Information Booklet for People with Newly Diagnosed Type 2 ... · Information booklet for people with newly diagnosed type 2 diabetes. If you require this booklet in large print,

Information Booklet for People with Newly Diagnosed Type 2Diabetes2011-2012

Bexley Diabetes

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Information Booklet for People with Newly Diagnosed Type � Diabetes �011-�01�

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Contents page

Introduction / your diabetes team 3

Details about your diagnosis and your diabetes team 4

What happens following your diagnosis? 5

How can you learn more? 8

The annual review, what is involved? 10

Your care plan 11

Always be in control of your diabetes 1�

Retinal Screening for people with diabetes 14

Looking after you feet 18

Monitoring your diabetes 19

Entitlements / Insurance �1

Reference list: other opportunities to access information ��

Diabetes UK / Local Diabetes UK Support Group �3

We would like to acknowledge Eli Lilly, Novo Nordisk and Sanofi-aventis for their generosity in helping towards the printing costs of this booklet.

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Introduction You, or a member of your family have recently been diagnosed with Type � Diabetes. This information pack has been designed to guide you through your first six-months following diagnosis and offers you an insight into how your diabetes can be successfully managed, what care to expect and the resources available. This pack includes:Information booklet for people with newly diagnosed type 2 diabetes.

If you require this booklet in large print, please contact the Patient Advice and Liaison Service (PALS) on 0800 3�8971�.

Diabetes UK booklets and information: • Understanding diabetes: Your essential guide

• Eating well with Type � diabetes

• Diabetes Care and You - What diabetes care you can expect

• Local services: information sheet �011-1�

X-PERT education programme • Information leaflet and self referral form

Diabetes UK Bexley support group flyer

Space for your diabetes review summaries

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Your diagnosis

Your GP or nurse has informed you that you have diabetes, which has been confirmed by a blood test. Either your fasting bloodglucose (before breakfast) was above 6.9mmol/l, or a random blood glucose (after food) was above 11mmol/l.

HbA1c

Fasting blood glucose

Random blood glucose

Date of diagnosis

Diagnosis: Type 1 or 2

Your diabetes team

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What happens followingyour diagnosis? The booklet entitled “Diabetes care and you – what care toexpect” outlines the responsibilities of the diabetes teamfollowing your diagnosis with Type � diabetes and ongoing. You are considered as part of the team, working in partnership with healthcare professionals as you manage your diabetes.

DiagnosisYou may have many questions following your diagnosis. A series of appointments will be available to you with a member of your practice diabetes team. Please use this opportunity to learn about:

• How to successfully manage you diabetes

• Services available for you to access

• Other investigations, looking for risk factors associated with diabetes.

Assessment and Goal setting Following diagnosis is a great time to reflect on your current lifestyle and health and consider making achievable changes. It’s worth asking the following questions:

• How do I feel about being told I have diabetes?

• What’s good and what’s not so good about my life and my health?

• What influences how you live your life?

• How healthy are you at the moment?

• What realistic changes can I make to help me manage my life and my health better?

• What support will I need to achieve changes long term?

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Appropriate referral Your diabetes team will act as a resource, explaining about local services that have been designed to help people with diabetes. You will need to decide which meet your own needs.

A variety of services are available throughout the area.

Examples of services:

At your own practice: • Your personal care plan

• Weight loss programme

• Stop smoking advice

• Blood pressure checks

Specialist diabetes services:

• X-PERT education programme (see page 8-9)

• Individual appontment with a dietician

• Referral to the local diabetes eye screening service

• A subsidised nail cutting service for people over the aged of 50

• Podiatry for people which recognised foot problems

• Referral to the Consultant Diabetologist

• Referral to Diabetes Specialist Nurses

Healthy Living services:

Information about local services can be found on theBexley Council website: [email protected]

Please refer to the information sheet for up-to date news about local services, included in this pack.

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EducationTo allow you to make informed decisions about how you manage your diabetes, education is vital. Please refer to pages 8-9 & ��-�3.

