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END OF LIFE - diabetes-resources-production.s3.eu-west-1 ...

END OF life DIABETES CAREC linical care Recommendations3rd Edition March 2018 Commissioned by: Developed by: 02 END OF life DIABETES CARE3rd Edition March 2018 CONTENTS PageWelcome and Statements3 Preface to the Third Edition4 Acknowledgements5 Introduction6 Medication10 Vulnerable Special Populations16 Advance care Planning22 Steroid Therapy24 Hypoglycaemia26 Sick-Day Management28 Withdrawal of Treatment29 Competencies and Workforce Training30 Key Action Points31 References and Resources32 Appendix 1: The GSF PIG 2016 - Proactive Identification Guidance33 Appendix 2: Insulin Tables35 Appendix 3: Prescribing Guidance in Patients with Renal Impairment36 Appendix 4: Example of Sick-Day Management for End of life care Guidance 38 Appendix 5: Staff Competencies in End of life

05 END OF LIFE DIABETES CARE 3rd Edition March 2018 STEERING GROUP June James - Nurse Consultant in Diabetes, University Hospitals of Leicester NHS Trust, Associate Professor

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