08 March 2002
The guidelines aim to improve the care of type 2 (non insulin-dependent) diabetics by introducing regular screening for eye problems. Diabetic retinopathy is the biggest cause of blindness in people under 60.
Nice recommends diabetics should have an eye examination at least once a year and more often if they have problems with their eyesight. Those with a sudden loss of vision or who have a suspected detached retina should be seen by a specialist within a day.
It added that type 2 diabetics should have their kidney function checked at least once a year. Those at high risk of renal disease should be prescribed drugs to manage their blood pressure.
The institute said it could not estimate how much the recommendations would cost the NHS. In some areas these checks are well established; less so in others. Although it acknowledged there could be some extra costs, these could be outweighed by savings made in prevention of blindness or kidney disease.
Health minister Jacqui Smith said the guidelines would underpin the diabetes National Service Framework, which will set out national standards for prevention and treatment of the disease later this year.
The government also launched a consultation this week on the way that topics are selected for appraisal by Nice, in an effort to make the process clearer and give patients a greater say.
PFmar2002
