Diabetes is a lifelong condition where the amount of glucose in your blood becomes
too high. Normally glucose levels are controlled by the hormone, insulin, which is
produced by your pancreas. Diabetes occurs if your pancreas either doesn’t produce
insulin (Type 1) or the insulin it produces is insufficient or doesn’t work properly
(Type 2). There are currently no known cures but the condition can be managed very
Diabetes can cause some serious health problems and, importantly, needs to be monitored
and managed under professional care on a regular basis. To do so, specialist facilities
are available in both hospitals and at your Practice.
How is Diabetes managed?
For those with Type 1 diabetes, Hospital Diabetes Clinics provide most of the care
and also help Type 2 patients with more complex problems. For Type 2 diabetes, care
is usually provided by our Specialist Practice Nurses who hold regular Diabetic Reviews
with each patient aimed at carrying out all of the necessary tests and checks and
supporting the patient in “self-managing” their condition. The Practice Doctors are,
of course, on hand if any further consultation is needed. A full review takes place
annually with an interim reviews as thought necessary in agreement with the Practice
Nurse. Additionally, patients should have an annual eye examination that tests for
What happens at a Diabetic Review?
At your review, the nurse will check your blood pressure, your weight and test your
circulation and sensation in your feet. A blood sample will also be taken. You should
bring a urine sample with you. The review takes about 20 minutes and should be booked
The Practice Nurse will discuss your results with you and your readings are recorded
in your NHS Scotland personal health record. If you choose, you can access the test
readings and review your own trends at home by registering on the “My Diabetes My
Way” web site by clicking here. This site also contains very useful information on
diabetes, medications and lifestyle choices.