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Information Booklet
for People with Newly
Diagnosed Type 2
Diabetes
2011-2012
Information Booklet for People with Newly Diagnosed Type 2 Diabetes 2011-2012
Contents
page
Introduction
/ your diabetes team
3
_______________________________________________
Details
about your diagnosis and your diabetes team
4
_______________________________________________
What
happens following your diagnosis?
5
____________________________________________________________
How
can you learn more?
8
___________________________________________________________
The
annual review, what is involved?
10
____________________________________________________________
Your
care plan
11
______________________________________________________________
Always
be in control of your diabetes
12
______________________________________________________________
Retinal
Screening for people with diabetes
14
___________________________________________________________________________
Looking
after you feet
18
__________________________________________________________________________
Monitoring
your diabetes
19
_______________________________________________
Entitlements
/ Insurance
21
_______________________________________________
Reference
list: other opportunities to access information
22
_______________________________________________
Diabetes UK / Local Diabetes UK Support Group
23
We would like to acknowledge Eli Lilly, Novo Nordisk and Sanofi-aventis for their
generosity in helping towards the printing costs of this booklet.
Information Booklet for People with Newly Diagnosed Type 2 Diabetes 2011-2012
Introduction
You, or a member of your family have recently been diagnosed
with Type 2 Diabetes. This information pack has been designed
to guide you through your first six-months following diagnosis
and offers you an insight into how your diabetes can be successfully
managed, what care to expect and the resources available. This
pack includes:
Information booklet for people with newly diagnosed type
2 diabetes.
If you require this booklet in large print, please contact the
Patient Advice and Liaison Service (PALS) on 0800 3289712.
Diabetes Care and You - What diabetes care you can expect
Information Booklet for People with Newly Diagnosed Type 2 Diabetes 2011-2012
Your diagnosis
Your GP or nurse has informed you that you have diabetes, which
has been confirmed by a blood test. Either your fasting blood
glucose (before breakfast) was above 6.9mmol/l, or a random
blood glucose (after food) was above 11mmol/l.
HbA1c
Fasting blood glucose
Random blood glucose
Date of diagnosis
Diagnosis: Type 1 or 2
Information Booklet for People with Newly Diagnosed Type 2 Diabetes 2011-2012
Diagnosis
You may have many questions following your diagnosis. A series
of appointments will be available to you with a member of your
practice diabetes team. Please use this opportunity to learn
about:
Information Booklet for People with Newly Diagnosed Type 2 Diabetes 2011-2012
Appropriate referral
Your diabetes team will act as a resource, explaining about local
services that have been designed to help people with diabetes.
You will need to decide which meet your own needs.
A variety of services are available throughout the area.
Examples of services:
At your own practice:
Information Booklet for People with Newly Diagnosed Type 2 Diabetes 2011-2012
Education
To allow you to make informed decisions about how you
manage your diabetes, education is vital. Please refer to pages
8-9 & 22-23.
Information Booklet for People with Newly Diagnosed Type 2 Diabetes 2011-2012
Diabetes?
We can help
Courses run during the day and in the evening and are held at
suitable venues with disabled access and ample parking.
stamp
required
Dr No
Trudi
Deakin
2003
Diabetes
Information
Pack 2010-2011
Information Booklet for PeopleType
with 2Newly
Diagnosed
Type 2 Diabetes
2011-2012
education available
available
Other education
diabetes team
team
Your diabetes
The
Theteam
team are
are aa good
good resource for:
s Information
Information about
about diabetes
diabetes
s Local
Local services
services and
andreferral
referralpathways
pathways
s All appointments should be seen as an
Diabetes UK Bexley Support Group
educational opportunity.
Contact details on page 23.
Diabetes UK Bexley Support Group
Reference
list on page 21.
Contact details
For a list of other education options, refer to page 22.
Reference list
For
a list of diabetes
other education
Specialist
team options, refer to page 20.
A
multi-disciplinary
Specialist
diabetesteam
teamproviding
education to practice teams and
A multi-disciplinary team providing
services to people with diabetes.
education to practice teams and
services to www.diabetesbexley.org.uk
people with diabetes.
