{"id":1018,"date":"2024-01-12T08:09:27","date_gmt":"2024-01-12T08:09:27","guid":{"rendered":"https:\/\/services.nhslothian.scot\/diabetesservice\/?p=1018"},"modified":"2024-01-11T19:38:13","modified_gmt":"2024-01-11T19:38:13","slug":"lothian-steroid-safety-bundle-amendments-nov-2023","status":"publish","type":"post","link":"https:\/\/services.nhslothian.scot\/diabetesservice\/2024\/01\/12\/lothian-steroid-safety-bundle-amendments-nov-2023\/","title":{"rendered":"Lothian Steroid Safety Bundle -Amendments Nov 2023"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Following the launch of the guidance for the management of long term high dose steroid therapy &#8211; &#8216;Steroid Safety Bundle&#8217; in June 2023, there has been some amendments. The most recent version of this guidance can be found here &#8211; <a href=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Lothian-Steroid-Safety-Bundle-approved-updated-141123-1.pdf\" data-type=\"link\" data-id=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Lothian-Steroid-Safety-Bundle-approved-updated-141123-1.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Steroid Safety Bundle: Management of long term high dose steroid therapy<\/a> . The amendments are detailed below:<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Amendment 1<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">The highlighted paragraph  on page 2 <strong>(Figure 1)<\/strong>, under\u00a0the title <strong>&#8216;Steroid &#8216;Sick Day Rules&#8217; &amp; Safe Steroid Withdrawal&#8217;<\/strong> has been amended &#8220;Sick day rule dosing for patients at risk of adrenal crisis&#8221; <strong>(Figure 2)<\/strong>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Figure 1<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><div class=\"wpcp-wp-lightbox-host wpcp-advanced-image-lightbox-icon-hover\"><a class=\"wpcp-wp-lightbox-image-link\" href=\"https:\/\/services.nhslothian.scot\/diabetesservice\/wp-content\/uploads\/sites\/50\/2023\/10\/image-7.png\" data-wpcp-wp-lb-image=\"1\"><img loading=\"lazy\" decoding=\"async\" width=\"625\" height=\"297\" src=\"https:\/\/services.nhslothian.scot\/diabetesservice\/wp-content\/uploads\/sites\/50\/2023\/10\/image-7.png\" alt=\"\" class=\"wp-image-1026\" srcset=\"https:\/\/services.nhslothian.scot\/diabetesservice\/wp-content\/uploads\/sites\/50\/2023\/10\/image-7.png 625w, https:\/\/services.nhslothian.scot\/diabetesservice\/wp-content\/uploads\/sites\/50\/2023\/10\/image-7-300x143.png 300w\" sizes=\"auto, (max-width: 625px) 100vw, 625px\" \/><\/a><a href=\"https:\/\/services.nhslothian.scot\/diabetesservice\/wp-content\/uploads\/sites\/50\/2023\/10\/image-7.png\" data-fancybox=\"wpcp-wp-img-1026\" class=\"wpcp-lightbox-trigger wpcp-advanced-image-lightbox-icon wpcp-position-top-right wpcp-advanced-image-lightbox-icon-hover wpcp-global-lightbox-icon wpcp-lightbox-icon--global wpcp-lb-icon-style-default\" data-wpcp-lb-icon-source=\"global\" aria-label=\"Open image in lightbox\" data-thumb-src=\"https:\/\/services.nhslothian.scot\/diabetesservice\/wp-content\/uploads\/sites\/50\/2023\/10\/image-7-300x143.png\" data-wpcp-lb-single=\"1\"><span class=\"wpcp-icon-container\"><svg viewBox=\"0 0 20 20\"><path d=\"M17.6585 16.025L14.2437 12.6198C15.1716 11.3338 15.6121 9.7613 15.4871 8.1819C15.362 6.60251 14.6795 5.11847 13.5607 3.99351C12.936 3.36206 12.1916 2.86066 11.3709 2.51845C10.5502 2.17623 9.66952 2 8.77995 2C7.89039 2 7.00969 2.17623 6.18899 2.51845C5.36829 2.86066 4.62395 3.36206 3.99919 3.99351C3.36594 4.61649 2.86312 5.35871 2.51992 6.17708C2.17673 6.99545 2 7.87365 2 8.76068C2 9.64772 2.17673 10.5259 2.51992 11.3443C2.86312 12.1627 3.36594 12.9049 