Helen Rogers
A5026082663- Diabetes Management and Research
- Gestational Diabetes Research and Management
- Pancreatic function and diabetes
- Diabetes Management and Education
- Diabetes and associated disorders
- Diabetes Treatment and Management
- Primary Care and Health Outcomes
- Hyperglycemia and glycemic control in critically ill and hospitalized patients
- Bariatric Surgery and Outcomes
- Mobile Health and mHealth Applications
- Healthcare Systems and Technology
- Health Systems, Economic Evaluations, Quality of Life
- Innovations in Medical Education
- Dental Education, Practice, Research
- Breastfeeding Practices and Influences
- Occupational Health and Safety Research
- Migration, Health and Trauma
- Neurogenetic and Muscular Disorders Research
- Pharmaceutical studies and practices
- Click Chemistry and Applications
- Parkinson's Disease and Spinal Disorders
- Prenatal Substance Exposure Effects
- Cardiac Health and Mental Health
- Cardiovascular Issues in Pregnancy
- Cancer survivorship and care
King's College Hospital NHS Foundation Trust
2013-2025
King's College London
2009-2022
University of East Anglia
2017-2022
St Thomas' Hospital
2017-2020
King's College Hospital
2009-2019
Cambridge University Hospitals NHS Foundation Trust
2017
Cardiff University
2011-2012
Cambridge Military Hospital
1995
Pregnant women with type 1 diabetes are a high-risk population who recommended to strive for optimal glucose control, but neonatal outcomes attributed maternal hyperglycaemia remain suboptimal. Our aim was examine the effectiveness of continuous monitoring (CGM) on control and obstetric health outcomes.In this multicentre, open-label, randomised controlled trial, we recruited aged 18-40 years minimum 12 months were receiving intensive insulin therapy. Participants pregnant (≤13 weeks 6 days'...
Gestational diabetes mellitus (GDM) is an increasingly common condition of pregnancy. It associated with adverse fetal, infant and maternal outcomes, as well increased risk GDM in future pregnancies type 2 for both mother offspring. Previous studies have shown that can result emotionally distressing pregnancy, but there little research on the patient experience care, especially a demographically diverse UK population. The aim this was to explore experiences care group women attending large...
OBJECTIVE To compare glycemic control, quality of life, and pregnancy outcomes women using insulin pumps multiple daily injection therapy (MDI) during the Continuous Glucose Monitoring in Women With Type 1 Diabetes Pregnancy Trial (CONCEPTT). RESEARCH DESIGN AND METHODS This was a prespecified analysis CONCEPTT involving 248 pregnant from 31 centers. Randomization stratified for pump versus MDI HbA1c. The primary outcome change HbA1c randomization to 34 weeks’ gestation. Key secondary were...
Abstract Impaired awareness of hypoglycaemia (IAH) is a major risk for severe in insulin treatment type 1 diabetes (T1D). To explore the hypothesis that unhelpful health beliefs create barriers to regaining awareness, we conducted multi-centre, randomised, parallel, two-arm trial (ClinicalTrials.gov NCT02940873) adults with T1D and treatment-resistant IAH hypoglycaemia, blinded analysis 12-month recall at 12 and/or 24 months primary outcome. Secondary outcomes included cognitive emotional...
OBJECTIVE To develop and pilot a novel intervention addressing motivational cognitive barriers to avoiding hypoglycemia in people with type 1 diabetes persistent impaired awareness of (IAH) despite training flexible insulin therapy. RESEARCH DESIGN AND METHODS A 6-week using interviewing behavioral techniques was designed. Diabetes educators were trained supported its delivery 23 IAH (Gold score ≥4). RESULTS Twelve months postcourse, had improved (P < 0.001). Median (range) rates...
Diabet. Med. 29, 321–327 (2012) Abstract Objective Risk of severe hypoglycaemia is increased by absence subjective awareness and reduced avoidance minor hypoglycaemia. For many, problems persist despite educational strategies that work for others. We explored psychological factors might inhibit the efforts an individual in avoidance. Methods People with Type 1 diabetes unawareness gave semi‐structured interviews exploring their perceptions experiences condition. Identified were grouped into...
OBJECTIVE Hypoglycemia unawareness (HU) affects ∼25% of people with type 1 diabetes. People HU are often reliant on family to detect hypoglycemia and treat severe episodes. We explored the impact members’ lives, their involvement in preventing managing hypoglycemia, information support needs. RESEARCH DESIGN AND METHODS This study employed an exploratory, qualitative design comprising in-depth interviews 24 adult members persons diabetes HU. RESULTS Family described restricting lives so that...
OBJECTIVE To determine if temporal glucose profiles differed between 1) women who were randomized to real-time continuous monitoring (RT-CGM) or self-monitored blood (SMBG), 2) used insulin pumps multiple daily injections (MDIs), and 3) whose infants born large for gestational age (LGA) not, by assessing CGM data obtained from the Continuous Glucose Monitoring in Women With Type 1 Diabetes Pregnancy Trial (CONCEPTT). RESEARCH DESIGN AND METHODS Standard summary metrics functional analysis...
