NICE guidance on type 2 diabetes in adults – what’s new?

The eagerly awaited NICE guidance on type 2 diabetes in adults (NG 28) was finally published in December 2015¹ after two substantial revisions and not a small amount of controversy.²

Guiding principles
NG28 emphasises the importance of an individualised approach to diabetic care according to the needs, circumstances and preferences of the patient. Co-morbidities, the risks of polypharmacy and reduced life-expectancy should all be factored into decision making.

As discussed in the previous NICE guideline of 2009³ structured education should be offered to the patient, family members or carers at the time of diagnosis (and the need for further education reviewed annually). Group education is the preferred option with programmes meeting the cultural, linguistic and literary needs within the local group.