DIABETES CARE PATHWAY EPUB

Everything NICE has said on managing type 1 and 2 diabetes in children, young people and adults in an interactive flowchart. Care pathways improve the delivery of effective care, facilitate critical evaluation of that care and strengthen multidisciplinary communication 2. Developing care. Jump to The type 2 diabetes care pathway - A care pathway is, at its simplest, a set of management guidelines, usually in the form of a flow chart, applied to a group of patients with the same condition. It is a tool used to improve the quality of healthcare by recommending a recognised best practice approach at a certain stage of a disease or condition.‎What is a care pathway? · ‎Applying care pathways to.


DIABETES CARE PATHWAY EPUB

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DIABETES CARE PATHWAY EPUB

IT-supported integrated care pathways for diabetes: A compilation and review of good practices

Offer addition of insulin to the treatments of changes in diet, exercise and metformin j for women with gestational diabetes if blood glucose targets are not met.

Offer immediate treatment with insulin, with or without metformin kas well as changes in diet and exercise, to women with gestational diabetes who have a fasting plasma glucose level of 7. Consider immediate treatment with insulin, with or without metformin diabetes care pathwayas well as changes in diet and exercise, for women with gestational diabetes who have a fasting plasma glucose level of between diabetes care pathway.

Consider glibenclamide m for women with gestational diabetes: Advise pregnant women with type 1 diabetes to test their fasting, pre-meal, 1-hour post-meal and bedtime blood glucose levels daily during pregnancy.

Advise pregnant women with type 2 diabetes or gestational diabetes who are on a multiple daily insulin injection regimen to test their fasting, pre-meal, 1-hour post-meal and bedtime blood glucose levels daily during pregnancy.

IT-supported integrated care pathways for diabetes: A compilation and review of good practices

Advise pregnant women with type 2 diabetes or gestational diabetes to test their fasting and 1-hour post-meal blood glucose diabetes care pathway daily during pregnancy if they are: Offer pregnant women with type 1 diabetes blood ketone testing strips and a meter, and advise them to test for ketonaemia and to seek urgent medical advice if they become hyperglycaemic or unwell.

Advise pregnant women with type 2 diabetes or gestational diabetes to seek urgent medical advice if they become hyperglycaemic or unwell. Test urgently for ketonaemia if a pregnant woman with any form of diabetes presents with hyperglycaemia or is unwell, to exclude diabetic ketoacidosis.

diabetes care pathway

During pregnancy, admit immediately women diabetes care pathway are suspected of having diabetic ketoacidosis for level 2 critical care nwhere they can receive both medical and obstetric care.

Agree individualised targets for self-monitoring of blood glucose with women with diabetes care pathway in pregnancy, taking into account the risk of hypoglycaemia. Advise pregnant women with any form of diabetes to maintain their capillary plasma glucose below the following target levels, if these are achievable without causing problematic hypoglycaemia: Measure HbA1c levels in all pregnant women with pre-existing diabetes at the booking appointment to determine the level of risk for the pregnancy.

Consider measuring HbA1c levels in the second and third trimesters of pregnancy for women with pre-existing diabetes diabetes care pathway assess the level of risk for the pregnancy.

Diabetes - NICE Pathways

Measure HbA1c levels in all women with gestational diabetes at the time of diagnosis to identify those who may have pre-existing type 2 diabetes. Do not use HbA1c diabetes care pathway routinely to assess a woman's blood glucose control in the second and third trimesters of pregnancy.

Be aware that the rapid-acting insulin analogues aspart and lispro have advantages over soluble human insulin during pregnancy and consider their use. Advise women with insulin-treated diabetes of the risks of hypoglycaemia and impaired awareness of hypoglycaemia in diabetes care pathway, particularly in the first trimester.

Advise pregnant women with insulin-treated diabetes to always have available a diabetes care pathway form of glucose for example, dextrose tablets or glucose-containing drinks.

DIABETES CARE PATHWAY EPUB

Provide glucagon to pregnant women with type 1 diabetes for use if needed. Instruct the woman and her partner or other family members diabetes care pathway its use. Offer women with insulin-treated diabetes continuous subcutaneous insulin infusion CSII; also known as insulin pump therapy diabetes care pathway pregnancy if adequate blood glucose control is not obtained by multiple daily injections of insulin without significant disabling hypoglycaemia o.

Do not offer continuous glucose monitoring routinely to pregnant women with diabetes.

DIABETES CARE PATHWAY EPUB

Consider continuous glucose monitoring for pregnant women on insulin therapy: Ensure that support is available for pregnant women who are using continuous glucose monitoring from diabetes care pathway member of the joint diabetes and antenatal care team with expertise in its use.

Offer pregnant women with pre-existing diabetes retinal assessment by digital imaging with mydriasis using tropicamide following their first antenatal clinic appointment diabetes care pathway they have had a retinal assessment in the last 3 monthsand again at 28 weeks. If any diabetic retinopathy is present at booking, perform an additional retinal assessment at weeks.

Diabetic retinopathy should not be considered a contraindication to rapid optimisation of blood glucose control in women diabetes care pathway present with a high HbA1c in early pregnancy.

Ensure that women who diabetes care pathway preproliferative diabetic retinopathy or any form of referable retinopathy diagnosed during pregnancy have ophthalmological follow-up for at least 6 months after the birth of the baby.

Diabetic retinopathy should not be considered a contraindication diabetes care pathway vaginal birth. If renal assessment has not been undertaken in the preceding 3 months in women with pre-existing diabetes, arrange it at the first contact in pregnancy.

For guidance on using antiplatelet agents to reduce the risk of pre-eclampsia in pregnant women with diabetes, see recommendation 1.



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