3.99919 13.5279C5.11957 14.6901 6.62279 15.4103 8.23285 15.5562C9.84291 15.7022 11.4517 15.2641 12.7639 14.3224L16.1788 17.7275C16.3849 17.9034 16.6473 18 16.9186 18C17.1899 18 17.4523 17.9034 17.6585 17.7275C18.1138 17.16 18.1138 16.5925 17.6585 16.025ZM5.59278 12.0523C5.16258 11.6298 4.82094 11.1263 4.58774 10.5709C4.35455 10.0156 4.23446 9.41951 4.23446 8.81744C4.23446 8.21536 4.35455 7.6193 4.58774 7.06394C4.82094 6.50859 5.16258 6.00503 5.59278 5.58257C6.01644 5.15359 6.52144 4.81292 7.07838 4.58039C7.63532 4.34786 8.23308 4.22811 8.83687 4.22811C9.44066 4.22811 10.0384 4.34786 10.5954 4.58039C11.1523 4.81292 11.6573 5.15359 12.081 5.58257C12.5112 6.00503 12.8528 6.50859 13.086 7.06394C13.3192 7.6193 13.4393 8.21536 13.4393 8.81744C13.4393 9.41951 13.3192 10.0156 13.086 10.5709C12.8528 11.1263 12.5112 11.6298 12.081 12.0523C11.6573 12.4813 11.1523 12.822 10.5954 13.0545C10.0384 13.287 9.44066 13.4068 8.83687 13.4068C8.23308 13.4068 7.63532 13.287 7.07838 13.0545C6.52144 12.822 6.01644 12.4813 5.59278 12.0523Z\" \/><\/svg><\/span><\/a><\/div><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Figure 2<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><div class=\"wpcp-wp-lightbox-host wpcp-advanced-image-lightbox-icon-hover\"><a class=\"wpcp-wp-lightbox-image-link\" href=\"https:\/\/services.nhslothian.scot\/diabetesservice\/wp-content\/uploads\/sites\/50\/2024\/01\/Steroid-Safety-Bundle-Update-2.jpg\" data-wpcp-wp-lb-image=\"1\"><img loading=\"lazy\" decoding=\"async\" width=\"791\" height=\"475\" src=\"https:\/\/services.nhslothian.scot\/diabetesservice\/wp-content\/uploads\/sites\/50\/2024\/01\/Steroid-Safety-Bundle-Update-2.jpg\" alt=\"\" class=\"wp-image-1247\" srcset=\"https:\/\/services.nhslothian.scot\/diabetesservice\/wp-content\/uploads\/sites\/50\/2024\/01\/Steroid-Safety-Bundle-Update-2.jpg 791w, https:\/\/services.nhslothian.scot\/diabetesservice\/wp-content\/uploads\/sites\/50\/2024\/01\/Steroid-Safety-Bundle-Update-2-300x180.jpg 300w, https:\/\/services.nhslothian.scot\/diabetesservice\/wp-content\/uploads\/sites\/50\/2024\/01\/Steroid-Safety-Bundle-Update-2-768x461.jpg 768w\" sizes=\"auto, (max-width: 791px) 100vw, 791px\" \/><\/a><a href=\"https:\/\/services.nhslothian.scot\/diabetesservice\/wp-content\/uploads\/sites\/50\/2024\/01\/Steroid-Safety-Bundle-Update-2.jpg\" data-fancybox=\"wpcp-wp-img-1247\" class=\"wpcp-lightbox-trigger wpcp-advanced-image-lightbox-icon wpcp-position-top-right wpcp-advanced-image-lightbox-icon-hover wpcp-global-lightbox-icon wpcp-lightbox-icon--global wpcp-lb-icon-style-default\" data-wpcp-lb-icon-source=\"global\" aria-label=\"Open image in lightbox\" data-thumb-src=\"https:\/\/services.nhslothian.scot\/diabetesservice\/wp-content\/uploads\/sites\/50\/2024\/01\/Steroid-Safety-Bundle-Update-2-300x180.jpg\" data-wpcp-lb-single=\"1\"><span class=\"wpcp-icon-container\"><svg viewBox=\"0 0 20 20\"><path d=\"M17.6585 16.025L14.2437 12.6198C15.1716 11.3338 15.6121 9.7613 15.4871 8.1819C15.362 6.60251 14.6795 5.11847 13.5607 3.99351C12.936 3.36206 12.1916 2.86066 11.3709 2.51845C10.5502 2.17623 9.66952 2 8.77995 2C7.89039 2 7.00969 2.17623 6.18899 2.51845C5.36829 2.86066 4.62395 3.36206 3.99919 3.99351C3.36594 4.61649 2.86312 5.35871 2.51992 6.17708C2.17673 6.99545 2 7.87365 2 8.76068C2 9.64772 2.17673 10.5259 2.51992 11.3443C2.86312 12.1627 3.36594 12.9049 3.99919 13.5279C5.11957 14.6901 6.62279 15.4103 8.23285 15.5562C9.84291 15.7022 11.4517 15.2641 12.7639 14.3224L16.1788 17.7275C16.3849 17.9034 16.6473 18 16.9186 18C17.1899 18 17.4523 17.9034 17.6585 17.7275C18.1138 17.16 18.1138 16.5925 17.6585 16.025ZM5.59278 12.0523C5.16258 11.6298 4.82094 11.1263 4.58774 10.5709C4.35455 