May 2018 Meeting - Diabetes related technologies

The group welcomed Lesley Jordan from Input Diabetes to our May 2018 meeting.  The group held its AGM prior to hearing Lesley’s presentation. All committee members were re-elected. 

Lesley talked to the group about diabetes related technologies.  Some of the items discussed were as follows: -

  • Pen Needles – A newly diagnosed person usually starts of with 4mm needles.  The maximum length of needles that are prescribed nowadays is 6mm. The profile of the needle has also changed.  All needles now have a smoother profile to go into the skin.
  • Many people with diabetes experience not remembering whether they did their last injection.  Caps that go on the end of an insulin pen are now able to record when the last injection was done.
  • New smart pens that link into a mobile phone app are able to record the insulin dose and the time the injection was taken.
  • Iport is an injection port that lets you take your medication without having to puncture your skin for each shot.  The port can be worn for up to three days and can be worn during all normal activities, such as exercising, sleeping and bathing.  For further information click onto the following link. https://www.medtronicdiabetes.com/products/i-port-advance.
  • Jet Injectors are a type of medical injecting syringe that use a high-pressure narrow jet of insulin instead of a hypodermic needle to penetrate the skin. For further information on Jet injectors please click on the following link. https://www.diabetes.co.uk/insulin/insulin-jet-injectors.html
  • Insulin Pumps – There are many insulin pumps on the market.  NICE have issued guidelines on who can have an insulin pump.  Some type 2’s are now being given a pump to control their diabetes. Please click on the following link to view the NICE guidelines for Insulin pumps. https://www.nice.org.uk/guidance/TA151/chapter/1-Guidance.  Lesley advised Mid Essex CCG only recommend the cheapest pumps.  Please click on the following link to find more about the various types of pump. https://www.diabetes.co.uk/insulin/Insulin-pumps.html.
  • Blood Glucose meters – There are many different types of blood meter on the market.  Mid Essex CCG have issued guidelines on which ones should be used.  Please follow the following link, which refers to a number of documents issued by the Mid Essex CCG including one on recommended blood glucose monitors. https://midessexccg.nhs.uk/your-health-services/medicines-optimisation/clinical-pathways-and-medication-guidelines/chapter-6-endocrine-system-2
  • Flash Glucose monitoring – Freestyle Libre.  NICE advised that from November 2017 the Freestyle Libre could be prescribed to manage type 1 diabetes.  The Freestyle Libre measures the interstitial blood and provides the user with trend lines. Currently the Mid Essex CCG does not allow the Freestyle Libre to be prescribed.
  • There are some continuous blood monitors that are available on prescription if certain criteria are met.

Lesley advised the Input Diabetes website is updated regularly with the latest information on diabetes technologies  Please click on the following link to visit the Input Diabetes website. http://www.inputdiabetes.org.uk.