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Type 2 diabetes in adults: management. New NICE guidelines Dec 2015
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<blockquote data-quote="Southport GP" data-source="post: 1041968" data-attributes="member: 74036"><p>I would like to draw everyone’s attention to a particular paragraph in the brand new NICE guidelines. These are produced to give an idea of ‘best practice’ to guide our health care professionals in their care for people with Type 2 diabetes. There has been much anticipation amongst us this time round and I want to share with you all a new emphasis on being ‘patient-centred’ which I find immensely cheering.</p><p></p><p><strong>1.1</strong> Individualised care</p><p></p><p><strong>1.1.1</strong> Adopt an individualised approach to diabetes care that is tailored to the needs and circumstances of adults with type 2 diabetes, <strong>taking into account their personal preferences</strong>, comorbidities, risks from polypharmacy, and their ability to benefit from long‑term interventions because of reduced life expectancy. Such an approach is especially important in the context of multimorbidity. Reassess the person's needs and circumstances at each review and think about whether to stop any medicines that are not effective. <strong>[new 2015]</strong></p><p></p><p><strong>1.3.3</strong> Encourage high‑fibre, <strong>low‑glycaemic‑index sources of carbohydrate </strong>in the diet 1.3.6 <strong>Individualise recommendations for carbohydrate</strong> and alcohol intake</p><p></p><p> I know from reading your excellent forum over the years that many of you feel your personal preferences have been ignored. This important introductory paragraph gives me real hope of better collaboration between doctors, nurses, dieticians- and patients who at the end of the day probably are the best ‘experts’ on their own lives.</p><p></p><p>Please don’t be disappointed if things don’t change straight away. If any of you feel your voice is not heard in decision making then it’s possible you could make a polite reference to this introductory paragraph from NICE which enshrines your position in deciding the best way forward for your diabetic care</p></blockquote><p></p>
[QUOTE="Southport GP, post: 1041968, member: 74036"] I would like to draw everyone’s attention to a particular paragraph in the brand new NICE guidelines. These are produced to give an idea of ‘best practice’ to guide our health care professionals in their care for people with Type 2 diabetes. There has been much anticipation amongst us this time round and I want to share with you all a new emphasis on being ‘patient-centred’ which I find immensely cheering. [B]1.1[/B] Individualised care [B]1.1.1[/B] Adopt an individualised approach to diabetes care that is tailored to the needs and circumstances of adults with type 2 diabetes, [B]taking into account their personal preferences[/B], comorbidities, risks from polypharmacy, and their ability to benefit from long‑term interventions because of reduced life expectancy. Such an approach is especially important in the context of multimorbidity. Reassess the person's needs and circumstances at each review and think about whether to stop any medicines that are not effective. [B][new 2015][/B] [B]1.3.3[/B] Encourage high‑fibre, [B]low‑glycaemic‑index sources of carbohydrate [/B]in the diet 1.3.6 [B]Individualise recommendations for carbohydrate[/B] and alcohol intake I know from reading your excellent forum over the years that many of you feel your personal preferences have been ignored. This important introductory paragraph gives me real hope of better collaboration between doctors, nurses, dieticians- and patients who at the end of the day probably are the best ‘experts’ on their own lives. Please don’t be disappointed if things don’t change straight away. If any of you feel your voice is not heard in decision making then it’s possible you could make a polite reference to this introductory paragraph from NICE which enshrines your position in deciding the best way forward for your diabetic care [/QUOTE]
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