Nurse Consultant June James, Co-Chair of Trend Diabetes, a national organisation which represents all diabetes nursing groups, said: “Caring for people with diabetes as they approach the last year, month and days of life often falls to non-diabetes specialist healthcare professionals, so it is important that clear clinical recommendations are accessible to promote good quality care.”
Professor Alan Sinclair, from the Foundation for Diabetes Research in Older People and Diabetes Frail, said: “People with diabetes who are at the end of life have a specific set of care needs including those relating to health and social care. A holistic approach addressing both the clinical aspects of care, and psychological and clinical challenges when caring for individuals living with diabetes is important and this is no less valuable in the last year of life.”
Topics covered in the guidance include nutrition, steroid therapy, medication, sick-day management, workforce training and withdrawal of treatment. The guidance is also designed to highlight awareness of training and educational needs.