Maintenance (ongoing support) Please refer to the booklet “Diabetes Care and You - What dia-betes care to expect”. It clearly identifies the care you are enti-tled to at diagnosis and ongoing. You should have:

• Follow up determined by individual needs

• Blood test at least 6 monthly to assess your diabetes control

• A formal annual review of all your tests, investigations and examinations (see page 9 for more information)

• Further education when you are ready

• Care plan review

• Contact details for your diabetes team for support and ad vice by phone between visits

• Blood pressure check at least 6 monthly if you are taking blood pressure tablets

Your diabetes team follow local diabetes guidelines that are reviewed regularly and based on research findings and national guidelines.

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How can you learn more? People living with diabetes have a crucial role in managing their condition on a day-to-day basis. Supporting self-care is at the centre of our local diabetes model. Education is a vital part of this support package and Bexley Care Trust has invested in the award winning X-PERT Education Programme.

The X-PERT Programme runs over 5 weeks and consists of five, �.5 hour sessions. The programme is specifically designed for people with Type � diabetes following diagnosis or at any time in the future, if education is identified within care plans.

Courses run during the day and in the evening and are held at suitable venues with disabled access and ample parking.

The new X-PERT Taster This is now available for people not wanting to commit to the full programme. X-PERT taster involves one �.5 hour session highlighting the subjects normally covered in the first week: • What is diabetes? • The Diabetes Health Profile • The Lifestyle Experiment

You will also be given the programme’s handbook which includes the full X-PERT programme.

For more information please talk to your diabetes team or access The local diabetes website: www.diabetesbexley.org.uk

Referral is normally made by your Diabetes team or you can refer yourself using the leaflet enclosed in this pack.

Diabetes? We can help

No stamp required FREEREGISTER NOW FOR YOUR

DIABETES PROGRAMME

BEX050 XPERT DL LEAFLET.indd 1-3 11/3/11 06:05:54

© Dr Trudi Deakin 2003

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Other education available Your diabetes team

The team are a good resource for:

• Information about diabetes

• Local services and referral pathways

Diabetes UK Bexley Support Group

Contact details on page �3.

Reference list

For a list of other education options, refer to page ��.

Specialist diabetes team

A multi-disciplinary team providing education to practice teams and services to people with diabetes.

Website: www.diabetesbexley.org.uk

Access the local website for a wealth of information and links to useful sites.

Type 2 Diabetes Information Pack 2010-2011

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Information about diabetes

Local services and referral pathways

All appointments should be seen as an educational opportunity.


Contact details on page 21.

Reference list

For a list of other education options, refer to page 20.



Website: www.bexley.nhs.uk Diabetes pages are under construction.

BEX015 DIABETES ESTABLISHED BOOKLET A5.indd 10 24/9/10 14:03:15


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Information about diabetes

Local services and referral pathways

All appointments should be seen as an educational opportunity.


Contact details on page 21.

Reference list

For a list of other education options, refer to page 20.



Website: www.bexley.nhs.uk Diabetes pages are under construction.


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The annual review - what is involved? Your annual review is an opportunity to: • Assess your diabetes control and discuss treatment options • Assess your general wellbeing and risk factors associated with diabetes • Discuss any worries and concerns you have • Discuss your health priorities• Learn more about diabetes and healthy living • Ensure all screening procedures have been completed: Blood glucose control (blood test +/- home monitoring) Kidney function (urine test and blood test) Blood fats (fasting blood test) Weight Legs and feet (foot assessment) Blood Pressure • Eyes (see page 14-17) • To discuss the results of these tests and identify individual goals to work towards and the support needed to achieve this within a care plan

When will the annual review take place?

Depending on your practice, this will vary. Some practice organise the annual reviews to take place during the month of your birth, so every year you know when it’s due.

What will be expected of me?You will be expected to attend two appointments at your Practice, approximately one month apart, plus a separate eye screeningappointment at one of four local opticians.Some practices will ask you to have your blood tests collected separately

The first appointmentThis will include the screening procedures listed above.

What do I need to take with me?

• An early morning sample of urine• Easily removable shoes / socks / hosiery• An accurate list of medication that you are actually taking (this may differ from your repeat prescription)


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Blood glucose control (blood test +/- home monitoring)

Kidney function (urine test and blood test)

Blood fats (fasting blood test)

Weight

Legs and feet (foot assessment)

Blood Pressure

Eyes (see page 14-17)

To discuss the results of these tests and identify individual goals to work towards and the support needed to achieve this within a care plan

When will the annual review take place? Your Practice will contact you by letter or phone approximately 1 month before the review. You will need to have a blood test 2-3 weeks beforehand. You will be asked to fast from 10pm the night before (nothing to eat or drink, except water), to ensure your blood fat test is accurate.

