Advanced Diabetes Management in Primary Care

• Purpose and scope of advanced diabetes care in Primary Care
• How this course builds on foundation-level learning
• Patient safety, governance, and escalation boundaries

• Interpreting trends in HbA1c and glucose data
• Individualising glycaemic targets
• Managing poor control despite treatment escalation
• Balancing risks of hypoglycaemia and hyperglycaemia

• Optimising oral and injectable therapies
• Advanced use of GLP-1 receptor agonists and SGLT2 inhibitors
• Insulin optimisation and titration in patients with suboptimal control or treatment complexity
• Managing side effects, intolerance, and adherence challenges
• Applying national guidance within Primary Care governance and shared-care arrangements

• Interpreting blood glucose profiles and patterns
• Overview of continuous glucose monitoring (CGM) and flash glucose monitoring
• Supporting patients using diabetes technology in Primary Care
• Knowing when to refer to specialist services

• Diabetes and cardiovascular disease
• Diabetes and chronic kidney disease
• Diabetes in frailty and older adults
• Polypharmacy and risk management

• Recurrent hypoglycaemia
• Hyperglycaemic crises and high-risk presentations
• Sick day rules and medication adjustment during intercurrent illness
• Identifying patients at increased risk of diabetic emergencies
• Safety-netting and escalation pathways

• Addressing adherence challenges
• Behaviour change in complex cases
• Psychological impact of long-term diabetes
• Addressing health inequalities and personalised care planning
• Supporting shared decision-making

• When and how to refer to secondary or specialist services
• Working with diabetes specialist nurses and MDTs
• Managing care at the Primary–Secondary Care interface

• Complex case studies
• Advanced clinical decision-making scenarios
• Peer discussion and reflective learning

All courses are developed and delivered by experienced healthcare professionals with current or recent clinical experience in Primary Care and long-term condition management. Trainers are appropriately qualified and maintain up-to-date knowledge in line with national guidance. Course content and curriculum are subject to regular review to ensure they remain evidence based, aligned to national standards, and reflective of current best practice at the time of delivery.