Type 2 Diabetes Structured Patient Education Vanessa SawmynadenDiabetes

Type 2 Diabetes Structured Patient Education Vanessa Sawmynaden-Diabetes Specialist Nurse (CNWL) Katie Hacker-Dietitian (Whittington Health)

Current provision DESMOND DIABETES EDUCATION and SELF MANAGEMENT for ONGOING and NEWLY DIAGNOSED Who. All newly diagnosed Type 2 DM. Existing Type 2 DM non-insulin treated. Suitable for group education What. 1 day (6 hours) Where. South . GP/PN . Peckwater Centre . Selfreferral to Diabetes Service Camden Centre for Health . 10 Patients. 2 HCPs How referral via CICS

What is DESMOND? • Self-management programme based on theoretical basis Considering; – How people make sense of information to influence their beliefs and behaviors – The impact of social factors on learning, confidence and behavior change – The role of implementing intentions and goal setting in supporting behavior change • Person – centered philosophy

Topics in DESMOND Part 1: Getting the big picture • Patient Story (how did they find out, what do they know, what do they want to know) • Professional story 1 (Diabetes and Glucose) • Monitoring Diabetes • Taking Control 1 (Food choices-Glycaemia and Insulin Resistance) • Reflections so far Part 2: My Diabetes and Self-Management Plan • Reflections so far • Professional Story 2 (Risk Factors and Complications) • Physical Activity • Taking Control 2 (Food choices- Focus on Fats) • Self-Management Plan • Burning Questions and Future Care

DESMOND Process Referrals: - received - triaged - accepted Admin invites patient to book DESMOND session Admin contacts those not opting in . Attended -D/C. DNA-D/C. Not opting in. D/C

DESMOND data April 2013 -May 2014 35 sessions provided

Initial comments from patients My GP said that I am borderline/ I have mild diabetes I do not know why I am here? What can I eat or not eat? I do not know why I got DM I don’t think I have DM yet as my sugars are not high? Can DM be cured? Can I stop medication if my DM is better ?

Feedback after DESMOND What sort of things do you think are important? What do you understand better? “Learning to self-manage” “The interactions about the various types of management” “I now know how serious it is” “That I cannot ignore the warning and that I must be sensible to live longer + better!” “Going for regular tests, portion control, lowering intake of sugar, salt and saturated fats” “I feel good in myself and more relax” “I do not know why more people do not come to DESMOND” “Very helpful-at least I know what food to avoid and what to eat” “What is happening in my body” “Can I come back again? ”

Future Plans for DESMOND • • Additional venue in North West Camden Saturday DESMOND More trained educators Working with referrers to promote DESMOND to patients (to increase opt-in and attendance)

Future plans for Type 2 DM Structured Education in Camden • Structured group education for Bangladeshi population • Refresher group education • On-line education He. LP: https: //www. help-diabetes. org. uk/ DUK online education: http: //www. type 2 diabetesandme. co. uk/lnt/Login. aspx? ts=635381669660931250&current. Page=1

Thank You