11 September 2023

Here, Callum Metcalfe-O’Shea, advanced nurse practitioner diabetes specialist and co-chair for the Norfolk Health Professionals Diabetes Forum, looks at how remission in type 2 diabetes can be achieved in some cases. Definitions of remission are explored as well as the challenges patients may face. Dietary advice and pharmacological interventions are considered to help general practice nurses (GPNs) structure their approach in achieving remission for suitable patients with type 2 diabetes.

05 December 2023

Here, Callum Metcalfe-O’Shea, advanced nurse practitioner diabetes specialist and co-chair for the Norfolk Health Professionals Diabetes Forum, provides the last part in the diabetes digest series with an outlook on the future of care provision for diabetes in primary care settings. This article explores the current data on diabetes, acknowledging the change in future therapies and the role of diabetes technology in advancing care. The role of the GPN is also examined to highlight the need to recognise their involvement in supporting high quality care.

29 March 2023

Here, Callum Metcalfe-O’Shea, advanced nurse practitioner diabetes specialist and co-chair for the Practice Nurse Diabetes Forum for Norfolk, provides the first in a series of articles with direct insight into the changing practice of diabetes in primary care and how general practice nurses (GPNs) can keep up to date with new evidence. This article looks at new guidance from the National Institute for Health and Care Excellence (NICE) for type 2 diabetes, identifying how the implementation of sodiumglucose co-transporter-2 inhibitors (SGLT-2i) as second-line therapy now takes place and how you can use these guidelines to advance practice. Consideration will be given to SGLT-2i use in practice, while recognising the importance of patient preference and individualised care at all stages.

10 July 2023

Here, Callum Metcalfe-O’Shea, advanced nurse practitioner diabetes specialist and co-chair for the Practice Nurse Diabetes Forum for Norfolk, looks at how general practice nurses (GPN) can discuss nutrition with patients newly diagnosed with type 2 diabetes to ensure that they feel motivated and engaged in their healthcare journey. This article, the second part in our diabetes digest series, focuses on the initial consultation when patients are still coming to terms with their diagnosis. While individual diet plans are not discussed, a review of carbohydrates and their role in diabetes management, alongside medication considerations, are explored.