Website:
Access thewww.bexley.nhs.uk
local website for a wealth of
Website:
information
andare
links
to useful
sites.
Diabetes
pages
under
construction.
9
Information Booklet for People with Newly Diagnosed Type 2 Diabetes 2011-2012
Your
Practice
will contact
you bytwo
letter
or phone approximately
1
You will
be expected
to attend
appointments
at your Practice,
month
before
the
review.
You
will
need
to
have
a
blood
test
2-3
approximately one month apart, plus a separate eye screening
weeks
beforehand.
will be
asked
to fast from 10pm
thewill
night
appointment
at oneYou
of four
local
opticians.Some
practices
ask
before
(nothing
to
eat
or
drink,
except
water),
to
ensure
your
you to have your blood tests collected separately
blood fat test is accurate.
Information Booklet for People with Newly Diagnosed Type 2 Diabetes 2011-2012
Once all results have been collected, they will be sent to you in
advance of your next appointment, giving you the opportunity to
consider possible changes to improve your health.
Ongoing support
This will depend on your individual care plan. Please refer to the
booklet Diabetes care and you what diabetes care to expect.
It clearly identifies the ongoing care you are entitled to as well as
your responsibilities. Consider the following:
Your diabetes team follow local diabetes guidelines that are reviewed
regularly and based on research findings and national guidelines.
11
Information Booklet for People with Newly Diagnosed Type 2 Diabetes 2011-2012
Type 2 Diabetes Information Pack 2010-2011
8. Have
moreseeds
whole grains, lentils, pulses,
nuts and
nuts and seeds
12
12
Be
active
Information
Booklet for People with Newly Diagnosed Type 2 Diabetes 2011-2012
s Consider activities youType
enjoy
2 Diabetes Information Pack 2010-2011
Be
activeshould make you warm and slightly out of breath
s Exercise
s
Consider
you suitable
enjoy for you
BeBuild
active
up toactivities
a level that
s Consider
Exercise should
make
warm and slightly out of breath
activities
you you
enjoy
30
minutes
of
physical
activity, 5 days a week,
s Exercise
Build upshould
to a level
suitable
for you
make
you warm
and slightly out of breath
13
13
24/9/10 14:03:17
Type 2 Diabetes
Pack
2010-2011
Information
BookletInformation
for People with
Newly
Diagnosed Type 2 Diabetes 2011-2012
Retinal Screening
screening for people
people
with Diabetes
diabetes
Diabetes can
can cause
cause changes
changesto
tothe
thesmall
smallblood
bloodvessel
vesselnetwork
network
in the body.
body. The
The eyes
eyes have
haveaasmall
smallblood
bloodvessel
vesselnetwork
networkand
and
over time, the
vessel
walls
can
weaken
and
leak
blood
and
the vessel walls can weaken and leak blood andother
other
substances into
into the
the retina
retina(the
(thelight
lightsensitive
sensitivelayer
layerinside
insidethe
theeye)
eye)
- this is called
Diabetic
Retinopathy.
called Diabetic Retinopathy.
These leakages
centralcentral
and/or and/or
leakages can
can cause
causeblurriness
distorted affecting
vision affecting
peripheral vision.
vision. Often
Oftenthere
thereare
areno
nosymptoms
symptomsuntil
untilthe
thedisease
disease
is at an advanced
stage
therefore
it
is
very
important
that
advanced stage - therefore it is very important thatany
any
changes are detected
detected as
as easily
easilyas
aspossible.
possible.This
Thisisisthe
theaim
aimofof
retinal screening.
screening.
As a
a person
As
person with
with diabetes,
diabetes,
you
will
be
offered
you will be offered an
an
annual
retinopathy
annual retinopathy
screening appointment
screening
appointment at
at
a
local
Opticians
practice,
a local Opticians practice,
which has
which
has been
been fitted
fitted with
with
special
cameras
to
take
special cameras to take
photographs of
photographs
of the
the retinas
retinas
to
check
for
any
diabetic
to check for any diabetic
changes. The
changes.
The screener
screener has
has
been
accredited
to
a
national
been accredited to a national
standard.
standard.
Normalretina
retina
Normal
The retinal
The
retinal screening
screening
appointment
appointment is
is different
different to
to
a
routine
eye
examination
a routine eye examination.
and you
should
attend
Please
refer
to page
both.
