Martin Scivier
@scivier_martin
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Type 1 Diabetes Dx 1954. Diabetes patient advocate - Older age with diabetes. Patient author. #dedoc°. All comments my own. Retweets are not an endorsement.
Wallington, Surrey
Joined September 2019
As per recent data re #NHS? Waiting Lists are up; A&E markers on 12 hour waits not moving; strikes on the horizon; doctors without jobs; ICBs in flux over roles, mergers, Huge concerns over finances plus potential for medications etc to cost more etc etc That is the present
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🗞️ NEWS: Hypurin Porcine insulin vials discontinuation. It will continue to be available in cartridges for a pen, MyPen2 is recommended. 🔗 Read more here: https://t.co/xotMAz4rob
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Ageing adds further layers of complexity and burden underscoring the need for an even more holistic approach to diabetes management.
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Some good news to share in the world of #T1Diabetes & @NHSEngland -around #Pregnancy 💥Serious Adverse pregnancy outcomes ⬇️ 💥Congenital anomalies ⬇️ 💥Admits to neonatal units ⬇️ 💥⬆️ control pre-and during pregnancy 💥⬆️ pre-pregnancy preparation 🟢#CGM use 97.5% (work
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Sunday musing: I think it's clear that some specialties have decided that there are no lines as to what a doctor or anyone else does. The belief is with supervision and lesser training- anyone can do X or Y roles Which is fair enough-as decisions are made by those in charge of
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In older adults with long-standing #T1D severe hypoglycaemia is not about HbA1c or mean glucose, it is driven by greater glucose variability and impaired awareness. via @DiabetesCareADA CGM and when feasible closed-loop systems can make the difference.
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Good news- finally! @CareQualityComm finishing review.. No risk of harm in future -and thankfully, no harm to patient concerned Did query whether the future comment was down to 'changes post @lengreview' Confirmed today from hospital concerned senior colleague re no
I have been sent excerpt of case notes of a “Left Frontal Bolt External Ventricular Drainage” Done by a PA Supervised by a PA Assisted by a Registrar Using Consent Form 4 (As documented) Who do I send this to investigate on safety grounds? @CareQualityComm @NHSEngland @gmcuk
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To highlight an excellent piece of work via @GlucoseNLies & Catherine Russon (joint 1st authors) TL:DR? “Using Physical Activity to lower high glucose levels is an effective and safe strategy, and when guided by #CGM, it can become a personalised tool for #T1D education”
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Just launched the EveryDoctor Charter and over 100 people have already signed 😮 JUST LAUNCHED!! - click on my bio and the linktree - you can click to sign the charter there! You’ll be one of the first to sign, let’s GOOOO 🚀 💙🌟🥰
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And today is 8 weeks since formal complaints made to @RCPhysicians @OGMustafa One of them regards former Registrar RCP and issues around #RCPEGM To see whether there is parity in how complaints are dealt with- and how decisions/censures on' damage to College reputation' is
And we enter Week 7 Since registering 2 complaints Thanks @RCPhysicians for clarifying the delay is due to leave & staff turnover And here I was unfairly thinking @OGMustafa was being biased And refusing to investigate the individual(s) who he had worked closely with
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Thank you so much @tomgordonLD for raising this key question of services for people w Type 1 Diabetes Disordered Eating, building on our Parliamentary Inquiry recommendations @BT1DUK
linkedin.com
People with Type 1 diabetes & eating disorders (T1DE) are falling through the cracks of our health system, passed between services, with no clear support. I raised this in Parliament, calling on the...
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We are a whisker away from 3 out of 4 children living with #T1Diabetes now being on #ClosedLoops aka “Artificial Pancreas” A life without regular finger pricking. A life without regular injections of insulin. How’s that for progress 💙 #gbdoc
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It's #SASWeek25 Day 5! And beyond all the words? There must always exist hope And this from @rcpsych is all about that Those who know the back story and the battles? Will understadn the significance of this And it warms my heart to see this progress- with kudos to all
Supporting our SAS colleagues Our SAS colleagues are an integral part of our mental health medical workforce, and we recognise that the workforce crisis that psychiatry faces can only be addressed by pooling all the talent in the entirety of the workforce. Ensuring that SAS
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Is there a single person who actually cares if billionaires left the UK because of a wealth tax? If we had no billionaires, society would reorganise itself accordingly (for the better).
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“There is someone your age, experiencing their last day on earth…. Wishing they had the time you do” #ThursdayThought
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It’s #SASWeek25 Day 3! In 2023? The MWRES action plan focussed on SAS colleagues as a priority area for systems In 2025? The MWRES 5 year update shows progress in initiatives - yet with much to do A third of NHS trusts report having no SAS doctors in leadership positions
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📢 Publication Alert! People with diabetes on haemodialysis face high rates of eye complications. Our latest review in Diabetic Medicine found: 👁️ Diabetic retinopathy: 49% 💉 Diabetic maculopathy: 33% ⏳ Over half hadn’t had an eye exam in 2+ years https://t.co/fYkbWkCinO
onlinelibrary.wiley.com
Aim People with diabetes receiving haemodialysis are at increased risk of diabetic retinopathy (DR) and other ocular complications. Despite this heightened vulnerability, evidence on the prevalence...
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Just to say that the #NHS doesn’t actually have anyone leading regards workforce @NHSE_WTE No one in place since @NavinaEvans left/was asked to leave/retired. Which is quite…something Quite something indeed.
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