Diabetes UK calls for more guideline changes
The updated clinical guidance for type 2 diabetes need to “commit to on-going updates” to ensure people receive the best possible treatment, according to Diabetes UK.
The document was delayed in being published because contributors, including Diabetes UK, argued that further changes needed to be made to make the final guidelines more practical in line with other international guidelines.
Although the diabetes charity welcomes the updated guidelines, it is calling on NICE to put in place a regular review process that looks at emerging evidence and fully incorporates these into existing guidelines on an ongoing basis.
Chris Askew, chief executive of Diabetes UK, said: “There are many things we welcome from these new guidelines but we are calling on NICE to commit to on-going updates so that people with type 2 diabetes can benefit from latest advances in medication and diabetes care.
“Diabetes treatment is an ever-changing field so it is important for recommendations to be updated regularly to reflect new evidence. We urge NICE to go ahead and set up the proposed standing committee to enable a far more rapid update of reputable diabetes guidance.
“Up-to-date guidelines will enable generalist practitioners to support people with diabetes to manage their condition far better, so they can reduce their risk of developing devastating complications. We also encourage CCGs and healthcare professionals to increase access to diabetes education and appropriate blood glucose monitoring to help with self-management.”
Although NICE has advised in the guidelines that it is “considering” setting up a standing update committee to enable more rapid updating of certain areas of diabetes guidelines, nothing has yet been confirmed.
Diabetes UK is now calling on clinicians to use information from the guidelines but also to apply their clinical judgement in discussing all appropriate options for medication regimes, and to work jointly with the person with diabetes when making decisions thereby treating them as an individual to better meet their specific needs.
Another key recommendation in the guidance is for people with type 2 diabetes to be offered better access to education.
Diabetes UK welcomes this recommendation and has recently launched its Taking Control campaign, which calls for more people to get access to the education they need to better self-manage their condition.