Please
refer
to page
21 for more information:
19 for more information:
Entitlement.
Entitlement.
DiabeticRetinopathy
Retinopathy
Diabetic
14
14
Information Booklet for People with Newly Diagnosed Type 2 Diabetes 2011-2012
These images are then analysed for any diabetic changes and
should further assessment be necessary an appointment at
the local Hospital Eye Department will be arranged.
Pregnant women
15
Information Booklet for People with Newly Diagnosed Type 2 Diabetes 2011-2012
Redness
16
Diabetes
Information
Pack 2010-2011
Information Booklet for PeopleType
with 2Newly
Diagnosed
Type 2 Diabetes
2011-2012
What if
What
if II detect
detect problems
problemsbetween
betweenappointments?
appointments?
If
If you
you experience
experience any
any visual
visualproblems
problemsbetween
betweenscreening
screening
appointments
it
is
important
you
consult
appointments it is important you consultyour
yourOptician.
Optician.
How can I prevent
prevent Diabetic
DiabeticRetinopathy
Retinopathydeveloping?
developing?
Keep your
your blood
blood glucose,
glucose, blood
s Keep
blood pressure
pressure and
and cholesterol
cholesterol
within
the
targets
agreed
with
your
Diabetes
Team
within the targets agreed with your Diabetes Team
s Maintain
Maintain aa healthy
healthydiet
dietand
andkeep
keepactive
active
s Attend
Attend your
your annual
annualretinal
retinalscreening
screeningappointment
appointment
s Attend
Attend your
your NHS
NHS eye
eyeexamination
examination
Contact information
Contact
information
To arrange,
arrange, or
or rearrange
rearrange an
an appointment,
appointment, or
or for
for further
further information
information
To
about
the
screening
programme,
please
telephone
0208
about the screening programme, please telephone 0208 776
776 3854
3854
or email
or
email bro-pct.BBGDRSregister@nhs.net.
bro-pct.BBGDRSregister@nhs.net.
Address: Digital
DigitalRetinopathy
RetinopathyScreening
ScreeningManager
Manager
SummitHouse
House
Summit
GlebeWay
Way
Glebe
WestWickham
Wickham
West
KentBR4
BR40RJ
0RJ
Kent
17
17
Information Booklet for People with Newly Diagnosed Type 2 Diabetes 2011-2012
Dry, especially between the toes. Cut and file toe nails
following the contour of the nail. If you are unable to cut
your own toe nails, please discuss this with your diabetes
team. A local subsidised nail cutting service is available.
AVOID direct heat and hot water bottles. Loss of pain and
sensitivity make these dangerous.
Ensure shoes fit well. Have your feet measured and consider
the width of shoes as well as length.
18
Information Booklet for People with Newly Diagnosed Type 2 Diabetes 2011-2012
% HbA1c (mmol/l)
12 (108)
11 (97)
10 (86)
9 (75)
8 (64)
7 (53)
6 (42)
5 (31)
4 (20)
3 (9)
0
10
11 12 13
14 15 16
17 18 19
19
Information Booklet for People with Newly Diagnosed Type 2 Diabetes 2011-2012
HbA1c test
Control
4.1-6% or 21-42mmol/l
Normal Range
3-6 mmol/l
6-7% or 42-53mmol/l
Good Control
6-8mmol/l
7-8% or 53-64mmol/l
Adequate Control
8-10mmol/l
8-9% or 64-75mmol/l
Poor Control
10-12mmol/l
9-11% or 75-97mmol/l
12-15mmol/l
Serious Problems
15mmol/l or more
3. Urine testing
Not an accurate form of monitoring, although preferred by some
people who want a rough guide to detect abnormally high levels
of glucose in the body.
20
Information Booklet for People with Newly Diagnosed Type 2 Diabetes 2011-2012
Entitlements
People who take medication to help control their diabetes,
regardless of age, are entitled to free prescriptions. You can
collect an exemption form (FP92A) from your GP. This must
be signed by your GP before it is sent off.
All people with diabetes are entitled to a free annual flu
vaccination. It is strongly recommended that you have
this vaccine. You are also entitled to a free pneumococcal
(pneumonia) vaccine. This is only required once.