What do I need to take with me? Early morning sample of urine

Easily removable shoes / socks / hosiery

Any questions you have

Any thoughts about your health priorities

An accurate list of the medication you actually take

Monitoring diary (if you monitor your blood glucose)


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Once all results have been collected, they will be sent to you in advance of your next appointment, giving you the opportunity to consider possible changes to improve your health.

The second appointmentwill be with a qualified member of the practice diabetes team, to discuss your results and things that matter to you. Then you can make decisions together about what to do next. Your care plan is a record of how you plan to manage your diabetes.

What do I need to take with me? • Your results letter, with any questions or potential goals you would like to work towards• Your monitoring diary and blood glucose meter (if you monitor your blood glucose)• An accurate list of medication• For people on insulin, we advise you to bring your injection devices in case updates are available.

You will be given a copy of your care plan following this appointment

Ongoing support This will depend on your individual care plan. Please refer to the booklet “Diabetes care and you – what diabetes care to expect”. It clearly identifies the ongoing care you are entitled to as well as your responsibilities. Consider the following:

• Follow up according to your agreed care plan • Blood test at least 6 monthly to assess your diabetes control • Formal annual review of all your tests, investigations and examinations (See page 10) • Further education when you are ready • Care plan review • Contact information allowing you to access your diabetes team for support and advice by phone between visits • Blood pressure check at least 6 monthly if you are taking blood pressure tablets

Your diabetes team follow local diabetes guidelines that are reviewed regularly and based on research findings and national guidelines.

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Information Booklet for People with Newly Diagnosed Type � Diabetes �011-�01�Type 2 Diabetes Information Pack 2010-2011

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Always Be in Control of your DiabetesAim to eat healthily For more information please refer to the Diabetes UK leaflet Eating Well with Type 2 Diabetes or access the Diabetes UK website, click on “Are you newly diagnosed?”, then follow the link to Our guide to shopping and menu planning.

1. Watch those portion sizes

2. Eat more fruit and vegetables

3. Try to eat regular meals, with some starchycarbohydrate foods at each meal

4. Try to have less saturated fat

5. Use monounsaturated oil

6. Aim for 2-3 portions of oily fish per week

7. Consider the glycaemic Index of food. Limit sugar and sugary foods

8. Have more whole grains, lentils, pulses, nuts and seeds

9. Drink alcohol in moderation

10. Experiment with herbs to replace salt

11. Don’t be tempted by diabetic foods / drinks


Always be in control of your diabetes Aim to eat healthily For more information please refer to the Diabetes UK leaflet Eating Well with Type 2 Diabetes or access the Diabetes UK website, click on “Are you newly diagnosed?”, then follow the link to Our guide to shopping and menu planning.

1. Watch those portion sizes

2. Eat more fruit and vegetables

3. Try to eat regular meals, with some starchy carbohydrate foods at each meal

4. Try to have less saturated fat

5. Use monounsaturated oil

6. Aim for 2-3 portions of oily fish per week

7. Consider the overall amount of carbohydrate you eat. All carbohydrate foods and drinks turn to glucose in the blood

8. Have more whole grains, lentils, pulses, nuts and seeds

9. Drink alcohol in moderation

10. Experiment with herbs to replace salt

11. Don’t be tempted by diabetic foods / drinks

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Be active • Consider activities you enjoy

• Exercise should make you warm and slightly out of breath

• Build up to a level suitable for you

30 minutes of physical activity, 5 days a week, is thenational recommendation

Cut out smoking Smoking is especially bad for people with diabetes.One in every two smokers will dieprematurely of a smoking related illness unless they stop smoking.

Don’t forget your medication Taking tablets and insulin even when you are ill is part ofself-managing your diabetes. If you decide to stop or reduce any medication please inform your GP or diabetes team.

Eye screening Diabetes is the leading cause of blindness in the workingpopulation in the UK. Eye screening once a year will help prevent blindness. If you miss your appointment, please ensure you book another. Refer to pages 14 -17 for more information.

