Annual review date: 2016

This topic was identified for update following the annual review of quality standards in 2014. The review identified that there had been changes in the areas for improvement for diabetes in adults.

This NICE quality standard defines clinical best practice within this topic area. It provides specific, concise quality statements, measures and audience descriptors to provide patients and the public, health and social care professionals, commissioners and service providers with definitions of high-quality care.

This quality standard covers the clinical management of diabetes in adults excluding children, young people and pregnant women.

It was previously called diabetes in adults quality standard.

August 2015: This quality standard has been updated to ensure alignment with new NICE guidance on diabetes and diabetic foot problems (NG17 and NG19), which updated and replaced some of the original development sources for the quality standard.  An update to a quality standard is recommended when minor amendments may be needed to ensure the quality standard is consistent with updated NICE and NICE-accredited source guidance or address overlap between quality standard topics. 

13 July 2012: Please note that the NICE diabetes quality standard has been amended. The original quality statement 10 on 'at risk foot' was inconsistent with NICE guidance because it did not separate out the care of people 'with' foot ulceration from care of those 'at risk' of foot ulceration. People with foot ulceration require urgent medical attention and referral to and treatment by a multidisciplinary foot care team. As the statement was originally written, there was a risk of people with foot ulceration being inappropriately reviewed and referred. Quality statement 10 has therefore been amended to deal only with those 'at risk' of foot ulceration, and a new quality statement 11 has been included on 'foot problems requiring urgent medical attention'.