As GPs, our training in diabetes is primarily focused on screening, diagnosis and achieving evidence-based targets to reduce morbidity and mortality of the disease. This is obviously important but what we lose in this approach is how our patient feels, how they understand the disease and where their mindset is...

The number of people with diabetes has increased four-fold in the past 35 years and diabetes is now the seventh leading cause of years lived with disability worldwide.^1,2 The impact of diabetes on health systems and national economies is of growing concern. In 2015, the global cost of diabetes was estimated to...

Case study 1

A 54-year-old woman who has no prior past medical history is diagnosed with type 2 diabetes mellitus

Her body mass index (BMI) is 37kg/m². Her renal function is normal and she is taking no regular medications. HbA1c was found to be 62mmol/mol (7.8%).

Question 1

What is the glycaemic...