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Lifestyle and risk factors
Pre-diabetes (non diabetic hyperglycaemia) HBA1c 42-47 mmol/l
NHS Diabetes Prevention Programme
See details of the NHS Diabetes Prevention Programme for personalised support for patients to reduce their risk of Type 2 diabetes including education on healthy eating and lifestyle, help to lose weight and physical exercise programmes. Provided in conjunction with partner ICS.
Follow link or search Diabetes Prevention Programme
See link right for Pre-diabetes patient information
After diagnosis of Diabetes :
Type 2 DESMOND diabetes structured education programme
Patient information & resources
Diet & exercise resources
Diet & exercise downloads click below
- Diabetes: How to take control (UHCW resource regarding diet and exercise
- Eating well with diabetes
- Eating well with diabetes (Polish version)
Type 1 Diabetes
Step by Step Education
Newly diagnosed patients (within a year of diagnosis) will be invited to attend Step by Step.
Carbs 4 1 Education
- For adults with Type 1 Diabetes on a basal bolus insulin regime who want to self-manage their diabetes and learn how to carbohydrate count:
- The structured course aims to improve self-management skills, resulting in lower HbA1c and reduced hospital admissions with severe hypo or DKA.
- Groups of up to 15 participants attend four full day sessions a week apart, in either Coventry or Rugby. Patients are given a choice of venue and date, but they need to attend all four sessions.
- Patients must be motivated to change behaviour and take control of their diabetes.
- This course is mandatory for anyone who wants to be considered for an insulin pump.
Type 1 referral form – see right
Area Prescribing Committee Treatment Algorithm
Community GPWSI Diabetes & Lipid Clinic
Referrals for problematic diabetic management including:
- Suboptimal glycaemic control despite three oral hypoglycaemic agents
- Initiation of newer therapies such as SGLT2 inhibitors, GLP1s
- Consideration for conversion to injectable therapies
- Difficult to manage lipid problems in diabetic patients
- Patients with unstable glycaemic control
Community Consultant Led Diabetes Clinic
Location: City of Coventry Health Centre Tuesday afternoon and Wednesday morning
Accepts diabetes patients that don’t meet the ‘Super Six’ criteria* for the UHCW clinics(The existing community Dietetics and Diabetes Specialist Nurse Clinics continue. The existing UHCW diabetes clinics will run in the new ‘Super Six’* form)
All referrals should be made via the NHS e-Referral Service into either RSS or directly to the service.
Community Consultant Led Diabetic Specialist Dietician Services
- All referrals should be made via the NHS e-Referral Service into either RSS or directly to the service.
Diabetic Complications: Retinopathy
Annually for all diabetic patients over the age of 12 years
Diabetic Complications: Podiatry & Foot Clinic
LOW RISK: Normal Sensation & Perfusion +/- Palpable Pulses
Primary care team: Examine feet to detect risk factors & classify risk, agree a management plan including foot care education with each person.
Arrange annual recall as part of ongoing care and refer to foot specialists as appropriate
HIGH & RAISED RISK: Neuropathy, Deformity, Callus, Corns, Nail Pathologies
Podiatry Foot Protection Team: Provide specialist assessment and regular review as appropriate.
Podiatry treatment for skin and nail care, including provision of protective insoles and their renewal.
Agree management plan including intensified foot care education (further details available on GP Gateway under Podiatry)
NEW ULCER (wound) swelling discolouration / ULCER (Non healing: 4 or more weeks), Infection, Necrosis / Gangrene, Charcot, Painful Neuropathy:
Multidisciplinary WISDEM Diabetes Foot Team: Highly specialised management of complex diabetic foot & lower limb conditions, with access to advanced investigations & working closely with other hospital specialties- via CHOOSE AND BOOK RSS or Contact on call Diabetes SPR Bleep 1698 via UHCW switchboard (024 7696 4000)
In severe cases where admission to A&E is being considered Refer to GP Assessment Unit
ISCHAEMIA: Critical Ischemia, Digital Ischemia, Rest Pain, Wet Necrosis
Vascular surgery team: The department at UHCW offers advanced vascular investigation and revascularisation procedures for patients with occlusive peripheral vasculature.
Referral form available on GP Gateway. Referral via RSS
In severe cases where admission to A&E is being considered please ring UHCW switch board (024 76964000) and ask for the on-call vascular consultant– available 24/7
Diabetic Complications: Renal