The Week in UK Guidance

NICE

Weekly insulin jab could cut injections from 365 a year to just 52

Hundreds of thousands of people with type 2 diabetes could swap daily insulin injections for a once-a-week jab, following a NICE recommendation.

The journals

BJGP Open: HATCHing plans: a qualitative study of how discharge communication can support expert generalist management.

A qualitative study found that GPs use an HATCH process (Holistic Adjustment To Context after Hospital discharge) to manage post-discharge care, but discharge summaries often lack the explanatory context needed for safe decision-making.

BJGP Open: Slow walking speed and risk of cardiovascular events in type 2 diabetes: a systematic review.

A systematic review of four studies involving 132,967 people with type 2 diabetes found reduced walking speed strongly associated with increased cardiovascular risk (hazard ratios 1.18 to 5.88).

European Journal of General Practice: Beyond diagnosis in general practice: Predictive processing, a novel framework for persistent physical symptoms.

An opinion paper proposes predictive processing theory to explain persistent physical symptoms: symptoms arise from the brain's predictions and prior beliefs rather than passive pathology reflection, shifting the GP's role after normal investigations.

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