The London Diabetes Strategic Clinical Network recommends the adoption of HbA1c for the diagnosis of type 2 diabetes across London. See the London Consensus Statement in Downloads.
Diabetes structured education
Diabetes structured education is quality-assured training that provides people with diabetes, their family and carers with the knowledge and confidence to self-manage their condition through diet, physical activity and medication. It is essentially providing the foundation support for diabetes self-management. Diabetes structured education improves health outcomes and reduces the onset of serious health complications.
To find local structured education services, type 'education' into the search bar below.
Coding attendance at structured education
The National Diabetes Audit measures patient attendance for structured education. Despite the offer for type 1 and type 2 diabetes patients, the percentage of patients recorded as having attended structured education is very low. This is likely due to variability of coding and recording this information into the patient's EMIS record. It is, therefore, important GP practices have processes in place to ensure coding of patient structured education attendance. Find how attendance information for each of the available diabetes structured education courses is communicated to practices and which codes should be used on the relevant service pages.
NCL Diabetes Treatment Guidelines
An updated set of diabetes treatment guidelines have been developed for NCL. Current NICE guidance1(NG28) was published in 2015. Since then, new evidence on cardiovascular and renal outcomes became available. These developments are clinically important, therefore, interim guidance for North Central London was considered necessary. This interim guidance will remain until updated NICE guidance is available. See Pathways section on the right for the guidelines.
Area specific guidance for Islington
Notification: Whittington HbA1c reporting unit change
From 6 January 2020, the Whittington laboratory has announced that it will be implementing a new method for measuring HbA1c to improve performance and ensure provision of high-quality results. The change in measurement method will mean that HbA1c results will be reported in the IFCC units of mmol/mol only (DCCT % units will no longer be provided). To help with conversions you can use the following resources:
Area specific guidance for Camden
The Camden Diabetes Integrated Practice Unit (IPU) is a multi-trust partnership set up to meet the needs of people with diabetes in Camden. The Royal Free London NHS Foundation Trust is the lead provider, working in partnership with CNWL, UCLH and Haverstock Healthcare.
Patients with newly diagnosed type 1 diabetes can be reviewed in the Emergency Assessment Unit at UCLH if required.
See Downloads for information on My Type 1 Diabetes, a digital resource to help adults with T1 diabetes to gain more understanding of their condition.
Area specific guidance for Haringey
Notification: Whittington HbA1c reporting unit change
From 6 January 2020, the Whittington laboratory has announced that it will be implementing a new method for measuring HbA1c to improve performance and ensure provision of high-quality results. The change in measurement method will mean that HbA1c results will be reported in the IFCC units of mmol/mol only (DCCT % units will no longer be provided). To help with conversions you can use the following resources:
