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Diabetes and Pre-Diabetes

DIABETES information


DIABETES CARE at Sunny Meed is undertaken by the team:

diabetes explained


Dr Sara Gil Rivas - lead GP for diabetes:

  • oversees diagnosis & recall procedures
  • undertakes clinical reviews
  • advises the clinical team if required on management and referrals

Kathy Leach - lead diabetes nurse:

  • advanced nurse practitioner
  • counsels newly diagnosed diabetics
  • undertakes clinical reviews
  • reviews routine monitoring (HBa1c, lipids, kidney function, BP)results to determine if patients need a face to face or phone follow up with one of the clinical team
  • starts insulin

Laura Donaldson - practice nurse:

  • undertakes clinical reviews

Health Care Assistants:

  • undertake blood tests and screening including BP, BMI, urine analysis
  • undertake foot checks
  • counsel about smoking cessation if required

RECALL You are invited for an annual review in your birthday month and encouraged to attend again at 6 months if not before for monitoring purposes.

This complements the care you may be receiving in the hospital and supports ongoing safe prescribing.

We cover the 15 essential healthcare standards:


Diabetes Dietary Advice

SUPPORT from Diabetes UK:



provides personalised support to diabetics to help you make long-term improvements to your health.


Medical  exemption  certificate


SHARPS DISPOSAL:  Sharps disposal

How to safely dispose of sharps

Click HERE to request a sharps bin disposal

or phone 01483 755855

Important information for diabetics:


For more information please see the below leaflet.


DVLA and diabetes

Diabetes and driving

You can be fined up to £1,000 if you don’t tell DVLA about a medical condition that affects your driving. You may be prosecuted if you’re involved in an accident as a result.

download DVLA leaflets:

  1. A Guide to insulin treated Diabetes
  2. Information for drivers treated by non insulin medication, diet or both

Your driving checklist if you’re at risk of hypos:

If you are treated with insulin or sulphonylurea medication

Follow this checklist each and every time you drive. It’s how you reduce your risk of a hypo at the wheel. And it’s how you can carry on driving safely.

Driving checklist. Full list below
  • Know the symptoms of a hypo – if you’ve lost hypo awareness, you can’t drive. 
  • Keep spare test strips in the car and bring your meter with you.
  • Check your blood sugar levels before you set off and every two hours on long journeys.
  • Five to drive – your blood sugars have to be 5mmol/l or above before you drive. If they’re between 4mmol/l and 5mmol/l, eat some carbs before heading out.
  • If they’re under 4mmol/l – treat your hypo and check your levels again before driving.
  • Always keep hypo treatments where you can easily reach them in the car.
  • Take breaks on long journeys.
  • Don’t delay meals or snacks.

Remember, the rules are more complicated if you want to drive a large vehicle, with a Group 2 licence.

When to check blood sugar levels for driving

If you usually check your blood sugar levels, then you must follow the rules about when to check them.  

This means checking them within two hours of driving – however short the trip. On longer journeys, you must check them every two hours.

You can use a flash glucose monitor to check your sugar levels before you drive. These rules recently changed, meaning drivers with diabetes now have more choice in how they check their sugar levels.

The rules are only about low blood sugar levels, the DVLA don’t have any specific limits on high blood sugar levels.

Speak to your healthcare team if you’re not sure whether you should be checking your blood sugars – it depend what medication you’re on.

If you start having a hypo while driving

It’s the law that you must stop. And it’s what you must do to avoid any risk of an accident. So find somewhere safe to pull in as soon as possible.

What to do when you have a hypo while driving. Checklist below.
  1. Pull over safely. If you feel like your blood sugar is low then make sure you pull over as soon as possible. 
  2. Switch off the engine. Take the keys out and move from the driver’s seat – if you don’t, the police can think you’re still in charge of the car and you could be prosecuted.
  3. Take fast-acting carbs, like glucose tablets or sweets, and some longer-acting carbohydrates too, like plain biscuits or crackers.
  4. Don’t drive until 45 minutes after your blood sugar level has gone back to 5mmol/l or above. This is the time it takes for your concentration to go back to normal.  

If you’re struggling with hypos, talk to your healthcare team about whether you should be driving. 

You don’t need to let the DVLA know that you’ve had a hypo – only if it’s a severe hypo.

further information videos.... 

Diabetes in Ramadan


click the image to find out more about pre-diabetes and the National Diabetes Prevention Programme:


Healthier You



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