1. Community Diabetes Specialist Team
Nikki Ottonaro

2. Meet the Team Nikki Ottonaro – Team Co-ordinator
Jean Duffell – Clinical Lead
Sema Jethwa – DAFNE lead
Vikki Griffin – DSP
Full time vacancy

3. Type 1 Diabetes Newly diagnosed for education DAFNE & DAFNE support
Poor control for education in self-management skills
Frequent DKA
Hypoglycaemia
High admissions/ambulance call-outs

4. Type 2 Diabetes Insulin treated with poor control
Clinical challenge despite LES management
(for those surgeries part of the scheme)
Locally Enhanced Service practices expected to managed Type 2 Diabetes patients with Type 2 Diabetes for
Insulin initiation
Titration
Simple once/twice daily regimens

5. Those people requiring Community Nursing input
Housebound
Care homes
Not all of these individuals will be under our care
Most under care of own GP
Importance that frailty is taken into consideration
Many individuals may be over treated

6. Education/Training Patient Education Staff Training DAFNE
One to one sessions
Staff Training
EPUT/University students/Care home staff
HCAs
Nurses
GPs
Sheltered housing officers

7. Any Questions?