There is now extensive evidence on the optimal management of diabetes, offering the opportunity of improving the immediate and long-term quality of life of those living with the condition. Unfortunately such optimal management is not reaching many, perhaps the majority, of the people who could benefit. Reasons include the size and complexity of the evidence-base, and the complexity of diabetes care itself. One result is a lack of proven cost-effective resources for diabetes care. Another result is diversity of standards of clinical practice. Guidelines are part of the process which seeks to address those problems. IDF has produced a series of guidelines on different aspects of diabetes management, prevention and care.
Fasting with diabetes can lead to complications so it is therefore important that the decision about whether to fast is made on an individual basis in consultation with a healthcare provider. This Guide provides practical information for people with diabetes to help ensure a safe and healthy Ramadan fast.
As a large number of people with diabetes fast during Ramadan, there is an urgent need for coherent, evidence-based, practical guidance to help them and the health professionals who support them to ensure a safe and healthy fast. IDF and the Diabetes and Ramadan (DAR) International Alliance have come together to deliver a comprehensive set of guidelines to meet this need.
This update of the IDF-DAR Practical Guidelines, first published in 2016, features new guidance based on a greater and more recent body of evidence. This includes an updated set of criteria for risk stratification; information on the impact of fasting on physical and mental well-being; specific guidance on the management of type 1 and type 2 diabetes in special populations such as pregnant women and the elderly; and information on changes to the risk of comorbidities such as cardiovascular disease, stroke and renal impairment.
Diabetic Macular Edema (DME) is a potential complication of diabetic retinopathy. It is caused by disruption of the blood-retinal barrier due to long-term hyperglycaemia (high blood glucose), leading to retinal thickening around the fovea. DME currently affects more than 28 million people with diabetes. These Clinical Practice Recommendations are intended to facilitate the work of general practitioners, hospital physicians, and other clinicians working in diabetes-related eye disease management.
The new IDF Clinical Practice Recommendations for managing Type 2 Diabetes in Primary Care seek to summarise current evidence around optimal management of people with type 2 diabetes. It is intended to be a decision support tool for general practitioners, hospital based clinicians and other primary health care clinicians working in diabetes.
Pocket chart in the format of a Z-card with information for health professionals to identify, assess and treat diabetic foot patients earlier in the "window of presentation" between when neuropathy is diagnosed and prior to developing an ulcer. The content is derived from the IDF Clinical Practice Recommendations on the Diabetic Foot 2017.
Available to download and to order in print format.
The IDF Clinical Practice Recommendations on the Diabetic Foot are simplified, easy to digest guidelines to prioritize health care practitioner's early intervention of the diabetic foot with a sense of urgency through education. The main aims of the guidelines are to promote early detection and intervention; provide the criteria for time- adequate referral to a second or third level centers and serve as a tool to educate people with diabetes about the importance of prevention of this pathology.
The IDF Life for a Child Programme and ISPAD decided it was appropriate to develop a shortened version of these guidelines aimed to be of practical use in emergency situations and in clinics that are developing expertise in managing diabetes in children. The Pocketbook provides basic background on diabetes in children and clear advice for initial management of diabetic ketoacidosis, initiation of maintenance insulin therapy, complications screening, and other key components of care.
Ensuring the optimal care of the many people with diabetes who fast during Ramadan is crucial. The International Diabetes Federation (IDF) and the Diabetes and Ramadan (DAR) International Alliance have therefore come together to deliver comprehensive guidance on this subject. The IDF-DAR Practical Guidelines provide healthcare professionals (HCPs) with relevant background information and practical recommendations to enable them to help people with diabetes participate in fasting during Ramadan while minimising the risk of complications.
The guide was developed by the International Diabetes Federation and the Fred Hollows Foundation, and builds upon the ICO Guidelines for Diabetic Eye Care. This guide encourages and facilitates good diabetes management, early diagnosis and treatment of diabetic eye disease, as well encouraging integration and cooperation across the health system. The primary audience for this document is the broad suite of health professionals who work with people with diabetes.
The IDF Women in India with GDM Strategy (WINGS) project was the first-ever strategy to tackle the rising prevalence of GDM in India. This project aimed to develop a context-adapted model approach to care in low-resource settings which confronts the widespread challenges in GDM screening and management. The project developed a standardized approach to GDM care, seeking to improve the health outcomes of women with GDM and their new-borns and strengthening the capacity of selected health facilities to address GDM.