The Enfield Community Diabetes Service provides education, management support and advice to people living with diabetes, their carers, and other healthcare professionals.

The service offers:

• education sessions for those newly diagnosed with type 2 diabetes (HbA1c ≥48 mmols/mol)
• health and wellbeing coaching sessions - providing behaviour change advice and support
• specialist dietetics input - providing education and detailed advice regarding dietary management of diabetes
• management of tolerance issues with hyperglycaemic agents
• management of those on the maximum dose of three hyperglycaemic agents with a HBA1c >65mmol/mol requiring insulin initiation/other injectables with an EGFR <40
• hypoglycaemia management
• management of steroids-induced diabetes
• diabetes and PEG feed management
• palliative care
• diabetes care at home/residential and nursing home visits.

Eligibility Criteria

Inclusions

Patients

• 18 years old and over
• registered with an Enfield-based GP
• with type 2 diabetes
• with type 3c diabetes with negative GAD antibodies test
• steroid-induced diabetes
• with eGFR >40.

Structured education

• within 12 months of diagnosis of type 2 diabetes.

Diabetes Nurse Specialist (DNS) Clinic

• diabetes with Hba1c >65mmol/mol/8.0% despite being on maximum dose of 3 oral-tolerated OHA/GLP- 1 RA/insulin
• hypoglycaemia
• type 3c with negative GAD antibodies test.
• steroid-induced diabetes
• tolerance issues
• pre-conception clinic
• complications review.

Exclusions

Patients

• under 18 years old
• with type 1 diabetes
• with type 2 diabetes and EGFR below 40 (needs to be referred via e-RS to secondary care)
• with gestational diabetes
• with mature onset diabetes of the young (MODY)
• not on maximum dose of anti-hyperglycaemic oral agents with no tolerance issues.

DNS Clinic

• type 3c with positive GAD antibodies test

Please note: Patients meeting the exclusion criteria need to be referred to secondary care.

How to Refer

Locations

Forest Primary Care Centre