Feet need attention Please refer to page 18.

Go to all of yourDiabetes appointments It is much easier to control your diabetes if you know how you are doing. Knowing your results and having reachable targets will allow you to manage your diabetes and not allow diabetes to manage you.


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Be active Consider activities you enjoy

Exercise should make you warm and slightly out of breath

Build up to a level that suitable for you

30 minutes of physical activity, 5 days a week, is the national recommendationCut out smokingSmoking is especially bad for people with diabetes. If you smoke you are more likely to die early.

Don’t forget your medicationTaking tablets and insulin even when you are ill is part of self- managing your diabetes. If you decide to stop or reduce any medication please inform your GP or diabetes team.

Eye screening Diabetes is the leading cause of blindness in the UK. Eye screening once a year will help prevent blindness. If you miss your appointment, please ensure you book another. Refer to pages 14 -17 for more information.

Feet need attentionPlease refer to page 18.

Go to all of your diabetes appointments It is much easier to control your diabetes if you know how you are doing. Knowing your results and having reachable targets will allow you to manage your diabetes and not allow diabetes to manage you.



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Be active Consider activities you enjoy

Exercise should make you warm and slightly out of breath

Build up to a level that suitable for you

30 minutes of physical activity, 5 days a week, is the national recommendationCut out smokingSmoking is especially bad for people with diabetes. If you smoke you are more likely to die early.

Don’t forget your medicationTaking tablets and insulin even when you are ill is part of self- managing your diabetes. If you decide to stop or reduce any medication please inform your GP or diabetes team.

Eye screening Diabetes is the leading cause of blindness in the UK. Eye screening once a year will help prevent blindness. If you miss your appointment, please ensure you book another. Refer to pages 14 -17 for more information.

Feet need attentionPlease refer to page 18.

Go to all of your diabetes appointments It is much easier to control your diabetes if you know how you are doing. Knowing your results and having reachable targets will allow you to manage your diabetes and not allow diabetes to manage you.


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Retinal screening for people with diabetes

Diabetes can cause changes to the small blood vessel network in the body. The eyes have a small blood vessel network and over time, the vessel walls can weaken and leak blood and other substances into the retina (the light sensitive layer inside the eye) - this is called Diabetic Retinopathy.

These leakages can cause distorted vision affecting central and/or peripheral vision. Often there are no symptoms until the disease is at an advanced stage - therefore it is very important that any changes are detected as easily as possible. This is the aim of retinal screening.

As a person with diabetes, you will be offered an annual retinopathy screening appointment at a local Optician’s practice, which has been fitted with special cameras to take photographs of the retinas to check for any diabetic changes. The screener has been accredited to a national standard.

The retinal screening appointment is different to a routine eye examination. Please refer to page �1 for more information: Entitlement.

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Retinal Screening for people with DiabetesDiabetes can cause changes to the small blood vessel network in the body. The eyes have a small blood vessel network and over time, the vessel walls can weaken and leak blood and other substances into the retina (the light sensitive layer inside the eye) - this is called Diabetic Retinopathy.

These leakages can cause blurriness affecting central and/or peripheral vision. Often there are no symptoms until the disease is at an advanced stage - therefore it is very important that any changes are detected as easily as possible. This is the aim of retinal screening.

As a person with diabetes, you will be offered an annual retinopathy screening appointment at a local Optician’s practice,which has been fitted with special cameras to take photographs of the retinas to check for any diabetic changes. The screener has been accredited to a national standard.

The retinal screening appointment is different to a routine eye examination and you should attend both. Please refer to page 19 for more information: Entitlement.

Normal retina

Diabetic Retinopathy


Normal retina


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Retinal Screening for people with DiabetesDiabetes can cause changes to the small blood vessel network in the body. The eyes have a small blood vessel network and over time, the vessel walls can weaken and leak blood and other substances into the retina (the light sensitive layer inside the eye) - this is called Diabetic Retinopathy.

These leakages can cause blurriness affecting central and/or peripheral vision. Often there are no symptoms until the disease is at an advanced stage - therefore it is very important that any changes are detected as easily as possible. This is the aim of retinal screening.

