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COVID-19 service update: 

We are accepting all appropriate referrals into the service and they are being assessed on a priority basis. Most consultations will remain remotely delivered, however where it is deemed clinically appropriate support will be offered face to face in a clinic venue or with you at home.

The structured education programme is now being delivered to groups virtually, however it is also offered on a 1:1 basis if deemed clinically appropriate.

You may find the following website pages useful:


We are a short term specialist service for patients who are currently taking the maximum dose of oral medication (maximum oral triple therapy) to control their Type 2 diabetes. Usually this is patients with a HBA1C (the blood marker used for diabetes) of over 75 who require specialist intervention from diabetes specialist nurses, dietitians and GPs with a specialist interest in diabetes. 


Who's it for?

Our service is only for people who have Type 2 diabetes.

Referrals

Refarrals can be made by:

  • GPs or hospitals
  • Patients themselves 
  • Allied Health Professionals  

The LEEDS Programme

Leeds programmeThe LEEDS Programme is an education programme for people newly diagnosed with type 2 diabetes. The course covers information about Type 2 diabetes and how a carefully controlled diet, exercise and lifestyle changes can help to prevent longer term complications. 

The structured education programme is now being delivered to groups virtually, however it is also offered on a 1:1 basis if deemed clinically appropriate.

Find out more about the LEEDS programme 

Service Information

Getting the most from your insulin treatment 


1. When you collect your insulin check the insulin name is correct and it is within the expiry date.

2. To keep your insulin in good condition:

  • Store your spare insulin supplies in the fridge, near the front or in the salad compartment, to avoid freezing.
  • The insulin you are currently using can be left out of the fridge at room temperature for up to a month. Avoid leaving in extremes of heat or cold, for example on a window sill, near a radiator or in a cold car.

3. Remember to use a new needle for each injection. Remove the needle from the pen when you have completed your injection and discard in a suitable sharps disposal container.
4. Remember to wash your hands and make sure your injection site is clean.
5. Remember to:

  • Perform a safety check (air shot) before every injection to ensure that the needle and pen are working correctly.
  • Dial up your dose accurately.
  • Inject your insulin into the subcutaneous fat layer using the injection sites recommended by your diabetes health care professional.  Avoid any sore, swollen or lumpy areas.
  • Insert the needle at an angle of 90 degrees trying to avoid indenting the skin. Your healthcare professional will advise you whether you need to lift your skin prior to your injection.
  • Press the injection button until the dial returns to ‘0’.
  • Count to 10 before removing the needle from your skin.

6. Some types of insulin need to be mixed before use. Check your insulin guidance, but if in doubt mix. To mix, roll your pen between your hands 10 times and invert 10 times. Do not shake.
7. It is important to time your insulin correctly to ensure that the medication works well for you. Some types of insulin need to be taken with food, some at the same time each day. The type of insulin you use will depend on your individual requirements.
8. Do not inject through clothing to make sure the insulin is injected correctly and to minimise infection risk.
9. Remember to move your injections around the different injection areas to help keep your injection sites healthy and to allow your insulin to absorb correctly.
10. If you experience any problems with giving your insulin seek help from your diabetes health care professional.

Getting accurate and useful home blood glucose measurements

1. Make sure that you understand the relevance of blood glucose testing and why you have been asked to test your blood glucose.

2. Ensure your testing strips are in date and stored in the original container or packaging, as recommended by the manufacturer. Once you have opened the packaging, the strips will have a limited shelf life. Please ensure you check the manufacturers guidance.

3. To keep the test strips in good condition, replace the lid on the test strip container if applicable as soon as you have removed the strip.

4. Always wash and dry your hands thoroughly before testing. Do not use wet wipes or alcohol swabs as these could affect the blood glucose result.

5. Make sure that you use an appropriate finger pricking device and a new lancet for each test. Some finger prickers offer adjustable penetration depth which can help reduce unnecessary discomfort.

6. When testing:

  • Make sure that your hands are warm as this will help the blood flow and make testing less painful. Holding your hand towards the ground can also help blood flow
  • Use a different finger and a different area each time to minimise pain and help skin healing
  • Prick to the side of the finger tip to get the blood sample as this tends to be less painful than the fingertip
  • Gently squeeze the finger to get enough blood for the test and ask for help from your health care professional if you struggle to get enough blood

7. Do not leave the meter or strips in extremely hot or cold environments as this may cause an inaccurate reading.

8. Always re-test if the blood glucose result does not match your symptoms

9. It is important that you test your blood glucose at variable times to understand how your current diabetes treatment is working and to enable safe treatment adjustment. You will have been advised to test your blood glucose either daily, twice daily, 2-3 times daily, 4 times daily.

Please record your measurements in your blood glucose monitoring diary and bring your results and meter to all your appointments. Most meters offer computer software that can help you record and analyse your results.

10. Remember to dispose of sharps safely in a suitable sharps container.

Remember -  Always read the instructions provided with your meter, keep your user guide for future reference and complete and send the warranty card provided. A helpline is also provided by the meter manufacturer for any other meter-related queries. Ask your diabetes health care professional for advice if you are having any difficulties testing your blood glucose levels.

