editorial
welcome to issue 51 contents
Neil Donnelly - Dietetic Services Manager
NHD editor
4 News with Dr Carrie Ruxton
5 Product news
When I switched on the car radio on my way
to work recently, the topic being discussed was alcohol
6 Oral feeding difficulties
and the amount of it we seem, as a nation, to be drinking
of late.
5 Subscription offer
It struck more than a chord with me because a few days
before Christmas for the first time in my life I was breathalysed!
8 COVER STORY
The plastic tube I breathed into still sits next to the gear lever in
Children's diabetes
my car as a poignant reminder of what might have been.
It was 1.30am and my 17-year-old daughter had rung
management
home to ask to be collected from a friend’s house not even by Frances Robson
a mile away. As the red flashing lights drew up behind me
in a quiet country lane, I wondered what affect one single 11 Lactose intolerence
malt whisky, consumed less than an hour before, would
by Dr Justine Butler
have. Did I really know the units of alcohol in the quantity I
had consumed? What effect would that have on my body?
14 Meal replacements by Ursula Arens
The officer subsequently informed me that I hadn’t
exceeded the magic number of 35 and that I should be
16 Into research by Dr Amelia Lake
aware of the consequences nevertheless. It was very good
advice. It also made me review my knowledge of the
Portion size guidelines
effects of alcohol as it relates to dietetic and individual con-
cerns and how many of us don’t necessarily recognise the
17 NHD Clinical editor: Chris Rudd
units ‘in one glass’. 18 Nutrition in care homes
The other item which caused me to recoil somewhat was
by Elaine Lane
the revelation that a resident TV doctor, his own GP and a
consultant he had been referred to, had not diagnosed
21 HEF watch: Low energy
a longstanding problem which had caused him much
discomfort and embarrassment for some years. The diag-
requirements by Sue Williams
nosis that had been missed was coeliac disease and, to & Jo Ridgway
add to his embarrassment, he has been an ambassador for
Coeliac UK for the past three years. 22 Case studies: Goal setting
We can all learn from our experiences in life and it never
by Gemma Clunie
ceases to amaze me how lucky we are as dietitians to work
in a profession which has so much bearing on the life we lead
24 PKU watch: Annual family
and how we lead it. 2010 has just begun. Let us hope that
neither inappropriate alcohol consumption nor a misdiagnosis
conference weekend
of an illness figure in your personal life these coming months. by Eleanor Weetch
Coeliac disease is covered in our in-depth feature on
gluten sensitivity (pg 27) written by three eminent contribu- 27 Coeliac watch: Gluten sensitivity
tors, Kate Evans, Marios Hadjivassiliou and David Sanders,
by Kate Evans, Marios Hadjivassiliou &
from the Departments of Neurology & Gastroenterology
at the Sheffield Teaching Hospitals Trust. Don’t miss too our
David Sanders
Cover Story on the changing face of childhood diabetes
(pg8) by Frances Robson. We also publish a summary of the
30 HIV: Hope in South Africa
important report by The Royal College of Physicians on ‘oral by Kirilee Matters
feeding dilemmas and difficulties’ (pg6) - important topics in
this February issue of NHD…
32 dieteticJOBS, courses & events
34 Day in the life of . . .
Neil is a Fellow of the BDA and Dietetic Services Manager
in Blackpool. His main areas of interest are weight
Catherine Casewell, Specialist
management and eating disorders
Paediatric Dietitian/Team Leader
Cover photo © Pavel Losevsky - Fotolia.com
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Network Health Dietitians is published by NH Publishing Ltd Editor Neil Donnelly RD FBDA
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Features editor Ursula Arens RD
Suite 1 Freshfield Hall, The Square, Lewes Road NHD Clinical editor Chris Rudd RD
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Phone 0845 450 2125 (local call rate) Sales Richard Mair
Skype - NHDmag richard@networkhealthgroup.co.uk
Fax 0870 762 3713 0845 450 2125 (local call rate)
Email info@networkhealthgroup.co.uk Publisher Geoff Weate
www.NHDmag.com www.dieteticJOBS.co.uk Publishing Assistant Lisa Jackson
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