Kernow Clinical Commissioning Group
Diabetes Resource
Pack
A Resource Pack for Healthcare Professionals
Medicines Optimisation Team
April 2015
1
1) Healthcare Professional Information.
1.1
Diagnosis
DIAGNOSIS
template.pdf
1.2
Pre, Peri, post-operative guide
DiabetesMellitusDurin
gSurgeryElectiveProcedures updated 2014.pdf
1.3
Retinal screening
Retinal screening
info for resource pack..pdf
1.4
Bariatric surgery resources
Liver reducing diet sheets:
THE PRE OP LIVER
Pre op liver reduction
REDUCTION DIET YOGURT v3.pdf
diet for lactose intolerent patients.pdf
1.5
Yellow book guidance
1.6
Insulin passports
1.7
Health promotion
1.8
DVLA Advice
1.9 CDEC contact
1.10 Healthy Feet guide
Register at www.healthpromcornwall.nhs.uk and go to
information and resources, where healthcare staff can
register online.
GP Practices should order via their PCT or Agency Stores,
Hospitals and other organisations should place their orders
in the usual way for national forms,
http://www.nhsforms.co.uk or email
nhsforms@mmm.com.
Register at www.healthpromcornwall.nhs.uk and go to
information and resources, where healthcare staff can
register online
DVLA’s current medical guidelines for professionals –
conditions https://www.gov.uk/current-medical-guidelinesdvla-guidance-for-professionals-conditions-d-to-f
Diabetic Centre Telephone Number 01872 254560
Diabetes UK resources on “Foot attack”:
D UK
footattackp2-3.pdf
D UK
footattackp4-5.pdf
D UK
footattackp6-11.pdf
1.11 Hypo management
Guidelines hypo
Guidelines Hypo Nil
laminated version 2012.pdf
by mouth for laminating 2012.pdf
1.12 HBA1C convertor
The Diabetes UK website which can be accessed via the link
below has a HBA1C conversion table and calculator from %
to mmol/mol.
http://www.diabetes.org.uk/Guide-todiabetes/Monitoring/Testing/
Version Control 3 Review Date January 2016
2
2) Referral criteria
2.1
2.2
Referral criteria to immediate
care team
Local DSN contacts and
responsibilities
CDSN referral
guidelines 2014.pdf
DSN Allocation 2014
revised..pdf
2.3
Referral criteria to secondary
care
Referrals can be made via choose and book.
http://www.chooseandbook.nhs.uk/
2.4
Referral criteria to bariatric
team
All referrals to the bariatric surgery service come from the
tier 3 weight management clinic at RCHT. Both services use
the NICE guidance as their criteria for referral. BMI 40 or
above or BMI 35 or above with at least one obesity related
comorbidity.
Nice Guidelines can be found here and the criteria are listed
on page 11:
http://www.nice.org.uk/nicemedia/live/11000/30365/30365.
pdf
Or can be accessed clicking the icon below.
2.5 nice guidance on
obesity Nov 14.pdf
2.5
Referral to podiatry services
foot pathway Jan
14v3.pdf
This can also be accessed via the Cornwall joint formulary
website:
https://www.eclipsesolutions.org/cornwall/info.aspx?parai
d=255
Version Control 3 Review Date January 2016
3
3) Prescribing Guidance.
3.1
Blood glucose meter guidance
Meter
Reccomendation Version 6 april 2015 final.pdf
3.2
Insulin initiation
Can also be found on the formulary:
https://www.eclipsesolutions.org/cornwall/
Sanofi: A guide to starting and titrating Sanofi insulins
Sanofi A5 guide to
insulin inititiation and titration recieved 230414.pdf
Lilly: A guide to starting and titrating lilly insulins
TitrationGuide to lilly
insulins downloaded 070414.pdf
Novo: Novo have suggested that information on initiating
Novo insulin’s can be found on the individual product SPCs
which can be accessed via the EMC website:
http://www.medicines.org.uk/emc/
3.3
3.4
GLP initiation/share care
guidelines
How to titrate insulin
GLP1 analogues SCG
2013.pdf
Sanofi : (a guide for Healthcare professionals only)
102153_SANOFI_IN
SULINS_TITRATION GUIDE_A5_tabs_v02 recieved from Tristan.pdf
Lilly: A guide to starting and titrating insulins:
TitrationGuide to lilly
insulins downloaded 070414.pdf
Novo: Novo have suggested that information on initiating
novo insulin’s can be found on the individual product SPCs
which can be accessed via the EMC website:
http://www.medicines.org.uk/emc/
3.5
Prescribing fact sheet on
insulin
Insulin for type 2
diabetes saved as PDF.pdf
This can also be accessed via the Cornwall Joint Formulary :
https://www.eclipsesolutions.org/cornwall/info.aspx?paraid
=255
Version Control 3 Review Date January 2016
4
3.6
Cost effective prescribing.
