The National Institute for Health and Clinical Excellence (NICE) and the National Collaborating Centre for Chronic Conditions (NCC-CC) have today issued updated guidance on the management of type 2 diabetes. The new guideline replaces existing NICE recommendations for the condition, revising areas where new information has become available, and will act as a single reference point for healthcare professionals on all aspects of the care and support that should be offered to people with type 2 diabetes.
The new guidance recommends that people with type 2 diabetes should receive structured and ongoing education from when they are first diagnosed, in order to help them understand and manage their condition. It also recommends that healthcare professionals should provide patients with information about a range of key issues including how best to keep glucose levels under control, how people can make sure they are safe to carry out normal activities such as driving, and individualised dietary advice so that people can make decisions that will keep them healthy.
Key recommendations are:
When setting a HbA1c target:
People who agree to start insulin therapy should be given:
Kathryn Leivesley, specialist nurse and guideline development group member says: "Being diagnosed with diabetes can throw up questions about how it fits into your lifestyle - from how it makes you feel to managing diabetes when you are exercising. Although there's no known drug to cure the condition, clinicians can provide important practical help to individuals - for example, advice on how to ensure they are getting accurate and helpful blood glucose results. By putting a structured education programme in place, people with the condition and their carers will have access to good information when they need it most – this will mean they feel more confident in managing their condition."
The guidance is available at www.nice.org.uk/CG66
Do you welcome these new guidelines? Your comments: (Terms and conditions apply)
"Yes. I work as a psychosexual therapist and diabetes is often linked with erectile dysfunction. A clear approach is vital to manageing the condition." - Tim Norton, Clinical Nurse Specialist
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