Diabetes Type 2 Oral Agents Guideline http://www.pccj.eu/images/stories/CurrentIssuePdf/p149_151New_Therapies.pdf
Liraglutide http://www.pccj.eu/images/stories/CurrentIssuePdf/liraglutide.pdf
Bydureon http://www.lillydiabetes.co.uk and http://www.bydureonbyyourside.co.uk [Patient support site]
Emergency Number of Diabetic Hot Foot Clinic 07866 684362 BLACKBURN 07875 011972 BURNLEY
SANOFI DIABETES http://www.diabetesmatters.co.uk
LILLY DIABETES https://www.lillypro.co.uk/acl_users/credentials_cookie_auth/require_login?came_from=https%3A//www.lillypro.co.uk/diabetes/
PATIENT LEAFLETS ADULT LILLEY https://www.lillypro.co.uk/diabetes/patients/patient-materials/diabetes-leaflets/adults/
SELF MONITORING GLUCOSE GUIDELINE
GUIDELINE FOR IMPAIRED GLUCOSE REGULATION
MICROALBINURIA SCREEN INCLUDES RENAL GUIDELINES 2007
SIGN GUIDELINE FOR MANAGING DIABETES DM2
LANTUS DOSING AND APIDRA http://www.lantus.com/hcp/dosing.aspx
MEREC BULLETIN ON DM2 VOL 22. No 5 MARCH 2012 http://www.npc.nhs.uk/merec/therap/other/merec_bulletin_vol22_no5.php
http://www.npc.nhs.uk/merec/therap/other/resources/pyramid.pdf
NEW FRONTIERS IN DIABETES MEDICONF 2011. CLASHES A BIT WITH NICE RE USE OF NEWER MEDICINES
DIABETES COMPLICATIONS PICTURE INTERNATIONAL DIABETES FEDERATION
REFERRAL CRITERIA BWD COMMUNITY DIABETIC CLINIC AND HOSPITAL CLINIC
http://www.diabetesandprimarycare.co.uk FREE ON LINE JOURNAL
RAMADAN AND DIABETES PROF RAYAZ MALIK
DIABETES AND RAMADAN http://www.diabetesandprimarycare.co.uk/journal-content/view/managing-diabetes-in-people-fasting-during-ramadan
DOWNLOAD OF DIABETES AND RAMADAN
INSULIN IN DM2 PAUL DROMGOOLE MEDICONF APRIL 2012
ON INSULIN SICK DAY RULES FROM PAUL DROMGOOLE
HYPOGLYCAEMIA TREATMENTS FROM PAUL DROMGOOLE
TREND LEAFLET ON HYPOGLYCAEMIA
TREND DOCUMENT MANAGING HYPOGLYCAEMIA
TREND DOCUMENT DIABETES: SAFE DRIVING AND THE DVLA
DR BOB WILKINSON LINAGLIPTIN AND RENAL PROBS IN DM2
POSTER DM AND CKD microalbumin hba1c and ckd stages
DIABETES UPDATE OMNIAMED MANCHESTER 13 12 12
DIABETES GUIDELINES ELMMB 2013
EXPERT PATIENTS DIABETES LEAFLET from www.expertpatients.co.uk
NEW DIAGNOSTIC CRITERIA FOR DIABETES 2011 http://diabetes.org.uk/About_us/Position-statements--recommendations/Care-recommendations/New_diagnostic_criteria_for_diabetes_/
PUTTING FEET FIRST DIABETES ORG UK http://diabetes.org.uk/About_us/Position-statements--recommendations/Position-statements/Putting-Feet-First-Diabetes-foot-care/
NICE CG 10 TYPE 2 DM PREVENTION AND MANAGEMENT OF FOOT PROBLEMS http://guidance.nice.org.uk/CG10
DIABETIC FOOT EXAM VERSION 1 PPTX
DIABETIC FOOT EXAM VERSION 2 PPTX
DIABETIC FOOT EXAM GUIDE SHEET
DIABETIC FOOT REFERRAL PATHWAYS
DIAB FOOT ULCER ANTIBIOTIC USE
DIAB FOOT SCREENING FORMS AND NOTES
NOTES DR GERINT JONES 2 MAY 2013 ON DM FOOT
HUMAN INSULIN IN TYPE 2 DIABETES
NOTES ON GLIPTINS AND GLP1S PAUL DROMGOOLE OCT 2013
DIABETES NOTES HAYA LANGERMAN MSD MAY 2013
DM FASTING DURING RAMADAN NEESHA PATEL MAY 2014
FASTING DURING RAMADAN http://www.nhs.uk/Livewell/healthyRamadan/Pages/Healthyramadanhome.aspx
http://www.slideshare.net/promotemedical/ramadan-and-diabetes
HUI FASTING IN RAMADAN BMJ 2010
FASTING IN RAMADAN SLIDESHOW MAY 2014 SANOFI
ASPECTS OF DIABETES DR WILKINSON
COMPLETE GUIDE FOR CONTROLLING HYPOGLYCEMIA http://www.diabetes.org.pk/Acrobat%20Docs/Hypo%20Broucher.pdf
DIABETES YOUR RISK http://www.diabetes.org.uk/risk
HBA1C 42-47 Impaired Glucose Tolerance Lifestyle Management See Nurses Repeat 1 year
48 onwards Diabetes See Nurses Do 2 readings min 2 weeks apart
50-51 Diet 52 and over Metformin
RESOURCES FOR NURSES ON DIABETES 2
www.Sign.ac.uk/guidelines/fulltext/116
www.Patient.co.uk/doctor/management-of-type-2-diabetes
CLASS HEALTH