Your body produces and uses insulin to help use certain foods (nutrients) in the diet called carbohydrates to provide energy. When you have diabetes the insulin your body produces is either not enough or is not working as efficiently as it should be. This is causing your blood glucose levels to rise above the normal range.

Controlling your intake of carbohydrates can help to reduce your blood glucose levels and help to keep them steady. To achieve this you could have similar portions of carbohydrates from meal to meal. One area you may want to focus on is reducing your snacks to less than 15g of carbohydrate.

You should aim to include no more than one snack between each meal. Including more than this may increase your calorie intake excessively and lead to weight gain.

Carbohydrates

Carbohydrates all break down into glucose and will affect our blood glucose levels. Foods containing carbohydrates are:

  • Starchy Foods (Potatoes, Granary Bread, Takeaway food, Pasta, Rice)
  • Milk and Yoghurt
  • Fruit
  • Food with added sugars (Cereal, Cereal Bar, Chocolate, Cakes, Biscuits)

How many carbohydrates should I be eating?

  • Starchy carbohydrates are your body’s main source of energy so we recommend you include a source of these with every meal.
  • Having regular carbohydrates can help to reduce your risk of hypoglycaemia (blood glucose levels below 4mmol/l).
  • Ideally you should be aiming for meals to contain a similar amount of carbohydrate day to day as this will help to keep your blood glucose levels steady.
  • Initially you could aim for meals to provide between
    30-50g per meal and your snacks to provide less than 15g.
  • Your dietitian may recommend a more specific amount if you are trying to achieve a particular goal.

What carbohydrate free snacks could I include?

  • Nuts (plain or roasted) - one small handful.
  • Cheese (a matchbox sized portion of hard cheese).
  • Lettuce wraps - you could try filling these with meat fish or salad and a small amount of low calorie or vinaigrette dressing.
  • Eggs - 2 eggs a day is a reasonable portion.
  • Avocado - you could try stuffing these in a similar way to the lettuce wraps or turning them into guacamole. 1/2 an avocado is one portion.
  • Vegetable sticks with 2-3 tablespoons of hummus / guacamole / salsa.
  • Edamame beans with a light coating of your choice of spice / herbs.
  • Any plain meat or fish for example chicken breast, ham, prawns, tinned tuna.
  • Olives or gherkins.
  • Omelette (made with very little milk). You could add any vegetables / meat to this.

Tip - Any of these snacks can be mixed together to make up 15g of carbohydrate. But remember that including too many snacks may lead to weight gain if your calorie intake is increased too high. Speak with your dietitian if you are unsure of how many snacks you could include for your needs.

Sweet Food (Containing 15g or less carbohydrate)

Type of food Amount of carbohydrates (grams)
1 x bourbon, chocolate digestive, custard cream, ginger biscuit, oreo 8-9
3 x party rings, malted milk, nice, rich tea

15
1 x plain digestive 10
1 x mini muffin
14
1 x medium handful of any fresh fruit 15
20g popcorn (2 x handfuls) - sweet or salted 13
1 tablespoon peanut butter 4
Small yoghurt 100kcals or less 15 or less
74g of blueberries or strawberries (one
medium handful) + 4 tablespoons crème fraiche
11
2 x rings of tinned pineapple (juice drained) 8
Light hot chocolate made with water 5
Small ice lolly (80ml) 15


Savoury Food (Containing 15g or less carbohydrate)

Type of food Amount of carbohydrates (grams)
Quorn - 1 x burger / 1 x sausage / 10g Quorn pieces 5
Tofu 80g (medium handful) 2
Cottage cheese 100g (6 tablespoons) 3
6 x seafood sticks 12
1 x multipack size bag of crisps (18g) 15 or less
1 tablespoon marmite 4
2 x small vegetable / meat spring rolls 8
3 x meat / vegetable gyoza (dumpling) 15
2 x chicken satay sticks (2 sticks contain over 150 calories so try not to exceed this) 2
Tzatziki (natural yoghurt with cucumber and garlic) - 4 tbsp with cucumber spears to dip 10
Bombay mix (small handful) 10
25g (2 tsbp) twiglets / small handful plain or salted pretzels 14
3 x breadsticks, water biscuits / 2 x crispbreads, oatcakes, rice cakes, cream crackers 15
1 x medium slice of any bread 15

 

 

lchdiabetes.service@nhs.net 

Tel: 0113 843 4200

Opening hours

Monday to Friday 8.30am to 4.30pm

Locations 

  • Armley Moor Health Centre
  • Kippax Health Centre
  • Yeadon Health Centre
  • Woodhouse Health Centre
  • Hunslet Heath Centre
  • Chapeltown Health Centre
  • East Leeds Health Centre

Our locations

Service Downloads

We are currently reviewing our website to make all content accessible. If you are looking for a download, such as a leaflet or booklet that you can no longer find, please contact the service on the details above.

Guide to Healthy Eating with Type 2 Diabetes

A guide to carbohydrates

What to do if you need to speak to someone urgently...