It was a delight to hear from so many people all thinking about food and nutrition. In 2020, the experience of COVID 19 has focussed attention on some of the difficulties for people to have a healthier diet. During the evening we heard about NNEdPro and their COVID 19 task force, concerns raised about discharge from hospital and adequacy of vit D for people in care homes. Our medical students shared with us the latest developments in the An Apple A Day volunteering project as it expands to include students from Nursing and Nutrition courses. The video of the meeting is now available.
3rd ERimNN (Education and Research in Medical Nutrition Network) Brighton Nutrition Showcase Online- Nutrition and COVID-19
Programme 4th November
Overview of ERimNN
|Dr Kathy Martyn|
|5.10pm||Key Note 1 Introduction –
What lessons can we learn from COVID19 – food for thought. Overview of what we are learning about food and nutrition in the light of COVID–19
|Prof S Ray|
5.30pm Session 1 – Nutrition insecurity. (Kathy to moderate)
|5.35pm||Vitamin D status in care homes
|Dr Carol Williams
|5.50pm||Nutrition Insecurity and what does this mean for clinicians?
|Elaine Macaninch RD|
|6 pm||Q and A panel||Dr Marjorie Lima do Vale,
Prof S Ray,
Dr Kathy Martyn
6.15 Session 2 COVID treatment/ discharge/ rehab. (James and Shane to introduce the COVID-19 task force & to moderate)
|6.25||Nutrition on the front line during COVID-19||Dr Tim Eden RD|
|6.40||Transfer of care from secondary to primary care services. What have we learnt about safe discharge during a crisis?||Nick
Frailty lead nurse practitioner
|6.55pm||Q and A panel||Shane McCauliffe RD
James Bradshaw RD
Dr Abhi Bhansali
|7.10pm|| Keynote 2
Type 2 diabetes management in Primary care
|Dr David Unwin|
|Q and A|
7.30 Session 3 Nutrition is everyone’s business- Promoting collaboration across professions
(Abhi and Luke to moderate).
|7.35||The UK Nutrition Implementation Coalition.
Collaborating to improve nutrition education
|Dr Abhi Bhansali (Culinary Medicine UK)
Dr Luke Buckner (NNEdPro Global Centre for Nutrition and Health)
|7.45||An Apple A day- Student led nutrition and health education for secondary school kids.||Brighton and Sussex Medical school & University of Brighton students|
|7.55||Nutritank- Student led nutrition and health movement.||Brighton and Sussex Medical school branch|
|8.05||Q and A with our student nutrition researchers and poster presenters|
8.15 Announcing the poster winners and closing – Dr Kathy Martyn & Elaine Macaninch RD
Additional posters/ recorded presentations to be made available on Teams and ERimNN website.
In the last two weeks we have welcomed our new cohort of BSc Hons Nutrition students as they have embarked on their journey. To support our students we have added a new page called ERimNN Students and we will be encouraging them to post information and share ideas
Our first event is the 3rd Annual Brighton Showcase 4 November 2020 from 5pm – 8_30pm where there will be an opportunity to hear from Professor Sumantra Ray, the founder of NNEdPro, Dr David Unwin , the lower carbohydrate GP and Dr Tim Eden a doctor and dietitian who has been working on the frontline during COVID19, and Carol Williams and Joe Williams on their recent paper on vitamin D status in care homes
In addition we will be hearing from some our students who are busy volunteering and researching on all things food
Keep an eye out for booking information
Nobody will forget 2020, and we have all become increasingly aware of the impact the pandemic has had on food and nutrition security. Images of supermarkets with empty shelves, increased use of food banks and a flurry of articles linking nutrients to risk of infection and recovery. Here at ERimNN we have been working with our strategic partners to ensure evidence based information is made available – see the NNEdPro COVID 19 resource pages
Very exciting to see two of our students successfully get their work published this year. Sanjay is now a practising Doctor and Rikki will be starting his final undergraduate year in September 2020.
Read their articles here
Some interesting discussions on
Affordability of Eatwell Guide
So excited to have a grant from the AIM FOUNDATION to start our action research project to improve the nutrition care patients receive while in hospital. Due to COVID-19 we have delayed the start but are hoping to up and running by October
This week there as been some interesting debates about food and nutrition insecurity in the light of COVID19. Read their latest Newsletter
NICE targeted screening to identify gestational diabetes: who are we missing?
Delighted to see this Brighton and Sussex Medical School and ERimNN student research project in print. Congratulations Dr Canel Kucuk and many thanks to Dr Ali Chakera for vital support and to the fab diabetes antenatal team at Brighton and Sussex University Hospitals Trust🤓
Gestational diabetes causes elevated blood glucose. This can occur in pregnancy due to increasing demands for insulin and insulin resistance due to increased hormones from the placenta
Women are screened at 24 – 28 weeks. Current UK guidelines recommend only women at risk are screened for GDM(family history T2DM, ethnic origin at higher risk of DM, BMI over 30, persistent glucose in urine or previous large baby). However, other international guidelines advise screening all pregnant women
It is important to diagnose GDM early so women are supported to keep blood glucose levels in target. They are taught how to monitor blood and advised on reducing total carbohydrates and improving diet quality. Some women need medication in addition
For baby, this reduces the risk of being born too big, which reduces the risk for pregnancy and birth complications.
For pregnant women GDM increases risks for Type 2 diabetes later in life. This offers an opportunity for preventative intervention advising on healthy foods, increasing activity and to promote breastfeeding if this is what women want to do. Women are then advised to have yearly diabetes screening for life
For this study, we screened all pregnant women. We found that a third of women who were diagnosed with GDM would not have been screened following UK NICE guidelines, which means they may have not been diagnosed or their diagnosis may be delayed.
Within this group of women who wouldn’t have been screened following UK NICE guidelines some still required medication in addition to dietary interventions and also had equivalent mild adverse outcomes such as baby hypoglycemia (This happens if mums blood glucose is too high at the birth). Although there is a risk of more serious complications if GDM is undetected as unknowingly the women will continue to have high blood glucose through pregnancy.
Larger, multicenter studies are warranted to investigate further.