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Grampian guidelines 2009 Grampian MCN meeting 27 th May 2009. Donald Pearson Consultant Diabetologist NHS Grampian Lead Clinician for Diabetes in Scotland. Research Evidence Guidelines Implementation . Evidence Guidelines Implementation Better Outcomes.

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Grampian guidelines 2009 grampian mcn meeting 27 th may 2009

Grampian guidelines 2009Grampian MCN meeting27th May 2009

Donald Pearson

Consultant Diabetologist NHS Grampian

Lead Clinician for Diabetes in Scotland


Improving the lives of people with diabetes in grampian

Research

Evidence

Guidelines

Implementation

Evidence

Guidelines

Implementation

Better Outcomes

Improving the lives of people with diabetes in Grampian



Improving the lives of people with diabetes in grampian2

Research

Evidence

SIGN

Evidence

SIGN

Local Guidelines

Improving the lives of people with Diabetes in Grampian


Electronic guideline four main sections
Electronic Guideline Four main sections


Electronic guideline four main sections1
Electronic Guideline Four main sections

  • A: CLASSIFICATION, DIAGNOSIS, INITIAL MANAGEMENT, PREVENTION AND SCREENING

  • B: SUPPORTING SELF-MANAGEMENT

  • C: GLYCAEMIC CONTROL

  • D: COMPLICATIONS


Scottish diabetes survey 2007 prevalence of diabetes in scotland
Scottish Diabetes Survey 2007Prevalence ofDiabetes in Scotland

NHS Boards 2006


Prevention of type 2 diabetes mellitus
Prevention of Type 2 Diabetes Mellitus

In Adults

Set realistic goals – don’t worry if the odd day is missed but try to make sure physical activity is part of everyday life

Encourage the person to select activities that they enjoy – such as walking, cycling, swimming, aerobics and gardening

Minimise sedentaryactivities, such as sitting for long periods watching television, at a computer or playing video games.

Build activity into the day – for example, get off the bus a stop earlier and walk, take the stairs instead of the lift, take a walk at lunchtime.


Electronic guideline four main sections2
Electronic Guideline Four main sections

  • A: CLASSIFICATION, DIAGNOSIS, INITIAL MANAGEMENT, PREVENTION AND SCREENING

  • B: SUPPORTING SELF-MANAGEMENT

  • C: GLYCAEMIC CONTROL

  • D: COMPLICATIONS


“ The average person with diabetes will spend 3 hours with a Healthcare Professional and will take care of themselves for the remaining 8757hours in a year”

0.034%


Electronic guideline four main sections3
Electronic Guideline Four main sections

  • A: CLASSIFICATION, DIAGNOSIS, INITIAL MANAGEMENT, PREVENTION AND SCREENING

  • B: SUPPORTING SELF-MANAGEMENT

  • C: GLYCAEMIC CONTROL

  • D: COMPLICATIONS


Patients reaching targets for hba1c blood pressure and cholesterol in 2004 2007
Patients reaching targets for HbA1c,Blood Pressure and Cholesterol in 2004-2007

≤ 5 mmol/l

≤ 140 mmHG

≤ 7.5 %

HbA1c

Systolic BP

Cholesterol


Electronic guideline four main sections4
Electronic Guideline Four main sections

  • A: CLASSIFICATION, DIAGNOSIS, INITIAL MANAGEMENT, PREVENTION AND SCREENING

  • B: SUPPORTING SELF-MANAGEMENT

  • C: GLYCAEMIC CONTROL

  • D: COMPLICATIONS


Scottish diabetes survey 2007 diabetic retinopathy screening
Scottish Diabetes Survey 2007Diabetic retinopathy screening


Improving the lives of people with diabetes in grampian3
Improving the lives of people with Diabetes in Grampian

  • Implementation

    Diabetes Action Plan 2006

    Better Diabetes Care : Consultation Document 2009

  • Outcomes

    Quality Improvement Scotland 2004, 2007

    Scottish Diabetes Survey 2001-9


Working in partnership with patients to deliver patient centred care
Working in partnership with patients to deliver patient centred care

  • Listen to patients and respond to their concerns and preferences

  • Give patients the information they want or need in a way they can understand

  • Respect patients’ right to reach decisions with you about their treatment and care

  • Support patients in caring for themselves to improve and maintain their health

    GMC Good Medical Practice 2006


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