As a person with diabetes, you will be offered an annual retinopathy screening appointment at a local Optician’s practice,which has been fitted with special cameras to take photographs of the retinas to check for any diabetic changes. The screener has been accredited to a national standard.

The retinal screening appointment is different to a routine eye examination and you should attend both. Please refer to page 19 for more information: Entitlement.

Normal retina




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Frequently asked questions What does the appointment involve?

• The screener will ask some questions - checking contact details are correct, how you manage your diabetes and if you are taking any medications - please bring an up to date list.

• A vision check - please bring your distance spectacles if you wear any. Some drops (Tropicamide) will be put in your eyes - these are used to enlarge (dilate) your pupils, allowing better quality images of the retinas.

• The drops take approximately �0 minutes to work and gradually wear off over a few hours; during this time your vision will be blurred and it is important that you DO NOT DRIVE to and from your appointment.

• After �0 minutes the screener will take photographs of your retinas using a special camera.

• You should allow up to an hour for your appointment.

• These images are then analysed for any diabetic changes and should further assessment be necessary an appointment at the local Hospital Eye Department will be arranged.

Who is more at risk of Diabetic Retinopathy?

• People with poorly controlled blood glucose

• People who have had diabetes for a long time

• People with high blood pressure and/or cholesterol

• Pregnant women

Do all people with diabetes have to attend?

YES - all people with diabetes aged 1� or over will be invited for retinal screening every year. The exceptions to attending are those already under the care of the hospital eye department due to diabetic eye problems. If you are under the care of a hospital eye department for other eye conditions you should attendretinal screening as well.

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Will the drops hurt?

The drops will sting a little on insertion, but only for a few seconds. The drops will enlarge your pupils and may cause some blurring of your vision, which will gradually wear off over a few hours. During this time you may also be more sensitive to bright lights - bring sunglasses as this will reduce the glare.

As the drops cause blurring of your vision - DO NOT DRIVE after the appointment.

Do the drops have any side effects?

Blurred vision and sensitivity to bright lights are expected when the eyes are dilated. In rare circumstances people may suffer the following:

• Redness

• Pain and discomfort

• Haloes around lights

If this should happen, please contact either the screener where the drops were instilled, or Queen Mary’s Eye Department and explain that your eyes have been dilated with Tropicamide.

When will I know the results?

After the screening appointment, the images of your retina will be checked and a report will be sent to you and your GP. The report will usually be received within a few weeks of yourappointment. Should further assessment be required anappointment letter will be sent to you.

Why would I be called back or referred to the hospital eye department?

• The images are not clear enough to be assessed

• Diabetic changes may have been detected, requiring close monitoring and treatment

• Other eye conditions may have been detected

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Information Booklet for People with Newly Diagnosed Type � Diabetes �011-�01�Type 2 Diabetes Information Pack 2010-2011

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What if I detect problems between appointments?

If you experience any visual problems between screening appointments it is important you consult your Optician.

How can I prevent Diabetic Retinopathy developing? Keep your blood glucose, blood pressure and cholesterol within the targets agreed with your Diabetes Team

Maintain a healthy diet and keep active

Attend your annual retinal screening appointment

Attend your NHS eye examination

Contact information

To arrange, or rearrange an appointment, or for further information about the screening programme, please telephone 0208 776 3854 or email [email protected].

Address: Digital Retinopathy Screening Manager Summit HouseGlebe Way West Wickham Kent BR4 0RJ


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What if I detect problems between appointments?

If you experience any visual problems between screening appointments it is important you consult your Optician.

How can I prevent Diabetic Retinopathy developing?

• Keep your blood glucose, blood pressure and cholesterol within the targets agreed with your Diabetes Team

• Maintain a healthy diet and keep active

• Attend your annual retinal screening appointment

• Attend your NHS eye examination

Contact information

To arrange, or rearrange an appointment, or for further information about the screening programme, please telephone 0�08 776 3854 or email [email protected].

Address: Digital Retinopathy Screening Manager Summit House Glebe Way West Wickham Kent BR4 0RJ

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Looking after your feet It is very important that you look after your feet and have them checked as part of your annual review. Diabetes can affect both the nerves and the blood supply to your feet. Maintaining good control of your blood glucose and carrying out the following care will help to prevent problems.

• Wash your feet daily. Test the water temperature to avoid scalding accidents.

