Berkshire West Diabetes Newsletter - June 2016

Print June 2016
Monthly diabetes news for healthcare professionals and
others in Berkshire West
  Dietary advice for diabetics  
Recent confusion has been caused by some experts changing the dietary advice they give to diabetics and this has attracted media attention. Below is a summary of the current situation from Kam Purewall, Lead Dietician for Diabetes:
Xpert - Type 2 Patient Education: Advice to our patients attending the Xpert Programme?

During the six week Xpert Programme, different dietary approaches are shared with patients that may help them to lose weight and improve their blood sugar levels. The approaches are not suitable for all patients and care needs to be taken if the patient chooses to follow them.

Recently there has been a lot of media attention on whether we should stop promoting carbohydrate and promote fat in the diets of people with type 2 diabetes, which is confusing our patients! 

Diabetes UK has not changed their advice and state 'It is important to include some carbohydrate as part of a healthy balanced diet for all people with diabetes.' With regards to saturated fat, they report ' There is no evidence suggesting that an increase in saturated fatty acid intake is beneficial in reducing risk of CVD.'

Diabetes UK dietary recommendations are as follows:
  • When considering a low-carbohydrate diet as an option for weight loss, people with diabetes should be made aware of the possible side effects such as the risk of hypoglycaemia, headaches, lack of concentration and  constipation.
  • Individual diabetes control should be considered - blood glucose levels need to be closely monitored, with adjustments to medication as required.
  • Nutritional adequacy should be considered. It should be ensured that optimal amounts of vitamins, minerals and fibre are supplied by the diet.
  • Replacement of SFA with unsaturated fats (PUFA or MUFA) should be recommended as part of a health overall diet, acknowledging that it is more important to focus on eating beneficial healthy fats.
  National Diabetes Audit Collection 2015-16  
The data collection period for NDA has just opened and runs until 29/7/16. Last time all four Berkshire West Clinical Commissioning Groups (CCGs) achieved 100% submission rates and only 19 CCGs achieved this nationally so well done to all!

In the past, practices had help from Daniel Jones in the CSCSU who would do the submission himself if asked. Unfortunately, he is no longer in the same role so practice managers will currently have to make their own submissions.
Work is being done to make this as simple as possible for all three practice IT systems and we are advised that for EMIS it will only take 20 minutes of your time. More information to follow shortly.
Diabetes Specialist Nurse Hotline: 07879 814922 (Monday to Friday 10am – 4pm) Consultant Hotline: 07717 867448. Email:
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