Type 2 Diabetes NICE targets

NICE guidance on Type 2 diabetes

Education and Lifestyle- Offer a structured education at or around type of diagnosis with annual reinforcement and review eg DESMOND,X-PERT Dietary advice - refer for expert advice ○ encourage high-fibre , low glycemic index sources of carbohydrates eg fruit , vegetable , wholegrains and pulses○ include low-fat dairy products and oily fish○ limit intake of foods containing saturated and trans fatty acids Physical activity and weight loss○ for obese target an initial weight loss of 5-10 % ( any wt loss is beneficial ) Individualized recommendations for carbohydrate and alcohol intake particularly in those on insulin and insulin secretagogue ( ↓↓ risk hypoglycemia ) Limited substitution of sucrose containing food or carbohydrates in the meal plan is allowable but to avoid excess energy intake NICE discourages use of foods marketed specifically for people with diabetes

Bariatric surgery-Bariatric surgery can improve quality of life and reduce risk of premature mortality in people with type 2 diabetes of less than 10 yrs duration ie before complications start to develop Expedited means people do not need to have tried non-surgical measures before they can be referred NICE mentions referral can be made as long as people are...