By 2050 the number of people aged 85+ years will be over 8 million in the UK. The number of older people living with diabetes is set to rise, with a growing population requiring care in their older age. One in four people in care homes have diabetes.
Use the following resources and tools to improve care for people living with diabetes in care homes.
- Good clinical practice guidelines for care home residents with diabetes (January 2010) (PDF, 475 KB)
These guidelines summarise the evidence base of published studies in the area, and reviews documents and other material relevant to care within residential and nursing homes.
- TREND and IDOP: Diabetes and dementia on practical management (October 2013) (PDF, 264KB)
This guidance has been produced for people involved in providing care for older people and for commissioners and designers of services. It highlights the importance of recognising the relationship between diabetes and dementia, maximising the benefits and safety of diabetes treatments while minimising risks.
- Position statement (June 2014) (PDF, 238 KB)
We have produced a position statement that focuses on end of life care and diabetes care for older residents in care homes.
- Managing medicines in care homes, NICE website (March 2014)
This guideline covers good practice for managing medicines in care homes, advising on processes for prescribing, handling and administration of medicines, along with other relevant guidance. You can also access summary guides for this topic.
- Transition between inpatient hospital settings and community or care home settings for adults with social care needs, NICE website (December 2015)
This guideline covers the transition between inpatient hospital settings and community or care homes for adults with social care needs. It aims to improve people's experience by better coordination of health and social care services. You can also access summary guides for this topic.
- England-wide care home diabetes audit (Spring 2014) (PDF, 1.6MB)
This audit undertaken by the Institute of Diabetes in Older People (IDOP) in collaboration with The Association of British Clinical Diabetologists (ABCD) highlights several areas of urgent concern around the safety and health of care home residents in England.
- Older people with type 2 diabetes (2012) (PDF, 483 KB)
This report highlights the growing incidence of type 2 diabetes in Europe among older people and its impact on patients and society
Shared Practice Examples
This training for carers implemented in Kent addressed key objectives including improved competence in blood glucose monitoring and recognition and treatment of hypoglycaemia.
- The impact of providing enhanced support for care home residents in Rushcliffe (March 2017) (PDF, 355KB)
This briefing looks at the impact of an enhanced support package for older people living in care homes. Introduced in April 2014, it was developed by Principia, a local partnership of general practitioners, patients and community services that aims to provide better quality of care for people in Rushcliffe in Nottinghamshire, England.
- Improving diabetes care in care facilities in Somerset (September 2009) (Word, 497KB)
Somerset has been identified as a county with a high frail elderly population, with a significant prevalence of diabetes. This report describes the introduction of two new collaborative working initiatives to provide better care for older people with diabetes.
- NICE local practice examples, NICE website
Examples of good shared practice, relevant to care homes, gathered by NICE.
- Improving diabetes management in care homes in Swale, Kent Community Health NHS Foundation Trust (June 2016) (PDF, 1.7MB)
This case study describes how a new education model developed in Swale improved diabetes management in care homes and supported non-registered practitioners to safely administer insulin, reducing hospital admissions by 65% and preventing 378 community nurse visits.
- Resident’s diabetes passport (PDF, 164KB)
A care plan for people with diabetes living in residential care.
- How to: manage insulin administration in the community, Diabetes UK (February 2016) (PDF, 248KB)
This how to guide provides practical, step-by-step information for managing insulin administration in community settings. Part 1 includes how to review the community diabetes caseload and identify how care can be improved. Part 2 includes how to develop and implement an insulin delegation programme.