CoChat
Sign Up
Cited by 32Palliative Care and End-of-Life IssuesPalliative and Oncologic CareDiabetes Management and Education

Palliative and end of life care of people with diabetes: issues, challenges and strategies

Open access
Dunning, Trisha, Martin, Peter·2018·Diabetes Research and Clinical Practice
DOI 10.1016/j.diabres.2017.09.018
Open this paper in CoChat — free account

Abstract

Palliative and end of life care are essential, but largely overlooked, aspects of comprehensive, personalised diabetes care. Life expectancy is lower in people with diabetes than in the general population due to complications and comorbidities, especially those associated with obesity such as cardiovascular disease, frailty and cancer. This paper makes the case for early initiation of palliative care and proactive planning for end of life. Early use of palliative care improves symptom management, comfort and quality of life, and often improves function. Significantly, it reduces disease burden and unnecessary treatment. Prognostication is challenging, but tools such as the Gold Standard Framework and diabetes-related indicators of reduced life expectancy can help identify those at high risk one year mortality. Skilled conversations, underpinned by an evidence-based framework, are a critical component in helping people with diabetes, and their families, discuss these complex issues and make appropriate advance care plans based on their values and preferences.

Integrity signals

Registry

Crossref · 10.1016/j.diabres.2017.09.018

Cites

6 of 6 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

We couldn’t retrieve this paper’s full text, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • In a multicenter trial, withdrawal of statins among people with diabetes in palliative care was found to improve quality of life.

    “In a multicenter trial, withdrawal of statins among people with diabetes in palliative care was found to improve quality of life (131-133).”

    From 13. Older Adults: <i>Standards of Care in Diabetes—2024</i> (2024) · cites this paper as [132]

  • In a multicenter trial, withdrawal of statins among people with diabetes in palliative care was found to improve quality of life.

    “In a multicenter trial, withdrawal of statins among people with diabetes in palliative care was found to improve quality of life (150-152).”

    From 13. Older Adults: Standards of Care in Diabetes—2025 (2025) · cites this paper as [151]

  • In a multicenter trial, withdrawal of statins among people with diabetes in palliative care was found to improve quality of life.

    “In a multicenter trial, withdrawal of statins among people with diabetes in palliative care was found to improve quality of life (171–173).”

    From 13. Older Adults: Standards of Care in Diabetes—2026 (2026) · cites this paper as [172]

  • Health care professionals can assist people with diabetes in clarifying and documenting their values, preferences, and goals for care in an advanced care plan.

    “Health care professionals can assist people with diabetes in clarifying and documenting their values, preferences, and goals for care in an advanced care plan (172).”

    From 13. Older Adults: Standards of Care in Diabetes—2026 (2026) · cites this paper as [172]

Cites

Flagged first, then by citations

Cited by

Sorted by citations

Authors
Dunning, T., & Martin, P.
Affiliations
Barwon Health (AU)
Corresponding author
Dunning, Trisha
ORCID
Venue
Diabetes Research and Clinical Practice
Publisher
Elsevier BV
Published
2018-09
Volume
143
Pages
454-463
ISSN
0168-8227 (ISSN-L)
DOI
10.1016/j.diabres.2017.09.018
OpenAlex
W2765816749
Cited by
32
References
6
Citations by year
2026: 2 · 2025: 3 · 2024: 4 · 2023: 3 · 2022: 3 · 2021: 6 · 2020: 4 · 2019: 6
FWCI
0.44
Type
journal article
Language
en
Open access
Licence
Locations
  • Diabetes Research and Clinical Practice (publishedVersion)
  • PubMed (publishedVersion)
  • Figshare (submittedVersion, cc-by)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
Keywords
palliative care, end-of-life care, diabetes mellitus, advance care planning, outcome prediction, mortality risk, symptom management, quality of life, communication with families, diabetes complications
MeSH terms
Diabetes Mellitus, Humans, Palliative Care, Quality of Life, Terminal Care, Survival Rate

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review