• Dry, especially between the toes. Cut and file toe nails following the contour of the nail. If you are unable to cut your own toe nails, please discuss this with your diabetes team. A local subsidised nail cutting service is available.

• Apply moisturiser (or hand cream) to keep your skin supple and to prevent cracking. Do not apply cream between toes.

• It is ESSENTIAL to examine your feet daily for cuts or anything unusual.

• Breaks in the skin should be covered with a dry, sterile dressing. Do NOT burst blisters, avoid any further friction and observe daily.

• NEVER use sharp instruments on your feet. DO NOT use corn plasters as they contain acids.

• AVOID direct heat and hot water bottles. Loss of pain and sensitivity make these dangerous.

• Remember high blood glucose levels can affect the rate of healing and breaks in the skin may take longer to heal. Older people are most at risk.

• Ensure shoes fit well. Have your feet measured and consider the width of shoes as well as length.

• Check inside shoes for sharp objects, stones etc.

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MEAN BLOOD GLUCOSE mmol/l over the last 2-3 months

Monitoring your diabetes There are a number of ways to monitor your diabetes control.

1. HbA1c (Glycated Haemoglobin) A blood test used to determine your mean blood glucose level over the past �-3 months. Every person with diabetes will be offered this test at least six monthly. HbA1c provides a reliable and efficient means of monitoring your diabetes control.

HbA1c results

HbA1c results are currently given as a percentage. However, the way in which HbA1c results are reported in the UK is changing. From 31 May �011, HbA1c will be given in millimoles per mol (mmol/mol) instead of as a percentage (%). To help make sense of this please refer to the table below.

HbA1c blood test

A measurement of your diabetes (blood glucose) control.For key to readings see page �0

% H

bA

1c (

mm

ol/

l)

0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19

14 (130)

13 (119)

12 (108)

11 (97)

10 (86)

9 (75)

8 (64)

7 (53)

6 (42)

5 (31)

4 (20)

3 (9)

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2. Blood glucose monitoring Testing your own blood glucose at home is not a routine requirement unless you are using insulin or certain medication that can cause your blood glucose to drop below 4mmol/l.

In such cases you will be given detailed guidance by your Diabetes Team.

There may be times when you may choose to monitor at home:

• As an education tool to learn about the effect of lifestyle changes and food intake.

• If your HbA1c is above target, home monitoring can be used to identify problems and inform treatment.

• During illness, a time when your blood glucose may increase.

In all the above situations, a short, intensive period of testing at various times during the day, pre and �-hours post meals, is often beneficial.

Meters are available from your Practice Diabetes Team. It is important that you receive full support, education & training in the use of the meter & strips, how to calibrate the meter, how to keep records and when it is important to seek medical help.

3. Urine testing Not an accurate form of monitoring, although preferred by some people who want a rough guide to detect abnormally high levels of glucose in the body.

HbA1c test Control Eqv’ Home Tests

4.1-6% or 21-42mmol/l Normal Range 3-6 mmol/l

6-7% or 42-53mmol/l Good Control 6-8mmol/l

7-8% or 53-64mmol/l Adequate Control 8-10mmol/l

8-9% or 64-75mmol/l Poor Control 10-12mmol/l

9-11% or 75-97mmol/l Very Poor Control 12-15mmol/l

>11% Or > 97mmol/l Serious Problems 15mmol/l or more

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Entitlements People who take medication to help control their diabetes, regardless of age, are entitled to free prescriptions. You cancollect an exemption form (FP9�A) from your GP. This must be signed by your GP before it is sent off.

All people with diabetes are entitled to a free annual flu vaccination. It is strongly recommended that you have this vaccine. You are also entitled to a free pneumococcal (pneumonia) vaccine. This is only required once.

People with diabetes are entitled to a free eyesight test. However, as retinal screening is now an annual event, the frequency will depend on other clinical reasons – not diabetes. This may be one or two years and you should be advised by your optometrist.

Dental treatment is not free, although it is recommended that you visit a dentist every 6-months to help prevent gum disease.

Insurance

Motor Insurance You are advised to inform your insurance company that you have been diagnosed with diabetes. Failure to do so may result in your insurance becoming invalid.

