Intensive Insulin Service

PHT Intensive Insulin Therapy Services for Type 1 Diabetes

The multi-disciplinary intensified insulin team at Queen Alexandra Hospital comprises of:

Ms Susan Cradock – Consultant Nurse

Dr Iain Cranston – Consultant Physician

Mrs Lisa Skinner – Specialist Nurse Lead

Mrs Sue Beadon – Specialist Dietitian Lead

Insulin Pump Assessments and Clinic:

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After appropriate assessment and educational input, the programme offers NICE-compliant and local PCT-approved insulin pump training and six-month trial periods with a view to NHS-funded long-term pump use in those individuals for whom a benefit is demonstrated.

For pump users an ongoing clinic support of three to four monthly review is offered.

IRx Clinic

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Patients using basal-bolus-style insulin therapies who despite ongoing efforts do not achieve their personal glycaemic goals (eg glycaemic variability / hypoglycaemia problems or ongoing hyperglycaemia) can be referred in to the intensified insulin programme where detailed assessments and specific management plans and advice can be offered through technology-assisted clinic services such as meter-download and appraisal, continuous glucose monitoring and advanced education programmes.

General complications screening is not a routine aspect of this clinic service and once an issue is dealt with the individual resumes their previous routine care arrangements.