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Peter
DUAG Committee Member
University College London Hospitals (UCLH) 109 posts |
On August 28th NICE published the updates guidelines for the diagnosis and management of Type 1 in Adults. The key priorities are identified as:
the frequency of hypoglycaemic episodes increases there is a legal requirement to do so (such as before driving, in line with the Driver and Vehicle Licensing Agency [DVLA] At a glance guide to the current medical standards of fitness to drive) during periods of illness before, during and after sport when planning pregnancy, during pregnancy and while breastfeeding (see the NICE guideline on diabetes in pregnancy) if there is a need to know blood glucose levels more than 4 times a day for other reasons (for example, impaired awareness of hypoglycaemia, high‑risk activities). [new 2015] Advise adults with type 1 diabetes to aim for:
a plasma glucose level of 4–7 mmol/litre before meals at other times of the day. [new 2015] Insulin therapy Offer multiple daily injection basal–bolus insulin regimens, rather than twice-daily mixed insulin regimens, as the insulin injection regimen of choice for all adults with type 1 diabetes.Provide the person with guidance on using multiple daily injection basal–bolus insulin regimens. [new 2015] Awareness and management of hypoglycaemia Assess awareness of hypoglycaemia in adults with type 1 diabetes at each annual review. [new 2015] Care of adults with type 1 diabetes in hospital Enable adults with type 1 diabetes who are hospital inpatients to self‑administer subcutaneous insulin if they are willing and able and it is safe to do so. [new 2015] Full details can be found here: NICE Guidelines A few topics for discussing with the team at my DAFNE centre on the next visit I think. |
QQ
DAFNE Graduate
Singapore General Hospital 2 posts |
Thks for the information! |