1. Type 2 Diabetes Structured Patient Education
Vanessa Sawmynaden-Diabetes Specialist Nurse (CNWL)
Katie Hacker-Dietitian (Whittington Health)

2. Current provision DESMOND Who What Where How
DIABETES
EDUCATION
and
SELF
MANAGEMENT
for
ONGOING and
NEWLY
DIAGNOSED
DESMOND
.All newly diagnosed Type 2 DM
.Existing Type 2 DM non-insulin treated
.Suitable for group education
Who
.1 day (6 hours)
.10 Patients
.2 HCPs
What
.South Camden Centre for Health
.Peckwater Centre
Where
.GP/PN referral via CICS
.Self-referral to Diabetes Service
How

3. What is DESMOND? Self-management programme based on theoretical basis
Considering;
How people make sense of information to influence their beliefs and behaviors
The impact of social factors on learning, confidence and behavior change
The role of implementing intentions and goal setting in supporting behavior change
Person – centered philosophy

4. Topics in DESMOND Part 2: My Diabetes and Self-Management Plan
Part 1: Getting the big picture
Patient Story (how did they find out, what do they know, what do they want to know)
Professional story 1 (Diabetes and Glucose)
Monitoring Diabetes
Taking Control 1 (Food choices-Glycaemia and Insulin Resistance)
Reflections so far
Part 2: My Diabetes and Self-Management Plan
Professional Story 2 (Risk Factors and Complications)
Physical Activity
Taking Control 2 (Food choices- Focus on Fats)
Self-Management Plan
Burning Questions and Future Care

5. DESMOND Process Referrals: - received - triaged - accepted
Admin invites patient to book DESMOND session
Admin contacts those not opting in
.Attended -D/C
.DNA-D/C
.Not opting in-D/C

6. DESMOND data
April 2013-May sessions provided

7. Initial comments from patients
I do not know why I am here?
My GP said that I am borderline/ I have mild diabetes
What can I eat or not eat?
I do not know why I got DM
I don’t think I have DM yet as my sugars are not high?
Can I stop medication if my DM is better ?
Can DM be cured?

8. Feedback after DESMOND
What sort of things do you think are important?
“Learning to self-manage”
“I now know how serious it is”
“Going for regular tests, portion control, lowering intake of sugar, salt and saturated fats”
“I feel good in myself and more relax”
“I do not know why more people do not come to DESMOND”
What do you understand better?
“The interactions about the various types of management”
“That I cannot ignore the warning and that I must be sensible to live longer + better!”
“Very helpful-at least I know what food to avoid and what to eat”
“What is happening in my body”
“Can I come back again?”

9. Future Plans for DESMOND
Additional venue in North West Camden
Saturday DESMOND
More trained educators
Working with referrers to promote DESMOND to patients (to increase opt-in and attendance)

10. Future plans for Type 2 DM Structured Education in Camden
Structured group education for Bangladeshi population
Refresher group education
On-line education
HeLP:
DUK online education:

11. Thank You