Current Health Issue in London Borough of Harrow: Diabetes

This presentation discusses the current health issue of diabetes in London Borough of Harrow, including NICE guidelines for treatment and care, the two types of diabetes, national and local statistics, and shortcomings in healthcare such as a shortage of Diabetic Specialist Nurses and lack of access to structured education programs.

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Current Health Issue in London Borough of Harrow
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Diabetes
• It is a condition in which the blood glucose level of the person rises very
high.
• It is very serious metabolic disorder that increases the risk of damaging the
eyes, heart, kidneys and blood vessels.
• There are two types of diabetes that are: Type 1 diabetes and Type 2
diabetes.
Type 1 diabetes
• The body organs can be damaged in this type as the insulin is not produced
and glucose levels are increased.
• It is hereditary and can be diagnosed at very young age.
Type 2 diabetes
• The body don not produce enough insulin or the body cells are unable to
react to insulin.
• Common in older age.
• Linked with obesity.
• Can cause kidney disease, blindness, heart disease and amputation.
• Shortage of the Diabetic Specialist Nurses (DSN).
• Lack in the access to the structured education programmes.
• Lack in the coordination for the appointments.
• Insufficient awareness of diabetes.
How many people have diabetes?
National picture
• 15% of the population is undiagnosed.
• People with high risk of the Type 2 diabetes are supported by the NHS
Diabetes Prevention Programme.
NICE Guidelines (NG28)
Local picture
• Major health problem in Harrow due to low physical activity rates and higher
people with diabetes.
• Number of people diagnosed with diabetes is: 16,927 patients.
Shortcomings of London
Borough of Harrow • It provides standard quality for governing the commissioning of services for
the treatment and care of the adults with the diabetes.
• They set different standards for the children, young people and pregnant
woman.
• The effectiveness of the diabetes healthcare against NICE is measured by
National Diabetes Audit (NDA).