Diabetes Management in Primary Care

Martin Hadley-Brown, MBBS, FRCGP, GP Partner, Thetford, Norfolk. After qualifying at St Thomas’ Hospital Medical School, London, in 1983, Martin Hadley-Brown trained in general medicine in and around London before moving from the Renal Unit at St Thomas’ to Dorset to complete GP training. He moved from there to take up a partnership in Thetford, Norfolk in 1989 and became senior partner in the town’s 8 doctor School Lane Practice in 1998. His main focus is on providing and developing high quality primary care medical services in his Thetford practice. In addition, his major clinical interest in diabetes and cardiovascular diseases has led to membership of the Professional Advisory Council of Diabetes UK from 2001 to 2006 and to his being a founder member of the Primary Care Diabetes Society in 2003. He was elected Chairman of the Society from 2005, and was a member of the development group for the NICE Type 2 Diabetes Guidelines published in May 2008 and 2009. Dr. Hadley-Brown is also an experienced medical teacher, being a GP trainer and a specialist clinical teacher to the University of Cambridge Clinical School. In 2010 he was appointed clinical tutor and senior member at Hughes Hall, Cambridge. Jane Diggle, BSc (Hons), RGN is a specialist practitioner practice nurse in South Kirkby West Yorkshire. Jane qualified with a BSc (Hons) in nursing in 1990 (Leeds) and has worked as a practice nurse in the same practice for the past 20 years. She completed a second degree in 1999 gaining the specialist practitioner qualification in Community Healthcare Nursing. Whilst she retains a generalist role, her special interest is in diabetes for which she is clinical lead within her practice. She is an independent prescriber and has gained MSc modules in Insulin Management and New & Advanced Therapies from Leicester University. She is a member of the editorial board for the Journal of Diabetes Nursing and Associate Editor-in-Chief for Diabetes and Primary Care (from November 2014) and a member of FIT, the Forum for Injection Technique, which strives to encourage best practice in injection technique. She has had a number of articles published and regularly delivers presentations on aspects of managing diabetes to colleagues nationally as well as locally.

What is Diabetes? Diagnosis. Risks Burdens Morbidity. Initial Management. Communication & Motivation. Co-Morbidities. Testing / Monitoring. Medication. Weight. Communication & Motivation. Sickness, Emergencies, and Intercurrent Illness. Complications – Avoidance, Identification & Management. Vulnerable Populations. Future Trends – A Brief Look at Possible Future Therapies.