Protocols for diabetes clinics

Protocols for diabetes clinics

Q Are there any specialist nurses who are working alongside the doctors in general diabetes clinics seeing patients (albeit uncomplicated ones!), not in a nurse-led clinic capacity but either with newly-referred patients or those attending annual review? If so what protocols do you have to support your role?

Jackie Webb DSN Manager, Birmingham Heartlands & Solihull NHS Trust

Guidelines for pre-filling syringes

Q Are there any recent guidelines for district nurses pre-filling insulin syringes which are left in residential/care homes to be given at a later date? The RCN has documented it is safe for seven days, although this appears too long. I would be grateful for any feedback.

Becky Marshall, Diabetes Nurse Educator, Eastern Hull Primary Care Diabetes Service, Hull

Inflammation at injection sites

Q We have a small number of patients complaining of local reaction at injection sites, described as being like a sting or bite. We have tried shorter/longer needles and sometimes a change of insulin type with varying degrees of success, and a very few have turned out to have a latex allergy, which has meant changing insulin–usually to pork insulin.

We just wondered if anyone else has come across this and, if so, have they found a solution?

Gill Teft, Diabetes Nurse Specialist, Diabetes Centre, Raigmore Hospital

Please send any responses to the above or future questions or comments to Debbie Hicks at NOTICEBOARD, 15 Mandeville Courtyard, 142 Battersea Park Road, London SW11 4NB (email: or fax 020-7627 1570)

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