Hi again. Todays' presentation related to diabetes was what Lewisham was doing to improve diabetes outcomes. They are joining disparate blocks of data together using EMIS etc to measure improvements in outcomes. They can do this by PCN, CCG or larger areas. The work is good but has a long way to go. There have been improvements but mainly in those having marginal HBA1C and there are still many undiagnosed etc. who have largely been unaffected. I was struck that the word 'diet' wasn't mentioned on any slide or discussion bearing in mind only T2 was under discussion; just the two standard training courses i.e. DESMOND and DAFNE. We know that whilst these courses can sometimes be good, all too often the presenter will still talk about 'carbs with every meal' and the Eatwell Plate. So in my opinion much of the good work is negated by lack of attention to the best diet approach for T2s i.e. LCHF. Medication is being measured, correctly, by Lewisham but not diet.
