1. Newly Diagnosed Type 2 Diabetes Mellitus
(Requiring Urgent Intervention - Symptomatic)
Community / GP
Hospital Admission / A&E
GP to call Hackney Diabetes Centre and send patient Centre with letter (and insulin/needles if needed)
Confirm diabetes diagnosis with endocrine registrar / diabetologist
Refer to retinal screening
Assess patient at HDC
& Initiate treatment as per NICE guidance for Type 2 DM
Referral to Diabetes Specialist Nurse (DSN)
Refer to EDDI & retinal screening
Initial appt: Education, What is diabetes? What care to expect, Treatment initiation or review, Glucometer teaching if applicable
Follow up appts by DSN: Hackney Diabetes Centre or community / GP clinic. NB. If on insulin or sulphonyurea follow up to be given within 1 week
Refer to Diabetes Specialist Dietitian
Insulin therapy: review prior to discharge
Oral hypoglycaemic medication: follow up community / Outpatients
Refer to EDDI or
1-2-1 dietitian if non-English speaking