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Cover of Type 1 Diabetes in Adults

Type 1 Diabetes in Adults

National Clinical Guideline for Diagnosis and Management in Primary and Secondary Care

NICE Clinical Guidelines, No. 15.1

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London: Royal College of Physicians (UK); .
ISBN-10: 1-86016-228-2

Type 1 diabetes can, if poorly controlled, produce devastating problems in both the short and the long term. Good control of blood glucose levels reduces the risk of these problems arising, but can be very difficult for patients and carers to achieve. This guideline emphasises that the NHS should provide all patients with the means – and the necessary understanding – to control their diabetes, and that it should help patients integrate the disease management with their other activities and goals. It argues that every person with diabetes should be able to develop their own care plan and utilise effective treatment in a way agreeable to them. The input of various health professionals may be needed to achieve this, and should be readily available. A system of regular monitoring, so that any complications which do develop are picked up at an early stage and treated appropriately, should also be provided.

In common with all NICE guideline recommendations, those for Type 1 diabetes have been developed using a rigorous, evidence-based methodology. An extensive search identified the relevant medical literature, and papers were carefully assessed to ensure that recommendations were based on treatment and practice of proven benefit. This process was carried out by a guideline development group (GDG), a small team from the NCC-CC working together with patients and health professionals with wide expertise in Type 1 diabetes. They have used the available evidence to produce guidance that is clinically relevant as well as methodologically sound. The availability of clinical expertise also allowed recommendations to be made in areas for which there is inadequate evidence, but which are important to patients and carers. At the same time the need for further research in these areas was indentified.

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Copyright © 2004, Royal College of Physicians of London.
Bookshelf ID: NBK57227PMID: 21938859
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