Diabetes is a serious condition where levels of blood glucose are too high. Type 2 diabetes is managed within primary care or jointly, within specialist services in LCH or LTHT. The eight diabetes care processes are undertaken in primary care.
Referrals
Refer people for clinical care through the diabetes single point of access. Links will be accessible via your clinical system.
Structured Education
It is critical people know how to self-manage their condition. There are national and local offers. The local offers will be more tailored to a person’s needs.
Nationally
Type 2 diabetes: https://www.healthyliving.nhs.uk/
This is a free online resource for adults with type 2 diabetes, to improve confidence.
Local Offers
Type 2 diabetes: LEEDS Programme. Face to face or online structured education programme:
LCH LEEDS Programme (leedscommunityhealthcare.nhs.uk)
First Line Diabetes Advice
Many people value foundation information to understand and manage their condition. There are plenty of resources in different formats.
Diabetes UK
https://www.diabetes.org.uk/diabetes-the-basics/types-of-diabetes/type-2
Easy Read
This information is appropriate for people with type 1 and type 2 diabetes, it focuses on self- care. It uses Leeds’s format of easy read. It is for people with a learning disability. It can be helpful for people with low literacy or where English is not a person’s first language.
Trend Website
- https://trenddiabetes.online/people-with-diabetes/ Information leaflets include:
- Driving
- Menopause
- Sick say rules
- Dementia
- Travel
- Kidneys
- Enteral feeding
- Steroids
Professional Advice
Clinician Resources
To see the full range of FREE booklets we have available, please go to: Independent diabetes trust resources https://www.iddt.org/publications
NICE national clinical guideline for type 2 diabetes
https://www.nice.org.uk/guidance/ng28
Type 2 Blood Glucose Meter Guidance
- This is currently under review at West Yorkshire level to meet NHSe recommendations
- Ascensia’s Contour Blue is the most prescribed in Leeds and is included in the recommendations.
- Consider universal lancets.
Local Advice
Diabetes Training for Professionals
For local training offers contact: [email protected]
What is Type 2 Diabetes Type 2 diabetes – NHS (www.nhs.uk)
Leeds Diabetes Limb Salvage Service (Diabetes Foot Team) – For Urgent Advice/Referrals, please contact us on 07786 250788 (Mon-Friday 8 am to 3 pm). This is for professionals and patients under this service. Contact this service if a person has a foot ulcer or a red-hot foot.
All brief queries
- Diabetes Email Advice and Guidance (professionals only): [email protected] Use this for very brief advice and guidance.
Population Health Management
There is an excellent free tool provided by Lilly that can help stratify your caseload at practice level. A The data would not leave the practice. A DPIA at Leeds place has been completed. For introduction to this system contact [email protected] and [email protected]
Local Pathways
The Leeds Programme – For patients diagnosed in the last 12 months and registered with a Leeds GP. LCH LEEDS Programme
Type 2 diabetes in adults management Overview | Type 2 diabetes in adults: management | Guidance | NICE
Medication Leeds Guidelines
Please note the below links only function for those who have access to Leeds Health Pathways.
Renal and hepatic dose adjustments for diabetes medications. Renal and Hepatic Dose Adjustments for Diabetes Medicines in Adults (leedsth.nhs.uk)
Glucose lowering in T2DM Glucose Lowering in Type 2 Diabetes Mellitus (leedsth.nhs.uk)
GLP – 1 Leeds guidelines Glucagon Like Peptide -1 Receptor Agonists (GLP-1 Ras) for Type 2 Diabetes Mellitus (leedsth.nhs.uk)
Oral Hypoglycaemic guidance – Diabetes medications Oral hypoglycaemic guidance (excluding SGLT2 inhibitors) (leedsth.nhs.uk)
T2 Algorithm Glucose Lowering in Type 2 Diabetes Mellitus
Oral background info Oral hypoglycaemic guidance (excluding SGLT2 inhibitors)
Meter guidance (in the process of being updated) but current version lives here Adult Diabetes glycaemic control and monitoring advice; and First choice meter guidance
Frailty guidance (also being updated) but current version lives here: Glycaemic Control for Older People with Type 2 Diabetes and Frailty and/or Multi-morbidity