The team have also been streamlining their inclusion criteria and are now only accepting referrals for patients who meet the following requirements:
Patients with an HbA1c below 53mmol/mol
Patients with Type 2 Diabetes who have an HbA1c below 53mmol/mol, and who are not prescribed any diabetes medications or are treated with Metformin only, will be returned to the referrer.
It is recommended that these patients attend DESMOND if they require dietary advice for diabetes or their local weight management service if they require weight reducing advice.
Patients who require dietary advice for their diabetes, but are unable to attend the DESMOND (Diabetes Education and Self-Management for Ongoing and Newly Diagnosed) programme, due to, for example, a language barrier or anxiety in group settings, will still be accepted if this is clearly document on the referral.
Patients with an HbA1c above 53mmol/mol
If a patient has an HbA1c above 53mmol/mol but they have not previously attended DESMOND, please consider whether it would be more appropriate to refer them to this in the first instance, before referring to Dietetics.
If a patient requires dietary advice for their weight but is unable to attend their local weight management service, please consider whether referral to specialist weight management services would be appropriate.
Referrals for Pre-Diabetes will also be returned to the referrer, as they should be directed to the National Diabetes Prevention Programme, ‘Healthier You’.