Level 3 professionals: This workforce may include: consultant diabetologists, diabetic specialist nurses, specialist podiatrists or dietitians and primary care diabetes specialists. The delivery of quality care will be provided by different members of the specialist team but the core skills delivered by these specialists will include those expected of the level 1 and 2 professionals plus the following: Understanding Diabetes Mellitus Managing Diabetes Glucose homeostasis/ metabolism and insulin Complex complications The pancreas and other pancreatic hormones DCCT / UKPDS evidence Diagnosis of DM/impaired glucose tolerance/fasting glucose: FPG, OGTT, HbA1c, Diabetic ketoacidosis / hyperosmolar hyperglycaemic state role of C-peptide Sick day rules T2D and T1D Perioperative management IV insulin infusions Insulin resistance / metabolic syndrome Gynaecomastia Pathophysiology, genetics, epidemiology, natural history Lipids Understanding insulins and future therapies Lipid metabolism, dyslipidaemia, hyperlipidaemia Thyroid hormones Assessing/reducing vascular disease risk Managing an alcohol assessment Thyroid function tests Structural and functional imaging Eating disorders and diabetes management Hyperthyroidism (Graves/TAO, TMNG, thyroiditis) Managing acute illness; supporting HDU and ICU Anti-thyroid drugs, radioiodine therapy, thyroid surgery Chronic disease management Hypothyroidism and thyroxine treatment Other thyroid diseases (goitre, nodules, cancer) Thirst, appetite, growth, puberty Adrenal cortex Nutritional assessment (BMI) Hormones synthesis: GC, MC, adrenal androgens, steroid synthesis Obesity Physiology: diurnal variation, stress response Epidemiology, causes and consequences Assessing adrenal function Prevention and treatment options: medical, surgical, societal Adrenal imaging Peripubertal management disease Addison’s Delayed / premature puberty to manage diabetes GC / MC treatment Addisonian crisis (diagnosis, treatment, prevention) Autoimmune polyendocrinopathies Long term, high dose pharmacological steroid treatment Tackling Diabetes Together; the Greater Manchester (GM) Diabetes Strategy (2017-2022) Health Professional Education for Diabetes
Level 3 professionals: This workforce may include: consultant diabetologists, diabetic specialist nurses, specialist podiatrists or dietitians and primary care diabetes specialists. The delivery of quality care will be provided by different members of the specialist team but the core skills delivered by these specialists will include those expected of the level 1 and 2 professionals plus the following: Understanding Diabetes Mellitus Managing Diabetes Glucose homeostasis/ metabolism and insulin The pancreas and other pancreatic hormones Diagnosis of DM/impaired glucose tolerance/fasting glucose: FPG, OGTT, HbA1c, role of C-peptide Complex complications DCCT / UKPDS evidence Diabetic ketoacidosis / hyperosmolar hyperglycaemic state Sick day rules Perioperative management IV insulin infusions Gynaecomastia Lipids Lipid metabolism, dyslipidaemia, hyperlipidaemia Assessing/reducing vascular disease risk Managing an alcohol assessment Eating disorders and diabetes management Managing acute illness; supporting HDU and ICU Chronic disease management T2D and T1D Insulin resistance / metabolic syndrome Pathophysiology, genetics, epidemiology, natural history Understanding insulins and future therapies Thyroid hormones Thyroid function tests Structural and functional imaging Hyperthyroidism (Graves/TAO, TMNG, thyroiditis) Anti-thyroid drugs, radioiodine therapy, thyroid surgery Hypothyroidism and thyroxine treatment Other thyroid diseases (goitre, nodules, cancer) Thirst, appetite, growth, puberty Adrenal cortex Nutritional assessment (BMI) Obesity Epidemiology, causes and consequences Prevention and treatment options: medical, surgical, societal Peripubertal management Delayed / premature puberty to manage diabetes Hormones synthesis: GC, MC, adrenal androgens, steroid synthesis Physiology: diurnal variation, stress response Assessing adrenal function Adrenal imaging Addison’s disease GC / MC treatment Addisonian crisis (diagnosis, treatment, prevention) Autoimmune polyendocrinopathies Long term, high dose pharmacological steroid treatment Tackling Diabetes Together; the Greater Manchester (GM) Diabetes Strategy (2017-2022) Health Professional Education for Diabetes