This is an updated guideline from NICE on Type 1 diabetes in adults. It is a huge guideline. Most patients will be managed in secondary care, so I’ve tried to pull out the bits that are most relevant to us or that seemed new to me. If you do a lot with these patients, the guideline is well worth a read.
Diagnosis – telling type 1 from type 2 diabetes
Type 1 diabetics normally have 1 or more of:
- Rapid weight loss
- BMI < 25
- Family history of autoimmune disease
- Age under 50
But don’t discount the possibility of type 1 diabetes if their BMI is > 25, or if they are over 50.