Approaches to DM management in Primary Care.pptx
Document Details
Uploaded by ProlificSynergy
Brighton and Sussex Medical School
Full Transcript
A collaborative approach to diabetes management in primary care Louise Hatcher: Lecturer in Adult Nursing [email protected] Diabetes Prevalence • Diabetes is one of the most common chronic diseases in the UK with rising prevalence. • Estimated by 2025 >5 million people will be diagnosed...
A collaborative approach to diabetes management in primary care Louise Hatcher: Lecturer in Adult Nursing [email protected] Diabetes Prevalence • Diabetes is one of the most common chronic diseases in the UK with rising prevalence. • Estimated by 2025 >5 million people will be diagnosed with diabetes in the UK. • Around 90% of adults living with diabetes in the UK have T2DM • T2DM 3.9m diagnosed and 1m undiagnosed (2018/19 data) • Globally prevalence increased from 228/100,000 in 1990 to 279 per 100,000 in 2017 a % change of 0.89. NICE CKS (2022) Individualised Care NICE Guidelines [NG28] (2015) Type 2 Diabetes Management in Adults. "Adopt an approach to diabetes care that is tailored to the needs and circumstances of the individual, taking into account their preferences, comorbidities and risks from polypharmacy and their likelihood of benefiting from long term interventions." The Annual Review • Bloods: HbA1c U&E's FBC cholesterol / EMMSU microalbuminuria. • BMI / BP • Foot check • Retinal screening • Depression screening • Erectile dysfunction • Self-monitoring of CBG and injection sites • Medication review – adherence, polypharmacy, target HbA1c • Care planning • Follow up • QOF House of Care Year of Care Promoting self-care • Person centred, collaborative care planning • Education; DESMOND DAFNE XPERT • Dietary advice • Technologies in diabetes management • Charities, blogs, forums, apps This Photo by Unknown author is licensed under CC BY-NC-N Collaborative approaches Role of the Diabetes Nurse Specialist • Diabetes Care For You – Brighton & Hove, Lewes & Havens Diabetes Care for You (sussexcommunity.nhs.uk) • Diabetes Community Team West Sussex Diabetes - Community Diabetes Team (Worthing, Adur, Arun and Chi chester) (sussexcommunity.nhs.uk) Social Prescribing • NHS Long Term Plan (2019) • Refer to a link worker • Active signposting • Social prescribers as MDT in PCN's Reference s and resources • Diabetes UK (2022) Diabetes annual care review. Online Diabetes Annual Care Review • Diabetes UK (2022) What is diabetes technology? Online What is diabetes technology? | Diabetes UK • National Institute for Health and Care Excellence (NICE) CKS. (2022) Diabetes type 2: How common is it? Online Prevalence | Background information | Diab etes - type 2 | CKS | NICE • NICE (2015) Type 2 Diabetes in adults: management. [NG28] Online Overview | Type 2 diabetes in adults: mana gement | Guidance | NICE • NHS Year of Care. NHS Year of Care • NHS England. Social Prescribing NHS England » Social prescribing