Diabetes advice during Ramadan is available in a temporary separate ‘Ramadan’ tab
General information
- CES Diabetes Guidefor general practice diabetes management: helpful for pro-active care optimising management.
- Diabetes structured education still going strong whilst all face to face courses have had to be cancelled, on-line and telephone supported courses are now available across south east London via clinician or self-referral. There is plenty of capacity on all options so please continue to refer. Read more
- Cambridge Diabetes Education Programme – aimed at supporting staff providing first-line advice and support to people living with all types of diabetes during COVID-19
- Update for GPs on the SEL Diabetic Eye Screening Programme during covid pandemic. Due to the pandemic, eye-screening had been halted. The programme re-started routine screening clinics in July. They are currently inviting patients based on their risk of developing diabetic eye disease and only have a limited number of screening venues.
Patient information
- Hypoglycaemia in adults in the community: Recognition, Management and Prevention
- Diabetes UK Coronavirus updates for patients
- Trend UK Type 2 diabetes and diabetic ketoacidosis
Clinical information
- How to undertake a remote diabetes review: Diabetes UK and Primary Care Diabetes Society
- COVID-19: Diabetes High Risk Cohort Pro-active Management
- COVID-19 Insulin de-escalation
- NHS Clinical guide for the management of people with diabetes during the coronavirus pandemic
- COVID- 19 Type 1 Sick Day Rules Crib Sheet
- COVID 19 Type 2 Sick Day Rules Crib Sheet
- London Clinical Networks Diabetes COVID-19 key Information includes insulin management when unwell and patient information
- Diabetes Foot Navigator: An important new resource for primary and community care teams for patients with high risk diabetes foot problems. Please see the Diabetic Foot Navigator Update and referral proforma. The proforma includes a foot care pathway and flow-chart.
Diabetic Eye Screening
SE London programme re-started routine screening clinics on 6th July and are currently inviting patients based on their risk of developing diabetic eye disease, and only have a limited number of screening venues which we are able to use.
PH England have issued guidance stating programmes can postpone screening for patients who attended after March 2019 and had a normal result for up to 1 year. This means that a large number of patients will have their next screening appointment up to 2 years from their last appointment. If patients are anxious about this they can contact us. This guidance is based on evidence that patients in this group have a very low risk of developing sight threatening disease.
The following patient groups will not be postponed and are being invited now:
· Pregnant patients due for a first or 28-week screen
· Patients in the digital surveillance pathway (e.g. those with early maculopathy)
· Patients whose last screening results was R1M0 (background diabetic retinopathy)
· New patients (newly diagnosed or newly moved into the area)
· Patients who we could not get clear images for, who need a slit lamp appointment to assess their eyes
· Patients who did not attend their last screening appointment