Table 2Some appropriate content of education programmes for people with Type 1 diabetes and those personally involved with helping in their day-to-day care*

Around time of diagnosis
  • The aims of management and outcome of good self-management
  • Self-injection and self-monitoring skills
  • Nutritional information for people on insulin injection therapy
  • Detection and management of hypoglycaemia
  • Establishing healthy lifestyle
In the period following diagnosis
  • Reinforcement of above
  • Use of professional advisors and the healthcare system
  • Integration of flexible eating and insulin dosing
  • Goals of self-management
  • Long-term risks and their amelioration (including arterial risk)
  • Management of intercurrent illness and developing complications
  • Role of preventative therapeutic interventions, side effects and importance
  • Lifestyle issues including employment, travel (including across time zones), driving
  • Contraception, pregnancy and children
In the longer term
  • Self-care of late complications including foot care
  • Reinforcement based on annual review of need

See also the recommendations of IDF (Europe)24 and Diabetes UK.282

From: 6, Education progammes and self-care

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.
National Collaborating Centre for Chronic Conditions (UK).
Copyright © 2004, Royal College of Physicians of London.

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