Non-insulin-dependent diabetes

Look after your feet

Having diabetes means you are more likely to develop problems with your feet, including foot ulcers and infections from minor cuts and grazes.

This is because diabetes is associated with poor blood circulation in the feet, and blood glucose can damage the nerves in your feet.

To prevent problems with your feet, keep your nails short and wash your feet daily using warm water. Wear shoes that fit properly and see a podiatrist or chiropodist (a specialist in foot care) regularly so any problems are detected early.

Regularly check your feet for cuts, blisters or grazes because you may not be able to feel them if the nerves in your feet are damaged. See your GP if you have a minor foot injury that does not start to heal within a few days.

Read more about feet and diabetes.

Want to know more?

• Diabetes UK: Feet

Regular eye tests

If you have type 2 diabetes, you should have your eyes tested at least once a year to check for retinopathy.

Retinopathy is an eye condition where the small blood vessels in your eye become damaged. It can occur if your blood glucose level is too high for a long period of time (hyperglycaemia). If left untreated, retinopathy can eventually cause blindness.

Want to know more?

• Diabetes UK: Eyes

Pregnancy

If you have diabetes and are thinking about having a baby, it is a good idea to discuss this with your diabetes care team. Planning your pregnancy means you can ensure your blood glucose levels are as well controlled as they can be before you get pregnant.

You will need to keep your blood glucose under tight control, particularly before becoming pregnant and during the first eight weeks of your baby's development to reduce the risk of birth defects. You should also:

• Check your medications. Some tablets used to treat type 2 diabetes may harm your baby, so you may have to switch to insulin injections. 
• Take a higher dose of folic acid tablets. Folic acid helps prevent your baby from developing spinal cord problems. It is now recommended that all women planning to have a baby take folic acid. Women with diabetes are advised to take 5mg each day (only available on prescription).
• Have your eyes checked. Retinopathy, which affects the blood vessels in the eyes, is a risk for all people with diabetes. As pregnancy can place extra pressure on the small vessels in your eyes, it is important to treat retinopathy before you become pregnant.

Your GP or diabetes care team can give you further advice. Diabetes UK also provides useful information to help you get your pregnancy off to a healthy start.

Want to know more?

• Diabetes UK: Pregnancy and diabetes

Get educated

You will be best equipped to manage your diabetes day-to-day if you are given information and education when you are diagnosed and on an ongoing basis.

The National Institute for Health and Clinical Excellence (NICE) recommends all people who have diabetes should be offered a structured patient education programme, providing information and education to help them care for themselves.

Structured patient education

Structured patient education means there is a planned course that:

• covers all aspects of diabetes
• is flexible in content
• is relevant to a person's clinical and psychological needs
• is adaptable to a person's educational and cultural background

For type 2 diabetes, there is a national patient education programme that meets all the key criteria for structured education. It is called the DESMOND programme (Diabetes Education and Self Management for Ongoing and Newly Diagnosed).

There are also several local adult education programmes, many of which are working towards the criteria for structured education. Ask your diabetes care team about the adult education programmes they provide.

Want to know more?

• DESMOND

Talk to others

Many people find it helpful to talk to others in a similar position and you may find support from a group for people with diabetes. Patient organisations have local groups where you can meet others diagnosed with the condition.

To find your local diabetes support group, visit the Diabetes UK website. If you want to get in touch with a trained counsellor directly, you can call the Diabetes UK's care line on 0845 120 2960 or email careline@diabetes.org.uk.

Want to know more?

• Diabetes UK: Supporting each other

Financial support and benefits

People with diabetes controlled by medication are entitled to free prescriptions and eye examinations. Some people with diabetes may also be eligible for disability and incapacity benefits, depending on the impact that the condition has on their lives.

The main groups likely to qualify for welfare benefits are children, the elderly, those with learning disabilities or mental health problems, and those with diabetic complications.

People over 65 who are severely disabled may qualify for a type of disability benefit called Attendance Allowance.

Carers may also be entitled to some benefit, depending on their involvement in caring for the person with diabetes.

Your local Citizen's Advice Bureau can check whether you are getting all the benefits you are entitled to. They, as well as your diabetes specialist nurse, should also be able to provide advice about filling in the forms.

Want to know more?

• Diabetes UK: Claiming benefits
• Carers Direct
• DirectGov: Benefits and financial support
• Citizen's Advice Bureau
• Money Advice Service