{"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>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>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><strong>Figure 1<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><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\" \/><\/figure>\n\n\n\n<p><strong>Figure 2<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><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\" \/><\/figure>\n\n\n\n<h4 class=\"wp-block-heading\">Amendment 2<\/h4>\n\n\n\n<p>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":{"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}]}}