By Colin Kenny, GP, Dromore
This guidance updates the elements of CG15 relating to adults and recognises the challenges that remain in care provision for adults with type 1 diabetes, especially HbA1c above target levels, unacceptably high rates of diabetic ketoacidosis and an increased risk of renal failure. To help reduce the incidence of these, a target HbA1c of 48 mmol/mol (6.5%) is recommended, as is a minimal testing frequency of four times daily.
In managing the condition, multiple daily injections of basal–bolus insulin regimens are recommended, along with a detailed and agreed care plan that is individualised and culturally sensitive. It is also recommended that newly diagnosed people with type 1 diabetes be offered a structured education programme of proven benefit such as the DAFNE (Dose Adjustment for Normal Eating) programme. There is also detailed guidance on counting carbohydrates and following a low-glycaemic-index diet.
To access the full guideline, click here