10.0156 4.23446 9.41951 4.23446 8.81744C4.23446 8.21536 4.35455 7.6193 4.58774 7.06394C4.82094 6.50859 5.16258 6.00503 5.59278 5.58257C6.01644 5.15359 6.52144 4.81292 7.07838 4.58039C7.63532 4.34786 8.23308 4.22811 8.83687 4.22811C9.44066 4.22811 10.0384 4.34786 10.5954 4.58039C11.1523 4.81292 11.6573 5.15359 12.081 5.58257C12.5112 6.00503 12.8528 6.50859 13.086 7.06394C13.3192 7.6193 13.4393 8.21536 13.4393 8.81744C13.4393 9.41951 13.3192 10.0156 13.086 10.5709C12.8528 11.1263 12.5112 11.6298 12.081 12.0523C11.6573 12.4813 11.1523 12.822 10.5954 13.0545C10.0384 13.287 9.44066 13.4068 8.83687 13.4068C8.23308 13.4068 7.63532 13.287 7.07838 13.0545C6.52144 12.822 6.01644 12.4813 5.59278 12.0523Z\" \/><\/svg><\/span><\/a><\/div><\/figure>\n\n\n\n<h4 class=\"wp-block-heading\">Amendment 2<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">The\u00a0&#8216;<strong>Recommendations For Screening &amp; Monitoring For Steroid-induced Diabetes&#8217;\u00a0<\/strong>flowchart on page 2 has been  replaced with an updated version.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">If you require further information on the above amendments, please contact the author, Dr Marcus Lyall.<\/h4>\n","protected":false},"excerpt":{"rendered":"<p>Following the launch of the guidance for the management of long term high dose steroid therapy &ndash; &lsquo;Steroid Safety Bundle&rsquo; in June 2023, there has been some amendments. The most recent version of this guidance can be found here &ndash; Steroid Safety Bundle: Management of long term high dose steroid therapy . The amendments are<\/p>\n","protected":false},"author":282,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_gspb_post_css":"","footnotes":""},"categories":[16],"class_list":["post-1018","post","type-post","status-publish","format-standard","hentry","category-prescribing"],"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"wenyizhou","author_link":"https:\/\/services.nhslothian.scot\/diabetesservice\/author\/wenyizhou\/"},"rttpg_comment":0,"rttpg_category":"<a href=\"https:\/\/services.nhslothian.scot\/diabetesservice\/category\/prescribing\/\" rel=\"category tag\">Prescribing Information<\/a>","rttpg_excerpt":"Following the launch of the guidance for the management of long term high dose steroid therapy &ndash; &lsquo;Steroid Safety Bundle&rsquo; in June 2023, there has been some amendments. The most recent version of this guidance can be found here &ndash; Steroid Safety Bundle: Management of long term high dose steroid therapy . The amendments are","_links":{"self":[{"href":"https:\/\/services.nhslothian.scot\/diabetesservice\/wp-json\/wp\/v2\/posts\/1018","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/services.nhslothian.scot\/diabetesservice\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/services.nhslothian.scot\/diabetesservice\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/services.nhslothian.scot\/diabetesservice\/wp-json\/wp\/v2\/users\/282"}],"replies":[{"embeddable":true,"href":"https:\/\/services.nhslothian.scot\/diabetesservice\/wp-json\/wp\/v2\/comments?post=1018"}],"version-history":[{"count":3,"href":"https:\/\/services.nhslothian.scot\/diabetesservice\/wp-json\/wp\/v2\/posts\/1018\/revisions"}],"predecessor-version":[{"id":1250,"href":"https:\/\/services.nhslothian.scot\/diabetesservice\/wp-json\/wp\/v2\/posts\/1018\/revisions\/1250"}],"wp:attachment":[{"href":"https:\/\/services.nhslothian.scot\/diabetesservice\/wp-json\/wp\/v2\/media?parent=1018"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/services.nhslothian.scot\/diabetesservice\/wp-json\/wp\/v2\/categories?post=1018"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}