NICE Guidance update
NICE have now announced that they will be updating four sets of diabetes guidance:
Guidance from the National Institute of Health and Care Excellence (NICE) is generally seen as setting the standard for healthcare services in England. It is particularly influential in guiding commissioners on what should be provided to patients, and on what services healthcare professionals should be delivering.
The four sets of diabetes guidance being updated are:
- Type 1 Diabetes in Adults: diagnosis and management
- Type 2 Diabetes in Adults: management
- Type 1 and 2 Diabetes in Children and Young People: diagnosis and management
- Diabetes in pregnancy
We welcome this announcement; we have been pressing NICE to update their guidance on Type 2 diabetes for some time. That’s because their current advice on medications is out of step with evidence and international guidance on Type 2 medications.
We also want NICE to review their recommendations on dietary advice for people with Type 2 diabetes, and to include advice on the remission of Type 2 diabetes.
The NICE update on pregnancy guidance is also very welcome; NICE committed last year to include advice on offering women with Type 1 diabetes CGM (Continuous Glucose Monitoring). This commitment came in response to the publication of the CONCEPTT study, which found that there was convincing evidence on the benefits of doing so.
NICE have also said they plan to update Type 1 guidance in adults with new advice on diagnosis – including late onset, diabetes technology (including Flash glucose monitoring) and the management of complications. We would also like them to update guidance on psychological support for people with diabetes which we have been recently campaigning for.
We also expect the Diabetes in Children and Young People guidance to be updated to include advice on Flash glucose monitoring, DKA and eye screenings.
NICE is currently recruiting members for the committee which will oversee updating this guidance. They are looking for a range of healthcare professionals specialising in diabetes, as well as people living with diabetes and parents of children living with diabetes.
This is a three year commitment (though we hope it won’t actually take the full three years to see the changes become a reality). Recruitment is open until 5pm on August 28th.
NICE guidance is an essential part of ensuring people with diabetes receive the best care available. It’s vital that this guidance reflects the views and experiences of people who live with diabetes, and those who help to support and care for them, either in a professional or parental role.