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

Type 1 Type 2 NICE
As diabetes is one of the costliest long-term conditions, management is vital, writes David Morris.

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.

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