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Type 1 diabetes affects over 370,000 adults in the UK. It results from destruction of the cells that normally make insulin. Loss of insulin secretion results in high blood glucose and other metabolic and haematological abnormalities, which have both short‑term and long‑term adverse effects on health. Over years, type 1 diabetes causes tissue damage which, if not detected and managed early, can result in disability: blindness, kidney failure, periodontitis, and foot ulceration leading to ...

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Do not routinely offer self-monitoring of capillary blood glucose levels for adults with type 2 diabetes unless: - the person is on insulin or - there is evidence of hypoglycaemic episodes or - the person is on oral medication that may increase their risk of hypoglycaemia while driving or operating machinery or - the person is pregnant or is planning to become pregnant

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Education and support, monitoring of blood glucose, cardiovascular risk, and identification and management of long-term complications are recommended for the diagnosis and management of type 1 diabetes in adults.

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This guideline covers care and management for adults (aged 18 and over) with type 2 diabetes. It focuses on patient education, dietary advice, managing cardiovascular risk, managing blood glucose levels, and identifying and managing long-term complications. It is important for the patient to adopt an individualised approach to diabetes care that is tailored to the needs and circumstances of adults with type 2 diabetes, taking into account their personal preferences, comorbidities and risks ...

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The guideline includes recommendations on diagnosis, management of type 1 and type 2 diabetes, diagnosis and management of diabetic ketoacidosis in children and young people with type 1 and type 2 diabetes and service provision. Diabetes is a long‑term condition that can have a major impact on the life of a child or young person, as well as their family or carers. In addition to insulin therapy, diabetes management should include education, support and access to psychological services, as ...