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Type 1 diabetes in adults: diagnosis and management

  • NICE guideline
  • Reference number: NG17
  • Published:  26 August 2015
  • Last updated:  17 August 2022
  • Guidance
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  • Information for the public
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  • Type 1 diabetes in adults: the care you should expect
  • Diagnosing type 1 diabetes
  • Your diabetes care team
  • Planning your early care
  • What your diabetes care team will do
  • Learning more about type 1 diabetes
  • Using insulin
  • Checking your own blood glucose, and target levels
  • Having your blood glucose checked: HbA1c
  • Diet and exercise
  • Hypos
  • Diabetic ketoacidosis
  • Pancreas or islet transplant
  • Long-term complications
  • Eye damage
  • Gum disease
  • Nerve problems
  • Foot problems
  • Kidney disease
  • Cardiovascular disease
  • High blood pressure
  • Care when you are in hospital
  • Terms explained
  • Where can I find out more?

Kidney disease

Having type 1 diabetes means you are more likely to get kidney disease – this is called nephropathy. You should have a urine sample tested at your annual review to see if there is any albumin (a type of protein) in it. If there are signs of kidney damage you should be offered medicine for this, and advised not to eat too much protein. You may be referred to a kidney specialist (nephrologist).

NICE has produced separate guidance and information for the public on kidney disease.

This page was last updated: 29 June 2022


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