September 2015

NICE updates three diabetes guidelines

The UK’s National Institute for Health and Care Excellence published three updated guidelines for the management of diabetes on August 26 that emphasize prevention and rapid care of diabetic foot problems and tight glucose control for adults and children.

The recommendations for prevention of diabetic foot problems include providing education to patients on foot care and complications and advise immediate referral of people with limb- or life-threatening foot problems to a multidisciplinary foot care service. All other active diabetic foot problems should be referred within one working day to the multidisciplinary foot care service or foot protection service, according to the guidelines.

The guidelines for management of type 1 diabetes in adults and for type 1 and 2 diabetes in children advise clinicians to attempt to reach a target HbA1c level of 6.5% or lower. The authors note that achieving such tight control can be difficult, particularly for pediatric patients, who may need individualized targets.

The updated guidelines are available at

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