² or higher; dapagliflozin is licensed in the UK, while sotagliflozin may become available in the future.
  • These drugs can help improve glycemic control and offer additional benefits such as weight loss, better blood pressure management, and increased time in the optimal glucose range.
  • However, there's a risk of diabetic ketoacidosis, especially in individuals at higher risk due to factors like low-calorie diets, illnesses, or reduced insulin, prompting a need for careful management and guidance from healthcare professionals.
View Article and Find Full Text PDF

When someone encounters an explanation perceived as weak, this may lead to a feeling of deprivation or tension that can be resolved by engaging in additional learning. This study examined to what extent children respond to weak explanations by seeking additional learning opportunities. Seven- to ten-year-olds (N = 81) explored questions and explanations (circular or mechanistic) about 12 animals using a novel Android tablet application.

View Article and Find Full Text PDF

Gathering good-quality information is important for effective learning, but children may often need to expend time or energy (i.e., costs) in order to do so.

View Article and Find Full Text PDF