banner
drvsimpson.bsky.social
@drvsimpson.bsky.social
Diabetes and endocrine doctor based in the South West of England with an interest in sustainable diabetes.
When is diabetes not T1D, T2D or monogenic diabetes? When it’s a completely new diabetes identified in Africa.
July 24, 2025 at 9:36 PM
Doctors have a responsibility to lead change in healthcare to make it more sustainable, we have a responsibility to the people we care for now and those that come after us.

I’ve been leading a switch to reusable insulin pens in Devon. It’s a small change with massive impact.
It's #PlasticFreeJuly 🌍

Across the NHS work is taking place to improve sustainability and become more environmentally friendly.

We want to hear from doctors about how these initiatives are being implemented across the NHS.

Share your views in our short survey 👇
www.research.net/r/NZbluesky
How can doctors help the NHS achieve its Net Zero targets?
Take this survey powered by surveymonkey.com. Create your own surveys for free.
www.research.net
July 24, 2025 at 9:33 PM
🚨 We won the @rcphysicians.bsky.social #EPCA2025 award for Sustainability in Patient Care!
Absolutely thrilled and honestly surprised. Here’s the story of #PenSwitch and why it matters. 🧵
July 11, 2025 at 10:14 AM
Reposted
Have you read the summer issue of The #Endocrinologist yet? 📰

Here are our editorial board’s picks of the ‘hot’ papers from the Society's journals and beyond. @joendocrinology.bsky.social @endocancer.bsky.social @natmetabolism.nature.com

Dive into the latest hot topics here 👉 bit.ly/3TTIn6f
July 4, 2025 at 3:00 PM
Reusable insulin pens =
🌍 40% fewer carbon emissions
♻️ 90% less plastic
💷 5% lower prescription costs

Proud our project “Pen Switch” is a finalist for @rcphysicians.bsky.social #EPCA2025 in Sustainability!

Greener care starts with smarter prescribing.
More: medicalcare.rcp.ac.uk/excellence-i...
Finalists | RCP Medical Care
medicalcare.rcp.ac.uk
June 24, 2025 at 12:47 PM
The NHS is responsible for 4% of England’s carbon footprint, 30-40% of which comes from pharmaceuticals.

If we are to avert global temperature increases of 2 Celsius then we have to change our behaviour.

One easy switch in diabetes care is moving to a reusable insulin pen.
A team of experts from the Institute and Faculty of Actuaries (IFoA) and Exeter warn that, on its current trajectory, the planet is ‘highly likely’ to experience temperature increases of 2°C by 2050, with a possible 25% loss of global GDP and over 1 billion people needing humanitarian aid.
1/3
March 11, 2025 at 1:52 PM
Reposted
5-drug precision prescribing for people with type 2 diabetes is here

Our model for optimising glucose lowering therapy using low-cost routine clinical features published in the Lancet today

Paper: thelancet.com/journals/lan...

Try the web tool here: diabetesgenes.org/t2-treatment/
February 26, 2025 at 11:09 AM
Interested in sustainable diabetes care?

Come to my talk at #DUKPC25 tomorrow 11:00-12:00 in the exhibition hall.
February 27, 2025 at 9:43 AM
Reposted
Interested in a PhD & have strong computational skills ? Study diabetes & heart disease using peta bytes of human genetic & medical record data. In a lovely central European location and as part of a cohort of Genomics and Digital Health students : lifesciencesphd.unige.ch/jobs
University of Geneva - PhD School of Life Sciences | Jobs
Open positions in the wold of life sciences. All you need to organize you scientific life is there! Do not miss them!
lifesciencesphd.unige.ch
February 21, 2025 at 12:06 PM
If we are to reach net zero by 2040 then we have to start changing the way we work.

One easy thing you can do as a Diabetologist, DSN or GP is to switch individuals on insulin to reusable cartridge pens.

By switching you can ⬇️ plastic waste by 89% and CO2 by 40%
February 12, 2025 at 12:32 PM
It’s International Day of Women and Girls in Science! Thank you to all the amazingly talented and hard working women in science who are helping us to better understand the world.
#WomenInScience
February 11, 2025 at 6:08 AM
If you’re treating DKA remember to use a fixed rate insulin infusion to bring down the ketones, don’t stop the insulin if the glucose drops below 14 mmol/L.

Instead add IV glucose!
February 10, 2025 at 12:56 PM
If you’re checking a serum cortisol (i.e. total cortisol) be mindful that oral oestrogen can increase CBG making free cortisol (i.e the active component) lower.

Don’t be falsely reassured, if in doubt repeat off oral oestrogen!
February 6, 2025 at 2:56 PM