Diabetes Handbook (East)

Patient-held records

• Diabetes Care Plan (endorsed by CCG)

Referral guidelines

• Entry and exit criteria for RD&E diabetes clinics

Diabetes diagnosis

• Diagnostic criteria
• What type of diabetes is it?

Diabetes education

• Structured education
• Top 10 dietary tips for diabetes

Monitoring glucose control

• New HbA1c units
• Preferred blood glucose meters (CCG advice)

Blood glucose control in type 2 diabetes

• Treatment pathway
• Continue, switch or add drugs?
• Glycaemic targets and frailty
• Metformin
• Sulphonylureas
• Insulin in type 2 diabetes
• Pioglitazone
• DPP-4 inhibitors (Gliptins)
• SGLT-2 inhibitors
• GLP-1 analogues
• GLP-1 analogues with insulin
• Ramadan

Insulin

• Insulin needles
• Which insulins are currently available?
• Analogue insulins in type 2 diabetes
• Dose adjustment
• Dose adjustment for illness and exercise

Sustainable diabetes care

• Insulin pens and continuous glucose monitors

Emergencies

• Hypoglycaemia
• DKA and HHS (HONK)
• Sudden visual loss

Driving

• Who needs to notify DVLA? Who needs to do blood testing?
• Information for patients
• More detail about hypoglycaemia awareness and severe hypos

Pregnancy

• Advice for primary care

Cardiovascular risk reduction

• Blood pressure
• Cholesterol and lipids in type 1 diabetes
• Cholesterol and lipids in type 2 diabetes
• Anti-platelet therapy

Renal disease in diabetes

• Diabetes drugs in renal impairment
• Referral
• Microalbuminuria

Erectile dysfunction

• Erectile dysfunction pathway

Integrated foot care

• Integrated footcare pathway
• Antibiotic protocol
• Annual review - neuropathy
• Charcot
• Painful diabetic neuropathy
• Foot Doppler examples
• Footcare patient information
• Annual foot review training (free log-in via Diabetes Times)
• Charcot clinical guideline
• Heel cup guideline for podiatrists

Virtual Clinics

• Virtual clinics description and topics