Recommendation ID
NG17/1
Question

Improved methods and interventions for achieving HbA1c targets in adults with type 1 diabetes:- What methods and interventions are effective in increasing the number of adults with type 1 diabetes who achieve the recommended HbA1c targets without risking severe hypoglycaemia or weight gain?

Any explanatory notes
(if applicable)

Why this is important:- The evidence that sustained near-normoglycaemia substantially reduces the risk of long-term complications in adults with type 1 diabetes is unequivocal. Current methods for achieving such blood glucose control require skills in glucose monitoring and insulin dose adjustment, injection technique and site management, and the ability to use such self-management skills on a day-to-day basis life-long. Fear of hypoglycaemia and of weight gain are major barriers to success, as is fitting diabetes self-management into busy lifestyles. Everyone struggles to meet optimised targets and some are more successful in achieving them than others. Research into new interventions ranging from more effective education and support, through improved technologies in terms of insulin replacement and glucose monitoring, and including use of cell-based therapies, is urgently needed. It is also important to ensure that adults with type 1 diabetes are able to engage with such
methodologies.


Source guidance details

Comes from guidance
Type 1 diabetes in adults: diagnosis and management
Number
NG17
Date issued
August 2015

Other details

Is this a recommendation for the use of a technology only in the context of research? No  
Is it a recommendation that suggests collection of data or the establishment of a register?   No