Diabetic Care

Everest House Surgery provides team based, patient centered diabetes care

Being diagnosed with diabetes can be bewildering and distressing.  There is often a great deal of information to take and can mean starting one or more new tablets.  At the time of diagnosis people often have preconceived ideas about the effects that diabetes can have on their welfare.

Whether you have recently been diagnosed, or have lived with diabetes for some time, we are here to help you adapt to living with diabetes, and minimise any impact that it might have on your life.

Newly Diagnosed Diabetics

Patients who have recently been diagnosed with Diabetes will need to see the doctor and practice nurse a few times in the first few months.  During this time patients and relatives, carers, will be given support, information and advice about managing diabetes.  This will involve some blood tests being done at the surgery but these will be kept to a minimum.  It is not usually necessary for patients to check their own blood sugar at this this stage.

Patients will be given the opportunity to be referred to a Diabetic Education programme which has education modules, toolkits and care pathways for people with Type II Diabetes.  The practice nurses can also give advice.

It is also important that all newly diagnosed patients are seen for a diabetic eye check.  This is a more thorough and detailed examination than is usually done when being assessed for glasses, and involves having a photograph taken of the back of the eye.  The Doctor or Practice Nurse can arrange for you to be added to the retinal screening register.

It is also worth considering joining Diabetes UK, an excellent charity which will send out some very useful information about managing and living with diabetes, as well as advertising local events.  (www.diabetes.org.uk)

How Often Will You Need To Be Seen?

We aim to review all patients with diabetes on a regular basis – at least one every year or more frequently if some aspect of control needs closer attention.

If you have only been diagnosed recently, either the doctor or the nurse will see you every few weeks, until both you and the doctor or nurse are happy with the level of control.

In line with the National Service Framework (NSF) and the National Institute for Health and Clinical Excellene (NICE)  the tests you will be given are for :-

  • Blood Glucose Level Measurement
  • Blood Pressure Measurement
  • Cholesterol Level Measurement
  • Retinal Screening
  • Foot and Leg Check
  • Kidney Function Testing (Urine test)
  • Kidney Function Testing (Blood test)
  • Weight Test
  • Smoking Status Check

We will also discuss with you:-

  • Alcolol Consumption Check
  • Exercise and Activity Levels
  • Lifestyle Factors and Diet
  • Mental Health
  • Physical Health
  • Medication Review

Who Is Involved With Care?

Diabetes can affect many organs in the body, and good care therefore need a team approach, involving a number of health professionals.  This can seem a bit daunting to start with, but with proper organisation the inconvenience and aggravation can be minimised.  However, first and foremost, the patient must be involved in their own care, and health professionals are there to help and support the patient in their own management.

Some of the complications of diabetes may not cause any symptoms to the patient initially.  It is only by having regular checks that these complications can be detected early, and appropriate treatment given before they start to adversely affect ones health.  The majority of patients are looked after within general practice only, and do not need to be referred to the hospital.  However, patients with more specific or difficult problems may be referred to the hospital consultant or diabetic liaison nurses.

Diabetic Clinics

Patients may always bring somebody to accompany them, and we are quite happy for them to sit in on your consultations.  You will be invited to attend at about the same time of year,each year.  If the appointment you are offered is inconvenient, you can ask for it to be changed.

You will be asked to see the practice nurse or health care assistant a couple of weeks before the GP appointment.  This is for you to have blood taken (you do not need to starve overnight before the blood test).  It is helpful if you bring a sample of urine from the first time you pass water that day, when you come to that appointment.  This ensure that all the results should be available on the day your GP appointment..

Although the initial appointment with the practice nurse or health care assistant is for blood test, urine test, etc.  it is also an opportunity for patients to raise any concerns or problems that they might have.  If there is anything that you wish to ask or that you are not sure about, you must feel free to talk to any healthcare professional.  They will be happy to try to answer any questions.  The nurse or HCA will then book you, or ask you to book a double appointment with the GP.

If a patient is housebound, and therefore unable to attend at the practice, alternative provision can be made for home visits.

In addition to the annual diabetic check, patients should be seen by the eye screening service each year for a diabetic eye check.  This will not be done at the time of you’re your appointment in the surgery.  A reminder should be sent to your home address when an annual review is due.

All doctors and practices nurses are also happy to see people in surgery time to address any aspect of their diabetes that may be causing concern.

Other ThingsTo Remember

If you take tablets or insulin to help control your blood sugar, you are entitled to a prescription exemption certificate, which enables you to get all your prescriptions for free (not just those that relate to your diabetes).

You must notify the DVLA if you are started on tablets for diabetic control, or insulin.  This does not mean that you will have your licence taken away, but they do need to know about your condition, HGV and PSV drivers should also ask the doctor or nurse when to notify the DVLA.

Useful Websites

Diabetes UK – Diabetes.org.uk

Insulin Dependent Diabetes Trust

DESMOND – www.desmond-project.org.uk

www.nhs.uk/conditions/diabetes