HNY Policy and Pathway Repository - Humber

Type 2 diabetes is caused through the lack of insulin production and/or insulin resistance, which leads to impairment of carbohydrate, protein and fat metabolism.

Type 2 diabetes is multifactorial and associations include:

• Increasing age (most commonly appears in people over age 40 years)
• Obesity (particularly central obesity)
• Family history of diabetes
• Low level of physical activity
• History of gestational diabetes
• High risk ethnic population (African or Asian origin)
• Hypertension
• Dyslipidaemia
• Polycystic Ovary Syndrome (PCOS)
• History of impaired glucose tolerance or impaired fasting glycaemia
• Smoking
• Social deprivation

Prognosis:

Increasing blood glucose levels, if diabetes is untreated, lead to non-ketotic hyperosmolar and ketoacidosis states that may result in coma and death

Complications may arise from long-term presence of diabetes:

Macrovascular

• Cardiovascular disease
• Cerebrovascular disease

Microvascular

• Peripheral vascular disease (Neuropathy)
• Renal disease (Nephrology)
• Retinopathy

No Red Flags Listed

Type 2 diabetes mellitus (DM) is predominantly managed by the patient and/or their carer as part of their daily life. Informed choice of management opportunities, and the acquisition of relevant skills for successful self-management play an important role in achieving optimal outcomes.

Structured education has been shown to improve diabetes control, reduce diabetes medication, increase self-management skills and improve lifestyle and quality of life.

Living with Diabetes (LWD) is a structured education programme for individuals with Type 2 Diabetes which meets the national criteria. The programme consists of two half-day sessions provided at various locations and times to suit.  LWD is delivered by trained educators who are either dietitians or diabetes specialist nurses and has a strong focus on self-management, healthy lifestyle and diet.  Further information on referral for a person with type 2 diabetes to LWD can be found in the additional information and details in the Healthy Choices for Diabetes

HUTHT Urgent Advice

For healthcare professionals only, emergencies or to discuss a potential admission 24/7

Please call HEYHT switchboard (01482) 328541 and ask for the diabetes consultant on call for endocrinology.

HUTHT Non-Urgent Advice

NON-URGENT  Diabetes advice - Hull and East Yorkshire Hospitals 

Advice and guidance can be accessed via NHS e-Referral Service.  Questions will be responded to within two days.  Further information is available here 

Non urgent diabetes helpline  - Telephone: (01482) 675391

This telephone service is NOT an emergency service. It provides patients with help and assistance in dealing with their diabetes problems and also acts as a help line for practice nursing staff and GP's who may require more expert knowledge when dealing with patients in primary care settings.

The Diabetes helpline is managed by the Diabetes Specialist Nursing team based in the Brocklehurst Diabetes Centre in Hull.  Due to clinic requirements the phoneline is not always manned, but responses are enacted as detailed below.

• Incoming calls that are received Monday to Friday morning are responded to in the afternoon of the same day.
• Incoming calls that are received Monday to Thursday afternoon are dealt with by the DSN the following morning.
• There is no service on this line on Saturdays and Sundays but a message can be left to be responded to on the following monday morning.