Bailey P. The New Doctor, Patient, Illness Model: Restoring the authority of the GP consultation.Oxford: Radcliffe Press; 2014

DeGroot M, Craven M, Vrany E, Simons Z. The Diabetes-Related Emotional and Attitude Distress (DREAD) Scale. Diabetes.. 2019; 68\

Denness C. What are consultation models for?. InnovAiT. 2013; 6:(9)592-599

Diabetes UK. Too often missing: Making emotional and psychological support routine in diabetes care. 2019c. Report_Too%20Often%20Missing_Diabetes%20UK_May%202019.pdf (accessed 16 March 2021)

Diabetes UK. Diabetes and Emotional Health – a practical guide for healthcare professionals supporting adults with Type 1 and Type 2 diabetes. 2019d. (accessed 16 March 2021)

Dickinson JK. The effect of words on health and diabetes. Diabetes Spectr.. 2017a; 30:(1)11-16

Dickinson JK, Guzman SJ, Maryniuk MD The use of language in diabetes care and education. Diabetes Care. 2017; 40:(12)1790-1799

Diggle J. Sources of information and education for people with diabetes to support remote consulting. Diabetes and Primary Care. 2020a; 22:(4)73-7

Diggle J. Looking after your Mental Health during COVID-19: Six Tips for Healthcare Professionals. Diabetes and Primary Care. 2020b; 22:(2)

Diggle J, Brown P. How to undertake a remote diabetes review. Diabetes & Primary Care.. 2020; 22:(3)43-45

Promotion of emotional and psychological well-being for people living with diabetes – A Call to Action. 2020. (accessed 16 March 2021)

Doherty Y, Eaton S, Turnbull R, Oliver L, Roberts S, Ludbrook S, Lewis-Barned N. Year of Care: the key drivers and theoretical basis for a new approach in diabetes care. Pract Diabetes.. 2012; 29:(5)183-186a

Edmonds M, Phillips A, Holmes P, Odiase C, Robbie J, Grumitt J, Halloum H. To halve the number of major amputations in people living with diabetes, ‘ACTNOW’. Diabetes and Primary Care.. 2020; 22:(6)1-5

Egan H, Keyte R, McGowan K ‘You before Me’: A qualitative study of health care professionals and students' understanding and experiences of compassion in the workplace, self-compassion, self-care and health behaviours. Health Professions Education.. 2018; 5:225-236

Fleischman S. I am …, I have …, I suffer from …: A Linguist Reflects on the Language of Illness and Disease. Journal of Medical Humanities.. 1999; 20:3-32

Ten tips for more effective and satisfying clinical consultations. 2020. (accessed 16 March 2021)

Klinkner GE, Yaeger KM, Brenny-Fitzpatrick MT, Vorderstrasse AA. Improving Diabetes Self-Management Support: Goal-Setting Across the Continuum of Care. Clin Diabetes.. 2017; 35:(5)305-312

Krejany C, Jiwa M. Finding Joe: Patient-directed goal setting on the journey to therapeutic targets in diabetes care. Journal of Health Design.. 2019; 4:(1)168-171

Kyle TK, Puhl RM. Putting people first in obesity. Obesity (Silver Spring).. 2014; 22:(5)

Lafata JE, Morris HL, Dobie E, Heisler M, Werner RM, Dumenci L. Patient-reported use of collaborative goal setting and glycemic control among patients with diabetes. Patient Educ Couns.. 2013; 92:(1)94-99

Lhussier M, Eaton S, Forster N, Thomas M, Roberts S, Carr SM. Care planning for long-term conditions – a concept mapping. Health Expect.. 2015; 18:(5)605-624

Marrero DG, Ard J, Delamater AM Twenty-first century behavioral medicine: a context for empowering clinicians and patients with diabetes: a consensus report. Diabetes Care.. 2013; 36:(2)463-470

Macdonald L, Stubbe M, Tester R Nurse-patient communication in primary care diabetes management: an exploratory study. BMC Nurs.. 2013; 12:(1)

Mertens G, Gerritsen L, Duijndam S, Salemink E, Engelhard IM. Fear of the coronavirus (COVID-19): Predictors in an online study conducted in March 2020. J Anxiety Disord.. 2020; 74

How to maximise the impact of diabetes consultations: A guide from Healthcare Professionals. 2020. (accessed 16 March 2021)

NHS UK. Who's at higher risk from coronavirus?. 2021. (accessed 16 March 2021)

