This guideline covers the care and treatment of adults (aged 18 and over) with type 1 diabetes.
In July 2016, we reworded the recommendation on eye screening referral to clarify the role of GPs and to add information on when this should happen.
This updated guideline includes new recommendations on:
- structured education
- insulin therapy
- blood glucose management
- impaired awareness of hypoglycaemia
- managing complications of diabetes
Who is it for?
- Healthcare professionals that care for adults with diabetes
- Commissioners and providers of diabetes services
- Adults with type 1 diabetes, and their families and carers
Is this guideline up to date?
We’ve reviewed this guideline and the consultation on whether to update it has now closed. A final decision will be published shortly.
Guideline development process
This guideline updates and replaces the sections for adults in NICE guideline CG15 (July 2004).
The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, professionals and practitioners are expected to take this guideline fully into account, alongside the individual needs, preferences and values of their patients or the people using their service. It is not mandatory to apply the recommendations, and the guideline does not override the responsibility to make decisions appropriate to the circumstances of the individual, in consultation with them and their families and carers or guardian.
All problems (adverse events) related to a medicine or medical device used for treatment or in a procedure should be reported to the Medicines and Healthcare products Regulatory Agency using the Yellow Card Scheme.
Local commissioners and providers of healthcare have a responsibility to enable the guideline to be applied when individual professionals and people using services wish to use it. They should do so in the context of local and national priorities for funding and developing services, and in light of their duties to have due regard to the need to eliminate unlawful discrimination, to advance equality of opportunity and to reduce health inequalities. Nothing in this guideline should be interpreted in a way that would be inconsistent with complying with those duties.
Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible.