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Have been looking around and found this

• daily food intake – no clear formula for dietary composition; aim to make changes that approach the following
recommendations:
• total carbohydrate – 45-60% of energy intake

<shudder>

• preferably begin with human NPH insulin taken at bedtime or twice daily according to need

<shudder again>

Interesting document though, I notice due for review in 2010 so it will be interesting to see what changes
 
The diagnosis map is interesting,
One thing that struck me were the features of type 1 diagnosis.
generally presents with acute hyperglycaemic symptoms
very high blood glucose levels
often associated with ketonuria
marked weight loss
usually presents in younger patients

It seems that every week someone appears on this forum with the first 4 symptoms but because they are older have been told by their GP that they have type 2 (take a metformin and and not to worry that you have sky high blood glucose levels and are still losing weight)

diagnosis map, also links to treatment pathway for both types : http://healthguides.mapofmedicine.com/choices/map/diabetes1.html
 
phoenix said:
The diagnosis map is interesting,
One thing that struck me were the features of type 1 diagnosis.
generally presents with acute hyperglycaemic symptoms
very high blood glucose levels
often associated with ketonuria
marked weight loss
usually presents in younger patients

It seems that every week someone appears on this forum with the first 4 symptoms but because they are older have been told by their GP that they have type 2 (take a metformin and and not to worry that you have sky high blood glucose levels and are still losing weight)
Click to expand...

And what's worse some people who are taken off insulin when it was working and put on met instead, then refused the insulin back until they go into DKA :(

And the other side of the coin, a small but significant numbers of Type 2s report symptoms starting in childhood which were ignored because it was obviously not Type 1 (and all us skinny Type 2s who are ignored because of the lack of obesity) oh and MODY of course

IMNSHO it's important for doctors to be able to think out of the box and not just apply flowcharts

There was an (apocryphal?) story about a computer diagnosis program which when operated by a trained nurse could achieve the same diagnostic accuracy as a consultant

BUT

it only understood bacterial infections, you should see what it came up with when faced with a pregnant patient
 
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