NICE publishes two diabetes consultations
Last year there were 24,000 children with Type 1 diabetes and 450 with Type 2. Since the publication of the 2004 recommendations, there have been major advances in managing Type 1 diabetes in children – the updated guideline is the first national guidance to set out how to help children achieve controlled blood sugar levels.
The draft recommendations propose achieving better control by offering intensive insulin management either with multiple daily injections or insulin pumps. Insulin therapy should be offered alongside dietary advice specific to treatments such as courses to help understand how carbohydrates affect blood sugar or medicines, according to NICE.
The updated draft guideline also includes new detailed recommendations for healthcare professionals on how to diagnose and treat complications in children with Type 2 diabetes, including problems with their kidneys, blood pressure or cholesterol levels.
As with the draft guideline for children, there is a call for healthcare professionals to support adults to achieve normal blood sugar levels taking into consideration their personal preferences, day-to-day lifestyle and any potential complications.
This includes a draft recommendation for adults with Type 1 diabetes to be seen at least every three-to-six months to have their blood sugar measured. It also calls for adults to be supported to self-monitor their blood sugar at least four times a day and even more frequently if they are not reaching targets or are carrying out certain activities such as driving or sport.
Other key priorities include making sure all adults with Type 1 diabetes go on a structured education course to better understand their condition and offering multiple daily insulin injections as the treatment of choice.
Professor Mark Baker, Director of Clinical Practice at NICE, said: “In the past decade there have been major changes in how we routinely manage both adults and children with diabetes and it is now possible for many to achieve much stricter targets for their blood sugar levels.
“Both draft guideline updates cover new knowledge and technologies which support better diabetes control, with evidence-based advice on how to use this to support adults and children in living their lives to the fullest.
“There are recommendations on the appropriate diagnosis, insulin therapy, dietary advice, hospital care and education courses to offer adults and children with diabetes, as well as their family and carers. We now want to hear from all those involved in the care of adults and children with diabetes to inform our recommendations and shape the final guideline.”
Both draft guidelines are now open for consultation. All registered stakeholders and members of the public are now able to submit their comments via the NICE website until Wednesday, March 4, 2015.