Exeter Diabetes Handbook

This page is under construction

This section of the website is primarily intended for healthcare professionals, and uses medical language. We hope to develop a section for the benefit of patients in the future.

The Diabetes UK website is an excellent source of information for patients and professionals alike.

See below the subject headings of the Exeter Diabetes Handbook. They will, in time, be linked to the relevant sections of the handbook.

Emergencies
  Hypoglycaemia
  DKA and HHS (HONK)
  Sudden visual loss

Referral guidelines

  Entry and exit criteria for RD&E diabetes   clinics

Diabetes diagnosis
Diagnostic criteria
  What type of diabetes Is It?

Diabetes education
  Structured education
  Dietary advice

Screening and annual review
  New HbA1c units

  Symptoms
  Examination
  Biochemistry

Blood glucose control in type 2 diabetes

Treatment pathway

Glycaemic targets

Metformin

  Sulphonylureas
  Which drug next?
  Insulin in type 2 diabetes

Pioglitazone

  DPP-4 inhibitors (Gliptins)
  GLP-1 analogues
  Ramadan

Insulin
  Which insulins are currently available?
  Newer analogue insulins
  Dose adjustment
  Dose adjustment for illness and exercise

Driving

Driving and insulin treatment

(includes new Group 2 entitlement)

Pregnancy
  Screening for diabetes in pregnancy
  Follow-up of gestational diabetes

Cardiovascular risk reduction
  Smoking
  Blood pressure
  Cholesterol and lipids in type 1 diabetes

Cholesterol and lipids in type 2 diabetes
Anti-platelet therapy

Renal disease in diabetes
Referral

Microalbuminuria
Blood pressure control

Integrated foot care

Podiatry services in Exeter, Mid & East Devon

Who should see this foot?

Integrated Footcare Pathway

Annual review - pulses

Annual review - neuropathy

Charcot

Antibiotic protocol for primary care

Painful diabetic neuropathy