Professor of Diabetes and Maternal Health. I research Temporal Influences on Metabolic Events (TIME) - 24hr glucose control, circadian clocks, sleep, pregnancy.
#ATTD2026#WomensHealth
Impressive research using a digital twin model to optimise Hybrid Closed Loop algorithms for #women with #diabetes - helping algorithms respond more intelligently to menstrual cycle-related changes in insulin sensitivity. Clinical trial coming soon!
❗️Knowledge (of glycaemia) is power❗️
FREEDOM2 trial presented by @WilmotEmma#ATTD2026@ATTDconf
🔹CGM in those with T2DM on basal
Insulin
🔸⬇️Hba1c at 4 and 8 months
🔹Improved sensor metrics/glycaemic profiles
🔸No increased hypoglycaemia 🚫
🔹No change Total Daily Insulin dosing
🔹Interesting patient reported outcomes and dietary/exercise data
@AmarPut@drpatrickholmes@kamleshkhunti@TBattelino
York Hospital's innovation competition: Great ideas to improve patient care
Entry rules: Must be permanent staff 12 months service
Who’s excluded?
Every single resident doctor.
Most trust grade docs.
The NHS hates doctors.
How are you celebrating International Women’s Day today? We’re starting with our new resources for people with #diabetes who are considering or are already pregnant. Check out these resources, plus more on #CGM and time in range, at diatribenews.org/4rSmELq.
ALT Flowchart and graph showing postpartum progression to Type 2 diabetes in prediabetes and GDM cohorts, with increasing percentage incidence over years postpartum.
NEW—Taking paracetamol during pregnancy does not increase risk of autism, ADHD, or intellectual disabilities, finds most rigorous synthesis of the current evidence to date.
The research in context panel is provided below.
Read the full paper: hubs.li/Q03_8dY40
Application of continuous glucose monitoring and automated insulin delivery technologies for pregnant women with type 1, type 2, or gestational diabetes: an international consensus statement thelancet.com/journals/landi…#T1D#T2D#GDM#CGM#AID#FREE to read with reg (also FREE)
New WHO guidance sets out global standards for supporting women with diabetes during pregnancy, ensuring care reflects real-world needs and evidence.
Read the guideline ▶️ ow.ly/ZNRw50XAaWg
So delighted to have been invited as a co-author on this publication. Massive thanks to everyone involved for the conversations, the challenges, the compromises and the commitment to improve #pregnancy outcomes for people with #diabetes of all types 💙
The philosophy in the #NHS over maybe the last decade has been to encourage everyone to be proud of who they are as a profession
Which is as it should be
Except doctors.
Be ABSOLUTELY proud of your training, skills & knowledge YOU bring as a doctor.
Ignore gaslighting.
🚨 Libre 3 / Libre 3 Plus recall.
Abbott has issued a correction for ~3M sensors due to incorrectly low readings. 736 severe events and 7 deaths reported globally. Check your serial at freestylecheck.com and request a replacement if affected. Stay safe
Did you know?
For the first time in years-if not decades..
🔵Congenital malformations in babies of mothers with #T1Diabetes has started to fall
🔵As has serious adverse events
🔵And neonatal ICU admissions
The magic of technology in lives of those with #T1Diabetes#CGM#HCL
A most wonderful feeling to see national outcomes.
Not a bad legacy.
@drruthannharpur@catherineroyuk@JamesTitcombe
As Arthur C Clarke said...
#gbdoc
Women with heart disease are more likely than men to be underdiagnosed, undertreated, and under-represented in research trials.
This persistent gender gap is more than a clinical shortcoming; it is a deeper structural failure in health policy
bmj.com/content/391/bmj.r236…
The impact of #technology in lives of women with #T1Diabetes
A population shift of outcomes- with introduction of Continuous Glucose Monitors and then Hybrid Closed Loops in the #NHS
Bringing science into lives
(CONCEPTT study and AiDAPT study)
And changing population outcomes in maternity -across @NHSEngland
Plans are good, outcomes are better.
Not a bad legacy I think.
(Data via National Pregnancy in Diabetes Audit)
@BT1DUK@DiabetesUK@NHSDiabetesProg@drruthannharpur@catherineroyuk@kamleshkhunti
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 started September 2022)
🟢#ClosedLoop use 30%
(work started October 2024)
👉🏾Data via National Pregnancy in Diabetes audit- till end 2024
It's been a wonderful journey pushing for technology access in this area
I would suggest all to look at the #T2Diabetes outcomes- and have a think
It's a happy moment to see science brought into lives by policy- showing actual dividends
It indeed is x
@drruthannharpur@JamesTitcombe@NHSDiabetesProg@BT1DUK@DiabetesUK@kamleshkhunti@CMidOEngland@ccampbell929