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Wednesday, 14 November, 2001, 12:35 GMT
New approach to diabetes care
Insulin
Ministers hope the framework will help Scottish diabetics
New measures aimed at improving diabetes prevention, treatment and care have been unveiled by the Scottish Executive.

The move coincided with World Diabetes Day and aims to make Scotland the UK leader in tackling a condition which medical experts believe will reach epidemic proportions in 10 years.

Health Minister Susan Deacon said that the new Scottish Diabetes Framework will "raise standards of care for the 120,000 Scots who currently suffer from diabetes".

The framework sets new national standards for patient care and new guidelines on treatment for health professionals.

It contains plans to:

  • establish an education trust by March 2002 to provide high quality professional diabetes training programmes;

  • offer all patients with the condition an annual blood sugar test by September 2002, the results of which will be recorded on new local diabetes clinical management systems;

  • record patients' eye status by September 2003 to help detect and prevent diabetes-related sight loss, and

  • establish managed clinical networks for diabetes in every NHS board area by September 2004.

Ms Deacon said that the full diabetes framework will be completed by the end of the year.

She said it would "put Scotland at the forefront of diabetes care and make a very real difference to patients lives".

Diabetes is a condition in which the body cannot control the level of sugar, or glucose, in the bloodstream.

Health problems

Nine in 10 diabetics have type-2 diabetes, which usually develops later in life, unlike type-1, or juvenile diabetes, which can leave sufferers needing insulin injections from their childhood, teens or twenties.

It can lead to damaged blood vessels, and is often not diagnosed until complications have set in.

On average sufferers die eight years early, and are at higher risk of heart disease, stroke, kidney failure, blindness and even limb amputation.

Dr Mac Armstrong
Dr Mac Armstrong: "No cure"
Type-2 sufferers do not make enough insulin, or are unable to make proper use of it.

Without enough insulin, the body cannot move blood sugar into the cells. Sugar builds up in the bloodstream and causes health problems.

Scotland's chief medical officer, Dr Mac Armstrong, said the "true effects of diabetes" go much further than common public perception.

"There is no cure for the condition, the aim is to help people control their condition rather than allow their condition to control them," he said.

"The framework will aim to do just that and make day to day management of their condition easier and reduce the likelihood of Scots suffering from such severe secondary health problems in the future."

Delia Henry of Diabetes UK Scotland also welcomed the framework and said it would "make real headway in putting in place the key building blocks to bring about improvements in diabetes care over the coming years".

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 ON THIS STORY
News image Health correspondent Eleanor Bradford
"There are two ways to tackle the predicted epidemic of diabetes"
News image BBC Scotland's Forbes McFall reports
"The concern remains that many diabetics don't know they have the condition"
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