Updated recommendations for end of life diabetes care
A new edition of the ‘End of Life Diabetes Care: Clinical Care Recommendations’ has been published recently. This is the third edition of the clinical recommendations commissioned by Diabetes UK that are designed to guide clinicians to delivering the best possible care for people with diabetes at the end of their life.
The document aims to summarise a consistent but high-quality approach towards end of life care for people with diabetes by providing a series of clinical care recommendations. Professor Alan Sinclair, one of the authors, said: “This updated guidance summarises the major clinical problems that individuals with diabetes at the end of life experience and how these are best managed.”
The new edition provides:
- Additional information on the early identification of those entering end of life
- A new section on special populations (including frail, with dementia or residing in a care home)
- Additional guidance relating to those with cancer and renal failure on dialysis, and updated our guidance on advance care directives.
- Revised information on glucose-lowering therapies including the newer insulin analogues.
Professor Bee Wee, National Clinical Director for End of Life Care for NHS England, said: “I welcome the publication of these clinical care recommendations. Improving the care of people with diabetes throughout their life right up to the time they die is critically important for their overall experience and quality of life, and that of those who are important to them. These recommendations contribute towards achieving the Ambitions for Palliative and End of Life Care which includes the ambition to maximise comfort and well-being and to ensure that everyone has fair access to care.”
Professor Jonathan Valabhji, National Clinical Director for Diabetes and Obesity for NHS England, added: “The care of people dying with diabetes demands a multidisciplinary approach with healthcare professionals coming together with the person with diabetes, their family and their carers to formulate and deliver a plan for management through all the phases of dying.”
· The updated recommendations were developed by ABCD, TREND-UK and Diabetes Frail
· The recommendations are available at: http://trend-uk.org/wp-content/uploads/2018/04/EoL_Guidance_2018_Final.pdf