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<blockquote data-quote="Bluetit1802" data-source="post: 1404085" data-attributes="member: 94045"><p>It isn't a postcode lottery. The doctors are obliged to follow the NICE recommendations, which are as follows:</p><p></p><p><span style="font-size: 12px"><strong>Self-monitoring of blood glucose</strong></span></p><p>1.6.12Take the Driver and Vehicle Licensing Agency (DVLA) <a href="http://www.gov.uk/government/publications/at-a-glance" target="_blank">At a glance guide to the current medical standards of fitness to drive</a> into account when offering self‑monitoring of blood glucose levels for adults with type 2 diabetes. <strong>[new 2015]</strong></p><p></p><p>1.6.13Do not routinely offer self-monitoring of blood glucose levels for adults with type 2 diabetes unless:</p><p></p><ul> <li data-xf-list-type="ul">the person is on insulin <strong>or</strong><br /> <br /> </li> <li data-xf-list-type="ul">there is evidence of hypoglycaemic episodes <strong>or</strong><br /> <br /> </li> <li data-xf-list-type="ul">the person is on oral medication that may increase their risk of hypoglycaemia while driving or operating machinery <strong>or</strong><br /> <br /> </li> <li data-xf-list-type="ul">the person is pregnant, or is planning to become pregnant. For more information, see the NICE guideline on <a href="http://www.nice.org.uk/guidance/ng3" target="_blank">diabetes in pregnancy</a>. <strong>[new 2015]</strong><br /> </li> </ul><p>1.6.14Consider short-term self-monitoring of blood glucose levels in adults with type 2 diabetes (and review treatment as necessary):</p><p></p><ul> <li data-xf-list-type="ul">when starting treatment with oral or intravenous corticosteroids <strong>or</strong><br /> <br /> </li> <li data-xf-list-type="ul">to confirm suspected hypoglycaemia. <strong>[new 2015]</strong><br /> </li> </ul><p>1.6.15Be aware that adults with type 2 diabetes who have acute intercurrent illness are at risk of worsening hyperglycaemia. Review treatment as necessary. <strong>[new 2015]</strong></p><p></p><p>1.6.16If adults with type 2 diabetes are self‑monitoring their blood glucose levels, carry out a structured assessment at least annually. The assessment should include:</p><p></p><ul> <li data-xf-list-type="ul">the person's self-monitoring skills<br /> <br /> </li> <li data-xf-list-type="ul">the quality and frequency of testing<br /> <br /> </li> <li data-xf-list-type="ul">checking that the person knows how to interpret the blood glucose results and what action to take<br /> <br /> </li> <li data-xf-list-type="ul">the impact on the person's quality of life<br /> <br /> </li> <li data-xf-list-type="ul">the continued benefit to the person<br /> <br /> </li> <li data-xf-list-type="ul">the equipment used. <strong>[2015]</strong><br /> </li> </ul><p><strong><a href="https://www.nice.org.uk/guidance/ng28/chapter/1-Recommendations#blood-glucose-management-2" target="_blank">https://www.nice.org.uk/guidance/ng28/chapter/1-Recommendations#blood-glucose-management-2</a></strong></p></blockquote><p></p>
[QUOTE="Bluetit1802, post: 1404085, member: 94045"] It isn't a postcode lottery. The doctors are obliged to follow the NICE recommendations, which are as follows: [SIZE=3][B]Self-monitoring of blood glucose[/B][/SIZE] 1.6.12Take the Driver and Vehicle Licensing Agency (DVLA) [URL='http://www.gov.uk/government/publications/at-a-glance']At a glance guide to the current medical standards of fitness to drive[/URL] into account when offering self‑monitoring of blood glucose levels for adults with type 2 diabetes. [B][new 2015][/B] 1.6.13Do not routinely offer self-monitoring of blood glucose levels for adults with type 2 diabetes unless: [LIST] [*]the person is on insulin [B]or[/B] [*]there is evidence of hypoglycaemic episodes [B]or[/B] [*]the person is on oral medication that may increase their risk of hypoglycaemia while driving or operating machinery [B]or[/B] [*]the person is pregnant, or is planning to become pregnant. For more information, see the NICE guideline on [URL='http://www.nice.org.uk/guidance/ng3']diabetes in pregnancy[/URL]. [B][new 2015][/B] [/LIST] 1.6.14Consider short-term self-monitoring of blood glucose levels in adults with type 2 diabetes (and review treatment as necessary): [LIST] [*]when starting treatment with oral or intravenous corticosteroids [B]or[/B] [*]to confirm suspected hypoglycaemia. [B][new 2015][/B] [/LIST] 1.6.15Be aware that adults with type 2 diabetes who have acute intercurrent illness are at risk of worsening hyperglycaemia. Review treatment as necessary. [B][new 2015][/B] 1.6.16If adults with type 2 diabetes are self‑monitoring their blood glucose levels, carry out a structured assessment at least annually. The assessment should include: [LIST] [*]the person's self-monitoring skills [*]the quality and frequency of testing [*]checking that the person knows how to interpret the blood glucose results and what action to take [*]the impact on the person's quality of life [*]the continued benefit to the person [*]the equipment used. [B][2015][/B] [/LIST] [B][URL]https://www.nice.org.uk/guidance/ng28/chapter/1-Recommendations#blood-glucose-management-2[/URL][/B] [/QUOTE]
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