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DIABETES ACTION PLAN 2010

Diabetes Action Plan 2010 - Scottish Government

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<strong>DIABETES</strong> <strong>ACTION</strong> <strong>PLAN</strong> <strong>2010</strong><br />

QUALITY CARE FOR <strong>DIABETES</strong> IN SCOTLAND<br />

Cardiovascular risk factors in diabetes include dyslipidaemia, hypertension, hyperglycaemia<br />

and smoking. Patients with diabetes who have one or more risk factors should have the<br />

relevant information to help them recognise and manage their risk factors. SIGN<br />

Guideline 116 emphasises the importance of aggressive treatment of hypertension with<br />

lifestyle modification and drug therapy and recommends a target of less than 130/80. Care<br />

systems need to ensure assessment of lipid status and introduction of statins for<br />

appropriate groups.<br />

People with diabetes who have established vascular disease need careful assessment and<br />

regular review to ensure that they benefit from the measures described in SIGN<br />

Guideline 116 (diabetes), SIGN Guideline 108 (acute stroke) and SIGN Guideline 89<br />

(Peripheral Vascular Disease). It is incumbent on the Scottish Diabetes Group to support<br />

implementation of these Guidelines.<br />

Actions we will take:<br />

The Scottish Diabetes Group will support initiatives to improve<br />

vascular health including:<br />

• Continue to monitor cardiovascular risk factors and the prevalence of<br />

cardiovascular disease in the annual Scottish Diabetes Survey and share this with<br />

all stakeholders.<br />

The Scottish Diabetes Group will support implementation of SIGN<br />

Guideline 116 by:<br />

• Supporting SCI-DC initiatives to integrate information on vascular risk.<br />

Quality Healthcare Indicators: safe; effective.<br />

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