Standard setting in diabetes-NICE work if you can get it

Abstract

Good audit and research are the foundations for standard setting in diabetes. International audit has shown wide variation in diabetes control between centers. National audits have shown year-on-year improvement can be achieved by the application of rigorous standards based on clinical evidence. The National Institute for Health & Care Excellence (NICE) in England andWales is recognized as a body that produces high quality evidence-based recommendations and health economic analysis for care, and in 2015 produced an update of previous 2004 guidance on standards of care for diabetes in children and young people. For the first time the guidance included childhood type 2 diabetes and the treatment of diabetic ketoacidosis. (Monogenic diabetes and CF-related diabetes were not included in the scope of the review which was co-published with guidance on adult type 1 & 2 diabetes and diabetes in pregnancy). The guideline has recommended an ambitious clinic aim for near normoglycaemia & HbA1c with individual target setting and an emphasis on the support and treatments required to achieve these goals. The process and personnel used to construct the guidance will be discussed, as well as the “highlights” of the recommendations and areas where no evidence exists and more research is required.L720731602015-11-20 <br />