NHS England. Language Matters. Language and diabetes. 2018. (accessed 16 March 2021)

Papaspurou M, Laschou V, Partsiopoulou P Fears and Health Needs of Patients with Diabetes: A Qualitative Research in Rural Population. Med Arh.. 2015; 69:(3)190-195

How to maximise the impact of diabetes consultations: The perspective of people living with diabetes. 2020a. (accessed 16 March 2021)

Phillips A, Edmonds M, Holmes P, Robbie J, Odiase C, Grumitt J. ACT NOW in diabetes and foot assessments: an essential service. Practice Nursing.. 2020b; 31:(12)516-519

Public Health England, NHS England, Health Education England. Making Every Contact Count (MECC) Consensus Statement. 2016. (accessed 16 March 2021)

Quandt SA, Reynolds T, Chapman C Older adults' fears about diabetes: using common sense models of disease to understand fear origins and implications for self-management. J Appl Gerontol.. 2013; 32:(7)783-803

The Richmond Group of Charities. Multi-morbidity: Understanding the Challenge. 2018. (accessed 16 March 2021)

Robbie J, Tomkins D, Mitchell L, Saeed M, David M, Tiwari A. A 2-year prospective audit of patients admitted into an acute hospital from an outpatient podiatry clinic – trends and outcomes. The Diabetic Foot Journal.. 2020; 23:(4)32-35

Royal College of General Practitioners. Fit for the Future: a vision for general practice. 2019. (accessed 16 March 2021)

Skinner TC, Cradock S, Arundel F, Graham W. Four theories and a philosophy: self-management education for individuals newly diagnosed with type 2 diabetes. Diabetes Spectr.. 2003; 16:(2)75-80

Silverman J, Kurtz S, Draper J. Skills for communicating with patients, 3rd edn. UK: CRC Press; 2013

Speight J, Conn J, Dunning T, Skinner TC Diabetes Australia position statement. A new language for diabetes: improving communications with and about people with diabetes. Diabetes Res Clin Pract.. 2012; 97:(3)425-431

Understanding the health care needs of people with multiple health conditions. 2018. (accessed 16 March 2021)

Stewart M, Brown JB, Weston WW, McWhinney IR, McWilliam CL, Freeman TR. Patient-Centered Medicine: Transforming the Clinical Method, 3rd edn. Oxford UK: Radcliffe Publishing Ltd; 2014

Stewart M. Sick day advice for people with diabetes. Practice Nursing.. 3:s10-s13

Conversations of opportunity in diabetes care

02 April 2021
Volume 32 · Issue 4


Anne Phillips explores the ways in which diabetes consultations can be maximised to deliver the best effects for people living with diabetes and health professionals involved in their care

Changes to diabetes care due to the COVID-19 pandemic have caused extra pressures for both people living with diabetes and the health professionals involved in their care. Virtual and remote consulting has caused many health professionals to experience stress and usual face-to-face conversations with people living with diabetes have changed in context, frequency and delivery. The nuances of non-verbal communication can be lost in virtual consultations, so it is vitally important that health professionals are aware of this and consider how to deliver consultation conversations to the best effect. It is imperative that every contact counts and every virtual and face-to-face consultation has meaning for the person living with diabetes to maximise the benefit for the individual and their circumstances.

Diabetes care has never felt under so much pressure in terms of COVID-19 and the need for face-to-face consultations to become virtual overnight during 2020. This has caused extra pressures on both people living with diabetes (PLwD) and health care professionals (HCPs), especially practice nurses. The iDEAL Diabetes Group published two consultation papers about the 360° view of both HCPs and PLwD, which detail how consultation experiences for both, taking account each perspective, can be maximised (Odiase et al, 2020; Phillips et al, 2020a).

This has never been as important as it is now as we slowly come out of the third COVID-19 lockdown in the UK, with remote working becoming the usual and perhaps new ‘norm’ for much diabetes care delivery. Diggle (2020a) has published useful guidance about effective remote diabetes care delivery and resources for HCPs to access. Additionally, Diggle and Brown (2020) have designed and published a useful flowchart about ‘How to Undertake a Remote Diabetes Review’. This article is about the style of the consultation conversation and how to deliver this to the best effect for both PLwD and the HCP virtually.

Register now to continue reading

Thank you for visiting Practice Nursing and reading some of our peer-reviewed resources for general practice nurses. To read more, please register today. You’ll enjoy the following great benefits:

What's included

  • Limited access to clinical or professional articles

  • New content and clinical newsletter updates each month