Insulin guidelinesrevised doc2x WITH ADDED COLOURS AND HEADER.pdf
3.7
Oral fact sheets
Marvellous metformin
Marvelou Metformin
Fact Sheet.pdf
3.8
Formulary links
https://www.eclipsesolutions.org/Cornwall/
www.plymouth formulary.nhs.uk
4) Healthcare professional Education
4.1
Online learning
NHS diabetes http://www.healthcareea.co.uk/nhsdiabetes
5) Sources of patient information
5.1
Diabetes centre website
5.2
Out of Hours company
helplines
5.3
Sources for patient diaries
5.4
Diabetes UK Website
No website is currently available for CDEC but useful
information about diabetes can be found on Diabetes UK
charity website. Contact details for CDEC can be found on
Royal Cornwall Hospital website:
http://www.nhs.uk/Services/hospitals/Services/Service/Defa
ultView.aspx?id=5848
DIABETES HELP LINE
NUMBERS.pdf
Diaries can be downloaded from the following websites:
 Lilly:
http://www.lillydiabetes.com/Pages/downloadablematerials.aspx
 Bayer:
http://www.bayerdiabetes.co.uk/resources/pdf/One
-Page-Record-Diary
 Accucheck(Roche): https://www.accuchek.co.uk/gb/customerservice/recordbooks.html
Accucheck, Lifescan and Bayer all distribute paper copies of
note books to patients who have a blood glucose meter
registered with each company.
http://www.diabetes.org.uk/
Version Control 3 Review Date January 2016
5
5.5
Apps



5.6
Sources for patient literature
and guides
Carbs and Cals app provides a simple and easy to use
resource for people who want a visual aid to
identifying how many calories and how many grams
of carbohydrate are in foods. It is available from the
apple store and also through the Google play store
for users of android smart phones.
Diabetes UK Tracker smartphone app. Allows
smartphone users to log and track a range of levels:
blood glucose, insulin, carbohydrates, calories,
weight and ketones. It is available via iTunes app
store or Google play store. More information on this
app can be found at
http://www.diabetes.org.uk/How_we_help/Diabetes
-iPhone-Tracker-app/
Diabetes Manager. Allows you to track your essential
diabetes data and tailor the app to you, whether you
have type 1 or type 2 diabetes. Available for Apple
IPhones. More information on this app can be found
at http://www.patient.co.uk/mobile
Diabetes UK website: http://www.diabetes.org.uk/
Patient.co.uk website: http://www.patient.co.uk/
NHS choices website:www.nhs.uk/
Diabetes research and wellness foundation:
http://www.drwf.org.uk/
Patient information leaflets can be sourced from:
www.medicines.org.uk
Patients on BYDUREON may find the: ‘how to use your dosing
guide’ video useful which is available through the Astra
Zeneca website:
https://www.diabetesalliance.co.uk/patient/bydureon/educa
tional-resources/. This website also offers a patient
information brochure:
5.7
NPC patient decision aids
5.6 BYDUREON
patient guide.pdf
Patient decision aids;
 Type 2 diabetes and BP control,
 Metformin, SU
 insulin in type 2 diabetes
Can all be found on the Cornwall Joint formulary website.
https://www.eclipsesolutions.org/cornwall/info.aspx
?paraid=255
Version Control 3 Review Date January 2016
6