Providing Diabetes Care in General Practice
Vital Diabetes Management
Vital Diabetes
FAST FACTS
Diabetes Mellitus
HBA1C Normal 42 PreDiabetes 42-47 Diabetes 48 and over
Do 2 readings one if symptoms
Orlistat if BMI <30 Must lose 5% of weight in 3/12 with diet and exercise Weigh every month Do not place in Repeats
Side effects fatty stool some abdo cramps Do not issue for over 12-18 months
If BMI 45 and over Bariatric Surgery
Prediabetes recheck every 3 years
Diabetes MF 1-2/day unless good at the diet and exercise
No BM machines If hypos reduce dose
If slim DM2 use gliclazide BM machine for them USE Caresens ones Issue strips and lancets
CVD Risk Assess: BP Chol Issue statin if side effects [muscle pains] try a different one
Eyes, Feet [ Healthy legs referral]
CKS CLINICAL KNOWLEDGE SUMMARIES http://www.cks.nice.org.uk/clinicalspeciality Navigate to Diabetes 2
DIABETES 2 NICE CKS SUMMARY http://cks.nice.org.uk/diabetes-type-2
http://cks.nice.org.uk/diabetes-type-2
BMJ DIABETES 2 2016 [ article]
Diabetes Notes Dunkenhalsh 29 4 17
DM2 Paul Drumgoole 2018
MF+ Diet /Exercise
Then Gliptin then SGLT2
PG if not overweight and not HF
Patients reluctant to take also default on diet educ programs
DM2 is progressive needs more rx to stop vascular comps
SIGN Guidelines better then NICE
Also American Diabetic Association and European Association for Study of Diabetes
Early treatment delays complications [Legacy Effect]
Hypos driving or operating machines SU and Insulin
Retinopathy and Nephropathy start ACE
SGLT2 not with diuretic or BP will fall
DIABETES MANAGEMENT 2018 IN OVER 65S
MICROALBUMINURIA SCREENING PLAN
Fab Course with Omniamed in Manchester
Learning Points:
Remission if 10% wt loss in Prediabetres and 15% in diabetes
Drugs that affect cvd risk are MF DPP4 GLP1 and SGL2 Only Saxagliptin in doubt
PGZ trial awaited not if HF
Hypos dangerous
SGL2 useful in HF and trial to see if useful in CKD
Breathless DM may be HF do BNP but BNP raiseed if on DPP4 or obese
eGFR more accurate the worse the k function so 60 or better = normal
consider transplant when egfr under 15 transplant better than dialysis
HF? do ecg and echo if abnormal ecf and echo loks dilatred = HF preserved EF [
untreatable]
Otherwie max ace add SGL2 GLP1
IF high bm and losing wt need Insulin
SGL2 stop if feverish illness in case ketosis occurs
Testosterone if low check pituitary and adrenal function with SHBG LH FSH TSH
Prolactin UE Glucose then do MRI Pituitary
Testrosterone in Prediabetes
ED causes vascular neuropathic low testosterone
Add PD5 to Testosterone ARB better than ace and Nebivolol better than Bisoprolol
PREDICTER OF IHD3-5y
LUTS goes with ED and IHD
Tadalafil 5mg for LUTS and affects endotheium all over body poss treatment for
IHD HF#
For ED daily tadalafil better than on demand
Advice for DM2
New Case Poss of remission Legacy Effect
Established case Retinopathy causes blindness Make more effort
Old Person Hypos dangerous reduce gliclazide and Insulin
If very thin or very fat the Cockcroft Gault egfr is more accurate
Spirololactone god for HF but cant be used in RF as K+ goes too high
Doses of hypoglycemics in RF need reduced best are GLP1 DPP4 trials on for SGL2
and MF to be allowed at lower egfr
c Peptide is a urine test can be used to determine if type 1 DM where there is
hardly any Insulin
Diabetes increase still birth risk Gestational Diabetes does not
SGL2 not if PVD or leg ulder
GLP1 not if alchol xs as risk of pancreatitis
U symps with SGL2 may not be thrush try 1L water/day
Statin definite benefit in cvd or DM maybe benefit in primary prevention
The real damage is from the LDL not routinely measured by lab only estimated
Chol 7.5 may be genetic hyperlipidaemia