HNY Policy and Pathway Repository - York

Clarification statement regarding applicability of policies to subtypes of Diabetes mellitus

Diabetes Mellitus is a collective term covering multiple metabolic disorder subtypes in which either not enough insulin is produced or the insulin produced is not effective enough. Humber and North Yorkshire ICB commissioning policies only refer to Type 1 and Type 2 Diabetes mellitus. This is consistent with published NICE guidance on management of Diabetes mellitus.

There are however multiple other subtypes of Diabetes mellitus that are defined (e.g. CF Diabetes, Type 3c Diabetes). Commissioning policies should be taken as applying to whichever of Type 1 or Type 2, the patient’s particular subtype is clinically most equivalent to (e.g. CF Diabetes and Type 3c both involve deficient/absent insulin production so policies for Type 1 apply).