If you live in Hammersmith and Fulham, Kensington and Chelsea, Westminster, Ealing, Hounslow, Brent, Hillingdon or Harrow and have diabetes or you are at risk of type 2 register your interest in the Know Diabetes service today.

We’re here to help.

1. To avoid catching or spreading Coronavirus:

Do:

  • Wash your hands with soap and water frequently – wash for at least 20 seconds.
  • Always wash your hands when you get home or into work
  • Use hand sanitiser alcohol-based gels if soap and water is not available
  • Cover your mouth and nose with a tissue when you cough or sneeze
  • Put used tissues in the bin straight away and wash your hands
  • Maintain social distancing according to government guidelines on what you can and can’t do
  • Read more about staying safe outside your home on GOV.UK.
  • cover face- wear a face covering over your nose and mouth in enclosed spaces
  • boost_health2​Avoid touching your eyes, nose or mouth if your hands are not clean

 

2. Boost your health and wellbeing

    a. Stay well

If you have type 2 diabetes or if you are at risk of developing type 2 diabetes (sometimes called pre-diabetes and also known as non-diabetic hyperglycaemia); then there are actions you can take right now to start reducing your risk. 

  • Weight loss – Read more about a healthy approach to weight loss including low carbohydrate meals.
  • Weight Loss Programmes – There are a number of programmes available in North West London to support to lose weight if you are looking to get healthier and improve your blood readings.
  • Remission of type 2 diabetes - Read more about how you can put your type 2 diabetes into remission. For some inspiration have a look at some of our remission videos below: 
  • REWIND Programme – To optimize your diabetes control please read about our REWIND programme offered to people living in North West London.
  • Healthy Eating during COVID-19 – Have a look at our page to get some useful tips for healthy eating.
  • Sleep better – Read about how to get a good night’s sleep.
  • Move More – Millions are working out from home or using active transport to get around. Visit our moving more pages to get inspired and boost your immune system.
  • Stop Smoking - If you haven't stopped smoking, now is a good time to do it. Most stop smoking support teams are still providing a remote service.

    b. Stay positive

It is natural to feel anxious during these times. Everyone gets anxious at times, but managing diabetes may increase anxiety. Find out about the ways to deal with anxiety that work, and often quickly.

    c. Videos to help you - Diabetes 10 Point Training

The information in the videos below was created by our Partners in Diabetes (people living with diabetes), bringing their lived experience of what matters to you.

Remember you are not alone and there’s so much we can do to make things easier.
    d. Domestic abuse: get help during the coronavirus outbreak

Find out how to get help if you or someone you know is a victim of domestic abuse. Call Refuge’s National Domestic Abuse Helpline for free and confidential advice, 24 hours a day on 0808 2000 247. Visit the helpline website to access further information, a contact form and the live chat service. If you are in immediate danger, call 999 and ask for the police. The UK Government also has some information on how to get help if you are experiencing domestic abuse through the current COVID crisis.

managing_diabetes7If English is not your first language you may find our translated guidance on how to get help useful. Women’s Aid also have guidance documents on domestic abuse and coronavirus available in a number of languages for victims, family and friends, and community members of those affected.

    3. Managing your diabetes

If you have type 1 diabetes:

  • Ensure you have enough glucose and ketone testing equipment.
  • Be aware of your sick day rules provided by your diabetes educator team.
  • Make sure you have a good stock of insulin pens, needles and any other medications you are prescribed.
  • Stay hydrated have plenty of unsweetened drinks and eat little and often.
  • If you are an insulin pump user you should have insulin pens and pen needles as a backup and a good supply of insulin pump consumables.
  • Make sure your diabetes technical device (insulin pump /continuous glucose monitor/Freestyle Libre device is in good working order and if you have any concerns phone the company who supplies your device directly to troubleshoot and arrange a replacement if necessary.

If you have type 2 diabetes:

  • Ensure you have enough glucose testing equipment and ketone testing strips if appropriate (if you have had diabetes for a long time, or have had ketones in the past).
  • Ketones are uncommon in type 2 but remain a risk if glucose is high for a significant time &/or during illness. If you take a tablet called SGLT2 and you become unwell you may need to check your glucose and ketones (canagliflozin, dapagliflozin or any tablet ending with “gliflozin”)
  • Make sure you have a good stock of your medications, orals tablets &/or injectable therapies:
  • Stay hydrated have plenty of unsweetened drinks and eat little and often

      4. Sick day rules

Be aware of your sick day rules provided by your diabetes educator team.  More information for type 1 and type 2 diabetes is available here:

     

    5. Coronavirus and pregnancy

  • Being pregnant and having diabetes does not mean you are at greater risk of getting the virus.
  • However, if you do get the virus, you could be at greater risk of developing complications so it's important you stay at home as much as possible.
  • Research has shown the importance of social distancing from 28 weeks of pregnancy.
  • The RCOG has more information about pregnancy and coronavirus.

    6. Coronavirus and children living with type 1 diabetes

If you have a child with type 1 diabetes, please see the guidelines for children living with type 1 diabetes which can be found on the JDRFUK website.

