This site is intended for healthcare professionals only
DiabetesontheNet Logo

Diabetes Digest


Early View

Share this article

Recognition and forward planning of end-of-life care

Care of Older People – November digest. An overview of a paper advocating earlier provision of palliative and end-of-life care in people with diabetes.

Dunning T, Martin P (2018) Palliative and end of life care of people with diabetes: Issues, challenges and strategies. Diabetes Res Clin Pract 143: 454–63

  • People with diabetes have a lower life expectancy than the general population because the condition is associated with various complications and comorbidies, including cardiovascular disease, obesity, cancer and frailty.
  • Quality of life, symptoms, level of comfort and often function can all be improved with the early implementation of palliative care.
  • The authors advocate early initiation of palliative care and proactive planning for the end of life as part of a patient’s personalised diabetes care plan.
  • To aid the identification of patients with a high risk of 1-year mortality, the authors recommend that healthcare professionals use the Gold Standard Framework and diabetes-related indicators of reduced life expectancy.
  • An evidence-based framework should be used to underpin early discussions with patients and their families about the many complex issues surrounding end-of-life care so their preferences and values can be incorporated in advance care plans.

Click here to access the article in full.

Related content
Free for all UK & Ireland healthcare professionals

Sign up to all DiabetesontheNet journals


By clicking ‘Subscribe’, you are agreeing that are able to email you periodic newsletters. You may unsubscribe from these at any time. Your info is safe with us and we will never sell or trade your details. For information please review our Privacy Policy.

DiabetesontheNet Logo

Are you a healthcare professional? This website is for healthcare professionals only. To continue, please confirm that you are a healthcare professional below.

We use cookies responsibly to ensure that we give you the best experience on our website. If you continue without changing your browser settings, we’ll assume that you are happy to receive all cookies on this website. Read about how we use cookies.