End of life and diabetes | Right Decisions

Announcements and latest updates

Polyfill.io vulnerability

28 june 2024

Our eHealth team advised us yesterday of an international vulnerability relating to polyfill.io . This domain has become compromised and is spreading malware through a widespread supply chain attack, estimated to affect over 110,000 websites including major websites such as the BBC. The Polyfill site offered widely used bits of code for older browsers that allowed the use of modern Javascript features. Such code makes the work for web developers easier and allows compatibility with a broader range of browsers.

Websites that have used the Javascript code from Polyfill have been urged to remove such code immediately. The change occurred after a suspected Chinese firm purchased the domain in early 2024.

Tactuum have identified and are now testing a fix to remove all Polyfill code from the RDS site.. They will be deploying the fix on Monday 1 July along with other planned fixes and amendments. I will notify you of the timing of the deployment as soon as possible.

In the meantime, please ensure that you have up-to-date anti-virus software installed on your machines and personal devices.

What do I do if my patient with diabetes is at the end of their life?

The aim in the final days of life is to avoid hypoglycaemia, symptomatic hyperglycaemia, diabetic ketoacidosis or hyperglycaemic hyperosmolar state
Aim capillary blood glucose (CBG) 8 - 15mmol/L
Contact the diabetes team if
- you have concerns about a patient with diabetes at the end of life
- if they are continuing on insulin

Please use the flowchart from these guidelines - this can be found in Appendix 6, page 25 of 'Diabetes at the Front Door: A guideline for dealing with glucose related emergencies at the time of acute hospital admission from the Joint British Diabetes Society (JBDS) for Inpatient Care Group'- click here to view this