Special groups
1. Young people with diabetes should have access to an experienced multidisciplinary team including developmental expertise, youth health, health psychology and dietetics.
2. All patients with type 1 diabetes should have access to an experienced multidisciplinary team, including expertise in insulin pumps and continuous glucose monitoring systems when required.
3. Vulnerable patients, including those in residential facilities and those with mental health or cognitive problems, should have access to all aspects of care, tailored to their individual needs.
4. Those with uncommon causes of diabetes (eg, cystic fibrosis, monogenic, post-pancreatectomy) should have access to specialist expertise with experience in these conditions.
5. Pregnant women with established diabetes and those developing gestational diabetes mellitus (GDM) should have access to prompt expert advice and management, with follow-up after pregnancy. Those with diabetes of child-bearing age should be advised of optimal planning of pregnancy including the benefits of pre-conception glycaemic control. Those not wishing for a pregnancy should be offered appropriate contraceptive advice as required.
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