People with diabetes are entitled to a free eyesight test.
However, as retinal screening is now an annual event, the
frequency will depend on other clinical reasons not diabetes.
This may be one or two years and you should be advised by
your optometrist.
Dental treatment is not free, although it is recommended that
you visit a dentist every 6-months to help prevent gum disease.
Insurance
Motor Insurance
You are advised to inform your insurance company that you have
been diagnosed with diabetes. Failure to do so may result in your
insurance becoming invalid.
21
Information Booklet for People with Newly Diagnosed Type 2 Diabetes 2011-2012
Diabetes UK
Informative website
Careline contact details: 0845 120 2960 or careline@diabetes.org.uk.
Literature including recipe books, booklets on subjects related to
diabetes and magazines:
Diabetes For Beginners (Type 2)
Diabetes UK: a magazine at diagnosis or as a refresher. Available
free of charge from your local diabetes UK support group, as
well as Diabetes UK for 3.
Balance Bi-monthly magazine.
Type 2 diabetes: a new beginning starter pack
The pack consists of a DVD, a specially designed 36 page leaflet
along with copies of Know your labels and Know your numbers.
22
Diabetes UK
Diabetes UK is the charity
charity for
for people
people with
with diabetes,
diabetes,
their family, friends and
and carers.
carers. Their
Their mission
mission isis to
to
improve the lives of people
people with
with the
the condition
condition and
and
work towards a future without
without diabetes.
diabetes.
Membership line:
line: 0800
0800 138
1385605
5605
Care line on
on 0845
0845 120
120 2960
2960Website:
Website:www.diabetes.org.uk
www.diabetes.org.uk
wealth of
of Information
Informationand
andsupport.
support.
for a wealth
Local Diabetes
Diabetes Support
Support Group
Group
This
group was
was formed
formed in
in2000
2000and
andoffers
offersmutual
mutualsupport,
support,
This group
sharing
information about
aboutthe
thecondition
conditionand
andgood
goodpractice
practice
sharing information
in
current
care
and
treatment
as
well
as
campaigning
for
in current care and treatment as well as campaigning for
improvements
in diabetes
diabeteshealth
healthcare
careprovision
provisionwithin
withinBexley.
Bexley.
improvements in
No membership
membership fee
fee isis payable
payableand
andmeetings
meetingsare
areheld
heldatat7.30pm
7.30pm
on the 3rd Friday
Friday of
of each
eachmonth
month(except
(exceptAugust)
August)atatthe
theUnited
United
Reformed Church,
Church, Geddes
Geddes Place,
Place,Bexleyheath.
Bexleyheath.Anyone
Anyoneaffected
affectedby
by
diabetes
whether
a
patient,
carer
or
relative,
is
welcome
to
diabetes whether a patient, carer or relative, is welcome to attend
attend
it is an opportunity
meet
withinothers
in a and
friendly
and it isand
an opportunity
to meet to
with
others
a friendly
and
informal
atmosphere.
Various
health
care
professionals
informal atmosphere. Various health care professionals speak at
speak
at meetings
topical
issues
from
healthy
eating,
meetings
on topicalon
issues
from
healthy
eating,
activity,
eyeactivity,
& foot
eye
&
foot
care,
to
medication
and
research.
care, to medication and research.
A monthly newsletter
newsletter isis sent
sentout
outcontaining
containingup-to-date
up-to-date
information of
of the
the groups
groupsactivities
activitiesand
andnews
newson
onnew
newinitiatives
initiatives
in diabetes care
care and
and research.
research.AAvariety
varietyofofsocial
socialevents
eventsare
arealso
also
arranged throughout
throughout the
the year.
year.Further
Furtherinformation
informationabout
aboutthe
the
group can be
be obtained
obtained by
bycontacting
contactingthe
theExecutive
ExecutiveSecretary
Secretary
on 0208 302 2446
2446 or
or at
at www.bexley.diabetesukgroup.org.
www.bexley.diabetesukgroup.org.
21
23
Bexley Diabetes
www.diabetesbexley.org.uk
Published by Bexley Diabetes, April 2011 2nd edition