New HbA1c targets for type 1 adults following updated NICE ...

The National Institute for Health and Care Excellence (NICE) have advised that adults with type 1 diabetes should aim for an HbA1c level of 48mmol/mol (6.5 ... Diabetes MENUMENULogin/RegisterPrevention BMIInsulinresistanceMetabolicsyndromeRiskfactorsfortype2diabetesWhattodoifyou'reatrisk GettingactiveJoinacommunity Diagnosis CausesofdiabetesDiabetessymptoms Type1diabetessymptoms Polyphagia–increasedappetitePolyuria–frequenturinationPolydipsia-excessivethirstUnexplainedweightloss HighandlowbloodsugarsymptomsType2diabetessymptomsPrediabetes Type1diabetes Newlydiagnosedwithtype1Causesoftype1diabetesTreatmentfortype1diabetesParentsofchildrenwithtype1diabetesCarbohydratecountingDiabetesandHypoglycemiaDiabeticketoacidosis(DKA)Whatisanautoimmunedisease? 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News CommunityblogsDCUKBlogInDepthPressBookreviewsProductreviews Shop MostPopularSubscribeandSaveLowCarbProgram Forum LatestpostsType1forumType2forumNewlydiagnosedforumParentsforumLowcarbforumVegetarian/Plant-basedCommunityblogs Topsearches: type1 type2 diabetesforum register lowcarbprogram lowcarb ketodiet lifeinsurance hypoglycemia hyperglycemia nhs metformin hypoprogram type1community freestylelibre TheNationalInstituteforHealthandCareExcellence(NICE)haveadvisedthatadultswithtype1diabetesshouldaimforanHbA1clevelof48mmol/mol(6.5percent)orlower.NICEpublishedtheirupdatednationalguidelinesfordiabeteson26August,whichincludesguidancefortype1adults,childrenwithtype1andtype2diabetes,andpatientswithdiabeticfootproblems.Type1diabetesinadultsIntheirguidelines,NICEreportthatHbA1cscoresareabovetargetlevelsinmostadultswithtype1diabetes.Thiscouldleadtodiabetes-relatedcomplications,suchasblindness,heartdiseaseandkidneyfailure.ToachievereductionsinHbA1c,andresultsof48mmol/molorlower,NICEhaverecommended:Alltype1adultsareofferedastructurededucationcourse,suchasDAFNE,whichisofprovenbenefit;Alltype1adultsareofferedmultipledailyinjectionbasal-bolusinsulinChildrenwithdiabetesChildrenwitheithertype1ortype2diabeteshavealsobeenadvisedtoaimforHbA1clevelsnearthenormalrange(around48mmol/mol),andkeepnearnormalbloodglucosereadings.Thosewithsuspectedtype1diabetesshouldbereferredtoaspecialistdiabetesteamwithinthesamedaysoimmediatediagnosisandcarecanbeprovided.EducationprogramshavebeenadvocatedbyNICE:fortype2children,theseshouldincludelifestyleadvice,whilefortype1children,programsshouldprovideinformationoncontinuousglucosemonitoringandprovideaccesstomentalhealthprofessionals.DiabeticfootproblemsPatientswithalimb-threateningorlife-threateningdiabeticfootproblemshouldimmediatelybereferredtohospital,accordingtoNICE.Otherwise,patientswithdiabeticfootproblemsshouldbereferredtothemultidisciplinaryfootcareservicewithinoneworkingday.SirAndrewDillo,chiefexecutiveofNICE,believestheseupdatedguidelineswillenablemorepeopleacrosstheUnitedKingdomtoreceivethebesttreatmentandsupport.“TheyrecommendeffectiveandcosteffectivecareandadvicetoNHSorganisationsonsuchthingsassettingupspecialistservicestoreduceriskofdiabetes-relatedamputation.Implementingtheserecommendationswillhelppreventseriousillnesseslinkedtodiabetes,”saidDillon. Jointheaward-winningLowCarbProgram PeoplewhouseLowCarbProgramhaveachievedweightloss,improvedHbA1c,reducedmedicationsandtype2diabetesremission. Getthetoolsyouneedtosucceed.UsedintheNHS. 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