1. Newly Diagnosed Type 1 Diabetes Mellitus
Community referral from GP
Hospital Admission
Patient to present at A&E or HDC
GP to send patient with letter and if HDC also with insulin and needles
GP to prescribe test strips and sharps bin
Advice to come to HDC/A&E
Diagnosis confirmed
GP to send secondary care endocrine referral
Refer to
Diabetes Specialist Nurse (DSN)
Refer to diabetes consultant
First contact
Education
Teaching insulin
Ask ward staff to check for ketones
Glucometer teaching
Hypoglycaemia management
Driving (advise to inform DVLA)
Arrange outpatient appointment in Diabetes Clinic
Refer to Diabetes Specialist Dietitian
First contact
Arrange follow-up appointment within a week
Carbohydrate awareness
Dietary/Exercise advice
Arrange follow-up appointment
Offer psychology referral
DSN to update GP (fax/ )
Discharge planning:
Assess competency with glucometer and insulin administration
Arrange appointment at Diabetes Centre
Refer to Carb Counting ASAP
Offer evening group session for Type 1s
Refer to BHICEP >1 year post diagnosis