Abstract Aim To evaluate the sustainability of benefits continuous subcutaneous insulin infusion therapy in routine practice a cohort adults with diabetes. Methods The clinical records all starting over 12 years at our centre were included this study. Baseline and mean annual HbA 1c levels recorded. frequency mild‐to‐moderate severe hypoglycaemia awareness analysed subgroup. Results Adequate data available from 327 patients, whom 71% female. patients' ± sd age was 41 14 years, (range)...
The CONCEPTT trial compared real-time Continuous Glucose Monitoring (RT-CGM) to capillary glucose monitoring in pregnant women with type 1 diabetes. We analyzed CGM and glycated hemoglobin (HbA1c) measures first (n = 221), second 197), third 172) trimesters, aiming examine target attainment associations pregnancy outcomes. targets were Time-in-range (TIR) > 70%, Time-above-range (TAR) <25%, Time-below-range (TBR) < 4%, HbA1c 6.5% (National Institute for Health Care Excellence [NICE]) 6.0%...
Pregnant women with type 1 diabetes strive for tight glucose targets (3.5-7.8 mmol/L) to minimise the risks of obstetric and neonatal complications. Despite using technologies including continuous monitoring (CGM), insulin pumps contemporary analogues, most struggle achieve maintain recommended pregnancy targets. This study aims evaluate whether use automated closed-loop delivery improves antenatal levels in pregnant diabetes.A multicentre, open label, randomized, controlled trial a HbA1c...
Background Many adults with type 1 diabetes cannot self-manage their effectively and die prematurely diabetic complications as a result of poor glucose control. Following the positive results obtained from randomised controlled trial (RCT) by Dose Adjustment For Normal Eating (DAFNE) group, published in 2002, structured training is recommended for all UK. Aim With evidence that blood control not always improved or sustained, we sought to determine factors explaining why some patients benefit...
Severe hypoglycaemia (SH), when blood glucose falls too low to support brain function, is the most feared acute complication of insulin therapy for type 1 diabetes mellitus (T1DM). 10% people with T1DM contribute nearly 70% all episodes, impaired awareness (IAH) a major risk factor. People IAH may be refractory conventional approaches reduce SH, evidence cognitive barriers avoidance. This paper describes protocol Hypoglycaemia Awareness Restoration Programme Type Diabetes and Problematic...
Abstract Aim To inform targeted interventions for women with gestational diabetes mellitus ( GDM ) by exploring the factors that influence their health behaviours and preferences lifestyle support. Methods Participants were previous taken from a diverse inner‐city UK population. Data collection involved focus groups (n = 35 in six groups) semi‐structured interviews 15 women). The transcribed data analysed using framework analysis. Results Eight themes relating to influencing behaviour...
Women with type 2 diabetes are at risk of commencing pregnancy while using medications that either not recommended for or known teratogenicity, which may contribute to adverse outcomes. In this study, we aimed characterize pregnancy-related factors and medication exposures among women diabetes. Individual health characteristics, sociodemographic information, prescription data were extracted from the primary care records aged 18-45 years in participating general practices UK. Prescribed...
The aim of this preliminary study was to investigate postgraduate Oral Medicine training worldwide and begin identify minimum requirements and/or core content for an International curriculum.Countries where there believed be in were identified by the working group. Standardized emails sent inviting participants complete online survey regarding scope their respective countries.We received 69 total responses from 37 countries. Of these, 22 countries self-identified as having a distinct field...
Oral medicine is a specialized area of study within the scope dental medicine. This discipline often viewed as crossroads between and dentistry has become integral in both pre‐and postdoctoral education. recognized specialty throughout most world currently represents an emerging United States. Historically, oral been loosely defined States without clear consensus definition. Recent published studies regarding international programs clinical practice have helped to provide more specific...
To explore the experiences of people who have hypoglycaemia unawareness and its impact on their everyday lives.In-depth interviews with 38 Type 1 diabetes unawareness. Data analysis used an inductive, thematic approach.Participants reported imposed self-imposed changes to lives following onset including: leaving employment, curtailing pastimes spending more time at home or being supervised by others. However, some getting life downplaying significance condition, which could put health safety...
Abstract Aims/hypothesis Problematic hypoglycaemia still complicates insulin therapy for some with type 1 diabetes. This study describes baseline emotional, cognitive and behavioural characteristics in participants the HARPdoc trial, which evaluates a novel intervention treatment-resistant problematic hypoglycaemia. Methods We documented cross-sectional description of 99 adults diabetes despite structured education flexible therapy. The following measures were included: Hypoglycaemia Fear...
To assess the clinical utility of point-of-care (POC) capillary blood glucose (CBG) testing in assessment gestational diabetes mellitus (GDM) during oral tolerance test (OGTT).
Abstract Aims Structured education programmes for people with Type 1 diabetes can deliver improved control (including reduced severe hypoglycaemia) and quality of life. They be cost‐effective but are resource intensive. We tested the ability to an evidence‐based 5‐day programme in centres too small courses. Methods Specialist medical nursing staff from three district general hospital services (the ‘spokes’) were trained all aspects programme, except those directly related course delivery, by...