Personal insurance: includes life, travel & health insurance It is important that you declare your diabetes when applying for any policy. Any policy you hold at the time of diagnosis is unaffected but you are advised to inform the insurance companies.

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Reference list: other ways to learn more Books Carbs & Cals: A visual guide to carbohydrate and calorie counting, Chris Cheyette and Yello Balolia, �010.

Type 2 Diabetes: Answers at Your Fingertips Dr C Fox & Dr A Kilvert, London: Class Publishing, �007.

Diabetes in South Asian People Explained Tahseen A Chowdhury & Laila T King.

Diabetes: a practical guide to managing your health R Walker and J Rodgers, Dorling Kindersley, �004.

Websites Bexley Diabetes www.diabetesbexley.org.ukNHS Diabetes www.diabetes.nhs.uk Diabetes UK www.diabetes.org.uk National Institute of Clinical excellence (Nice) www.nice.org.uk

Course Open University course: SK1�0 Diabetes Care A 5-month distance learning course, cost £�15. Apply via the Diabetes UK website or www3.open.ac.uk.

Diabetes UK Informative websiteCareline contact details: 0845 1�0 �960 or [email protected].

Literature including recipe books, booklets on subjects related to diabetes and magazines:

Diabetes For Beginners (Type 2) Diabetes UK: a magazine at diagnosis or as a refresher. Available free of charge from your local diabetes UK support group, as well as Diabetes UK for £3.

Balance Bi-monthly magazine.

Type 2 diabetes: a new beginning starter packThe pack consists of a DVD, a specially designed 36 page leaflet along with copies of ‘Know your labels’ and ‘Know your numbers’.

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Diabetes UK Diabetes UK is the charity for people with diabetes, their family, friends and carers. Their mission is to improve the lives of people with the condition and work towards a future without diabetes.

Membership line: 0800 138 5605 Care line on 0845 1�0 �960 Website: www.diabetes.org.uk for a wealth of Information and support.

Local Diabetes Support Group This group was formed in �000 and offers mutual support, sharing information about the condition and good practice in current care and treatment as well as campaigning for improvements in diabetes health care provision within Bexley.

No membership fee is payable and meetings are held at 7.30pm on the 3rd Friday of each month (except August) at the United Reformed Church, Geddes Place, Bexleyheath. Anyone affected by diabetes whether a patient, carer or relative, is welcome to attend and it is an opportunity to meet with others in a friendly and informal atmosphere. Various health care professionals speak at meetings on topical issues from healthy eating, activity, eye & foot care, to medication and research.

A monthly newsletter is sent out containing up-to-date information of the group’s activities and news on new initiatives in diabetes care and research. A variety of social events are also arranged throughout the year. Further information about the group can be obtained by contacting the Executive Secretary on 0�08 30� �446 or at www.bexley.diabetesukgroup.org.


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Diabetes UKDiabetes UK is the charity for people with diabetes, their family, friends and carers. Their mission is to improve the lives of people with the condition and work towards a future without diabetes.

Membership line: 0800 138 5605 Care line on 0845 120 2960 Website: www.diabetes.org.ukfor a wealth of Information and support.

Local Diabetes Support Group This group was formed in 2000 and offers mutual support, sharing information about the condition and good practice in current care and treatment as well as campaigning for improvements in diabetes health care provision within Bexley.

No membership fee is payable and meetings are held at 7.30pm on the 3rd Friday of each month (except August) at the United Reformed Church, Geddes Place, Bexleyheath. Anyone affected by diabetes whether a patient, carer or relative, is welcome to attend and it is an opportunity to meet with others in a friendly and informal atmosphere. Various health care professionals speak at meetings on topical issues from healthy eating, activity, eye & foot care, to medication and research.

A monthly newsletter is sent out containing up-to-date information of the group’s activities and news on new initiatives in diabetes care and research. A variety of social events are also arranged throughout the year. Further information about the group can be obtained by contacting the Executive Secretary on 0208 302 2446 or at www.bexley.diabetesukgroup.org.


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www.diabetesbexley.org.uk

Published by Bexley Diabetes, April 2011 2nd edition

Bexley Diabetes

Documents

Information Booklet for People with Newly Diagnosed Type 2 ... · Information booklet for people with newly diagnosed type 2 diabetes. If you require this booklet in large print,