You & Type 2: Remote

You & Type 2 Remote (Diabetes annual review) new process

We are changing and adapting our You and Type 2 diabetes programme (Diabetes annual review process).

We think it is important that people still continue to receive high quality diabetes care but in a safe and supported way. For that reason, we are looking at new ways of working and doing as many things remotely as possible. This includes the data gathering part of your diabetes annual review. This is an important first part of your review. A member of your general practice team will contact you to help gather some of this information and talk you through the process. They will try to get as much information as they can and then share this with you so that you get a chance to have a look at it before you speak to the doctor or nurse about your diabetes care.

Please read the information below carefully. You can record some of your home measurement results in advance and we have created a simple form to use and help you with that. It can be accessed HERE:

  1. Things to check at home before your GP surgery calls you (information gathering call):

  • Weight

If you have weighing scales at home, please check your weight. Try not to wear shoes and heavy items of clothing.

 

  • Feet

A foot check can be done by yourself in terms of looking at your feet but it is best done if you have someone else there with you who can help you with it. They will need to help check for feeling and sensation in the foot which is an important part of a foot check. There is helpful advice on the diabetes UK website about how to do this.

Watch this video and complete the foot check to the best of your ability: https://www.diabetes.org.uk/guide-to-diabetes/complications/feet/taking-care-of-your-feet

When you get your information gathering call, it would be helpful to keep your feet as bare as possible in case someone needs to have a look at them using a video or get you to take a picture of them. Please get help from someone at home if this is available to you.

 

  • Blood Pressure

If you have access to a blood pressure monitor at home, please measure your blood pressure at least 2 or 3 times and record those readings. The following link provides some more information if you are not sure what to do: https://www.bhf.org.uk/informationsupport/heart-matters-magazine/medical/tests/blood-pressure-measuring-at-home

There is also a short video you can watch.

If you don’t have a blood pressure monitor at home but were perhaps thinking about getting one, you can get some good and relatively inexpensive ones to use at home. The following website provides a list of them https://bihsoc.org/bp-monitors/for-home-use/

The Omron M2 Basic retails for about £25 for example.

Please record as much of this information as you can before the information gathering phone call.

 

  1. During the phone call (information gathering phone call)

One of the GP surgery team will call you to go through your results and get a bit more information from you. They will support you with this new process. Remember to have the results you have been able to gather at home to hand in.

 

  1. After the phone call

There are a few last bits of clinical information that are needed to check on your blood glucose levels and the health of your kidneys. These are a combination of blood and urine tests that would normally be done at the GP surgery or hospital but we are trying new ways of getting the same information remotely meaning you don’t need to leave your own home. The testing kits will be posted out to you and you simply complete them and send back. All the results and information will then be sent securely to your GP surgery to keep in your medical notes and discuss with you at your diabetes review.

 

  • Urine Test

You will need to complete a urine testing kit. We are using a company called Health.io for this and you will receive a phone call from them. They are already established in the NHS.  The Healthy.io team member will guide you through the process of how to download the results recording app. The app covers, step by step, everything you need to complete your urine test. You will receive a package in the post with the urine test kit inside. You can find out more about Healthy.io and how this process works HERE

 

  • Blood Test

You will need to complete a blood testing kit. You will receive a package through the post that gives you the tools needed to take a blood sample at home. The completed blood tests will need to be sent back in the post via the included envelope. This will be ok to fit in your local post box. The company we are using for this part is called Thriva and you can find out more about them and how this process works HERE

 

  1. Results sharing

The results that are captured from you as detailed above will all be put together and made available to you to have a look at before you have a care and support planning discussion with the clinician. This part is the same as it was previously.

 

  1. Care and support planning discussion

The next step of You and Type 2 remains very similar in terms of the format although the consultation with the clinician from your GP surgery may happen remotely by either telephone or video rather than as a more traditional face to face appointment.

The conversation that you have will still focus on what is important to you, what you want to achieve and focus on and how you can be best supported to do that.

 

Or take a look at our LTC hub: