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Management of diabetes


Diabetes is a major cause of morbidity and mortality in Scotland and worldwide, with an increasing prevalence. This increase relates, in part, to the increasing age of the population, an increase in obesity and also perhaps to increasing survival of those with diabetes.

Remit and target users

This guideline provides recommendations based on current evidence for best practice in the management of diabetes. It provides recommendations on: lifestyle interventions for type 1 and type 2 diabetes; managing psychosocial issues; managing type 1 diabetes; glucose-lowering therapies for type 2 diabetes; managing cardiovascular, kidney and foot diseases; preventing visual impairment; and managing type 1, type 2 and gestational diabetes during pregnancy.Prevention of diabetes and prediabetes are not covered.

This guideline will be of interest to healthcare professionals involved in the care of people with diabetes. The target users include people with diabetes, their carers and those who interact with people with diabetes outside of the NHS, such as parents and teachers.

How this guideline was developed

This guideline was developed using a standard methodology based on a systematic review of the evidence. Further details can be found in SIGN 50: A Guideline Developer’s Handbook .

Keeping up to date

This guideline was issued in 2010 and will be considered for review in three years. The review history, and any updates to the guideline in the interim period, will be noted in the review report.

If you are aware of any new evidence that would update this guideline please complete a change request form and return to:

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