(2010, udpated September 2013) Guideline 116: Management of diabetes - Full guideline. The Scottish Intercollegiate Guidelines Network (SIGN) develops evidence based clinical practice guidelines for the National Health Service (NHS) in Scotland. SIGN guidelines are derived from a systematic review of the scientific literature and are designed as a vehicle for accelerating the translation of new knowledge into action to meet our aim of reducing variations in practice, and improving patient-important outcomes.
This guideline provides recommendations based on current evidence for best practice in the management of diabetes. It provides recommendations on: lifestyle interventions for type 1 and type 2 diabetes; managing psychosocial issues; managing type 1 diabetes; glucose-lowering therapies for type 2 diabetes; managing cardiovascular, kidney and foot diseases; preventing visual impairment; and managing type 1, type 2 and gestational diabetes during pregnancy. Prevention of diabetes and prediabetes are not covered.