NICE guidelines have been a revolving door but currently they have come back to the policy that if you are T1 then your diabetes care should be directed by a hospital based diabetes specialist unit, with consultants as well as DSNs, and your GP just prescribes meds and supplies more or less as directed by the hospital team (and does somewhat pointless annual tests that duplicate what the hospital team do). In certain parts of the country this can involve significant travel to the nearest team.
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