Primary Care
There is an ever increasing role for Primary Care in the management of diabetes across the UK
Urgent Care
Hospital-based / Consultant led- In-patients
- Urgent cases
- Type 1 diabetes
- Risk of renal/foot complications
- Children
- Pregnant women
Intermediatary Care
Community-based / Specialist & Primary Care led- Specialist clinics
- Management of eye screening
- Staff training / development
- Patient education
- Care pathways
- Insulin for Type 2 diabetes
Routine Care
Community-based / Primary Care (GP & Practice Nurse) led- Advice for staff and patients
- Routine management of most Type 2 patients
- Psychological support / Screening for complications / Treatment
- Diagnosis of diabetes
- Management of obesity and other risk factors
Hospital admissions resulting from uncontrolled blood glucose are associated with considerable NHS costs 1
- Hypoglycaemia £12,874,710
- Hyperglycaemic events related to DKA £29,354,780
Typically, 10% of hospital budgets is spent on diabetes care. Poor blood glucose management is implicated in many of these admissions.
- Diabetes care is typically complex and time-consuming, drawing on many areas of healthcare management
- Self-management education is a proven way of reducing the burden of care 2
- Helping people manage their own diabetes is associated with significant benefits to patient including 2
- improvements in biomedical outcomes 3,4
- improved quality of life
- reductions in anxiety
- improved self-efficacy
Blood glucose monitoring solutions from Abbott Diabetes Care
Structured Education for PNs
- Diabetes Dilemmas interactive workshops
- Nurse-accredited training modules
- e-Learning meter training
- Informative website
- Customer care programme
Structured Education for Patients
- Tailored education booklets
- Informative website
- Customer loyalty programme
Education & Toolkits for Pharmacy
- Medicine Use Reviews (MURs)
- Informative website
Business Solutions for PCTs
- Intelligent Information Resource
- Guideline Implementation Toolkit
- Appropriate Business Reviews
- Implementation of Formulary
- Upgrade programme
- Appropriate Testing Guidelines
- Community EQA Solution
- 1. SUS/HES Data. November 2008.
- 2. National Diabetes Support Team. October 2008.
- 3. Egi M, et al. Variability of blood glucose concentration and short-term mortality in critically ill patients.
Anaesthesiology 2006; 105:244-252. - 4. Hirsch IB & Brownlee M. Should minimal blood glucose variability become the gold standard of glycemic control?
J Diabetes Complications 2005; 19:178-181.
