DAFNE: Type 1 Diabetes Structured Education

NCL Wide

GPs are asked to refer patients with type 1 diabetes to their relevant secondary care diabetes service in order for the patient to access the Dose Adjustment For Normal Eating (DAFNE) course.


The DAFNE programme is delivered across north central London to patients who are living with type 1 diabetes and who are already known to their secondary care diabetic service (please note that North Middlesex University Hospital provides an alternative type 1 education course called Bertie).

The programme aims to help adults with type 1 diabetes lead as normal a life as possible, maintaining blood glucose levels within healthy targets, to reduce the risk of long-term diabetes complications.

Patients are referred by a secondary care consultant only. If a type 1 patient isn’t already under the care of a secondary care diabetes team, then the GP/primary care colleague is asked to refer the patient into their secondary care diabetes service first, and then the secondary care diabetes team will refer them into DAFNE.

Coding patient attendance: It is important that GP practices have processes in place to ensure coding of patient structured-education attendance. Please see Downloads for coding information.

MyType1 Diabetes is a free digital resource that offers tailored advice and information created by NHS experts and people living with type 1 diabetes. Adults with type 1 diabetes, their families and carers, and healthcare professionals can use this web-based platform to access information about type 1 diabetes through videos, articles, and accredited online education courses. 

University College London Hospitals

Offers both face-to-face and remote DAFNE courses for people living with type 1 diabetes under its secondary care diabetes service. Referrals can be made internally via anyone in the UCLH diabetes team. Courses run regularly, with around six per year in a range of formats.

Royal Free London

RFL is only able to offer remote DAFNE courses due to staff shortages. Patients must be living with type 1 diabetes and already under their secondary care diabetes service.

Whittington Health

Offers a blended-learning course run over five weeks, including online learning and a weekly group support call led by the trained DAFNE educator (diabetes specialist nurse or dietitian). Please note that, due to staff shortages, the DAFNE service at WH is only delivering remote courses.


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Review date: Saturday, 18 January 2025