    7. Practical advice to help you right now

  • If you are feeling anxious or experiencing diabetes distress please visit our mental health hub pages. We also like this article on how to protect your mental health by the BBC.
  • BBC good food has 59 recipes on eating well on a budget. Olio app is an award-winning app their moto is share more, waste less.
  • The Hypo Program will help show you how to reduce your hypo risk, track your hypos, and better understand the causes of hypos, you can find more information here.
  • ​If you or someone you know has diabetes and has to go to a hospital, take our Diabetes 10 point training for people with diabetes in hospital leaflet with you, you can download it here.
  • Staying well and active is good for our immune system. If you are in isolation or can't attend your regular planned activity classes, we have a page with some tips on staying active at home.
  • Worried about money? The Money Saving Expert website has some sound advice and a regular update page from mortgage breaks and business advice to benefit rights.
  • Getting some sleep can also be beneficial to the immune system, this practical sleep guide might be of help. We also have our sleep better hub pages here.

    8. Latest Government guidance

What you need to know

Specific guidance for those who are vulnerable:

  • If you’re clinically extremely vulnerable you were advised to take extra precautions during the peak of the pandemic in England. This is known as ‘shielding’.
  • The government is advising that you do not need to shield at the moment. This is because the rates of transmission of coronavirus (COVID-19) in the community have fallen significantly.
  • There is specific guidance on what will happen if there is a local lockdown in your area.

What's changed? Shielding has been paused for the clinically extremely vulnerable and this means:

  • you do not need to follow previous shielding advice.
  • you can go to work as long as the workplace is COVID-secure, but should carry on working from home wherever possible.
  • clinically extremely vulnerable children should attend education settings in line with the wider guidance on reopening of schools and guidance for full opening: special schools and other specialist settings.
  • you can go outside as much as you like but you should still try to keep your overall social interactions low.
  • you can visit businesses, such as supermarkets, pubs and shops while keeping 2 metres away from others wherever possible or 1 metre, plus other precautions.
  • you should continue to wash your hands carefully and more frequently than usual and that you maintain thorough cleaning of frequently touched areas in your home and/or workspace.
  • you will no longer receive free food parcels, medicine deliveries and basic care from the National Shielding Service.

For practical tips on staying safe, see the guidance on how to stay safe outside your home.

You will still be able to get:

  • local volunteer support by contacting your local authority.
  • prescriptions, essential items and food you buy delivered by NHS Volunteer Responders.
  • priority slots for supermarket deliveries (if you previously registered for free food parcels).

For the latest Government guidance please click here.

Masks – where to buy them, how to make your own masks

  • Government has made face coverings (or masks) mandatory on public transport and in shops and enclosed places with few exceptions. It is important to follow the government’s advice.
  • Learn more about what location you need to wear a mask.
  • The evidence suggests that face coverings can help us protect each other and reduce the spread of the disease if someone is suffering from coronavirus, but not showing symptoms. To protect yourself, you should also continue to follow social distancing measures and isolation guidance and wash your hands regularly.

Lockdown restrictions

From Monday 14 September, you must not meet with people from other households socially in groups of more than 6. This will apply indoors and outdoors, including in private homes. This change will simplify and clarify the rules on social gatherings, so they are easier to understand and easier for the police to enforce. There will be a limited number of exemptions.

The UK government will either be easing or tightening lockdown restrictions, and advice for some people with diabetes in England might change. For the most up to date guidance on shielding, local lockdowns and protecting extremely vulnerable persons from covid19 please visit here

Social bubbles

From Monday 14 September, you must not meet with people from other households socially in groups of more than 6. This will apply indoors and outdoors, including in private homes. This change will simplify and clarify the rules on social gatherings, so they are easier to understand and easier for the police to enforce. There will be a limited number of exemptions.

COVID-19 Secure venues, such as places of worship, restaurants and hospitality venues, can still host larger numbers in total but groups of up to 6 must not mix or form larger groups. This rule will not apply to individual households or support bubbles of more than 6 who will still be able to gather together.

Education and work settings are unaffected, and organised team sports will still be able to proceed, as will weddings and funerals up to 30. From Monday, this limit will be enforceable in law. See refreshed guidance on social contact, including the exceptions to the 6 person limit

  • Emerging evidence suggests that people with diabetes, unfortunately, have a higher risk of developing more severe illness and developing complications if affected by coronavirus, compared to those without diabetes. 
  • It is important to maintain the government social distancing guidelines and minimise contact with others while maintaining hand hygiene by sanitising and/or wash hands for at least 20 seconds. This will ensure you minimise your risk of contracting the coronavirus. 

The Uk government’s guidance is available here.

Travel - Who is allowed to travel on public transport? 

If you need to travel to work or make an essential journey, you should try to cycle or walk if you can. The gov.uk set out further advice on how to stay safe during your journey

You should wear a mask if you have to use public transport to travel and stay 2 metres apart from people you do not live with where possible, or 1 metre with extra precautions in place.

If you are travelling abroad please follow the latest government guidance

   Advice for Healthcare Professionals

Guidance for Health professionals – Clinical guide for the management of people with diabetes during the coronavirus pandemic

Guidance for Primary Care, Secondary Care,  Community Health, Social Care and Ambulance services

People with diabetes are at elevated risk of acquiring the more severe disease

Keep up to date with advice from Diabetes UK which you can find here.

All diabetes consultations to be done virtually by HCPs to minimise the risk of exposure unless otherwise indicated

If people haven't stopped smoking, advise that now is a good time to do so

Guidance for healthcare professionals on coronavirus (COVID-19) infection in pregnancy, published by the RCOG.

For further Healthcare Professional COVID-19 guidance, please visit our Healthcare Professionals section here.