Non-insulin-dependent diabetes - Type 2 diabetes - looking after yourself

Look after your feet

If you have diabetes, you're at greater risk of developing 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.

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 (foot care specialist) regularly so that any problems can be 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 doesn't start to heal within a few days.

Regular eye tests

If you have type 2 diabetes, you should be invited to have your eyes screened once a year to check for diabetic retinopathy.

Diabetic 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 lead to sight loss.

Pregnancy

If you have diabetes and you're thinking about having a baby, it's 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'll need to tightly control your blood glucose level, 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's 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's important to treat retinopathy before you become pregnant

Your GP or diabetes care team can give you further advice.

Diabetes UK also has more information about pregnancy and diabetes

Get educated

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

The National Institute for Health and Care Excellence (NICE) recommends that 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's 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's a national patient education programme that meets all the key criteria for structured education. It's called the Diabetes Education and Self Management for Ongoing and Newly Diagnosed (DESMOND).

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.

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 0345 123 2399 (Monday to Friday, 9am-7pm), or email careline@diabetes.org.uk.

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 diabetes complications.

People over the age of 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 (CAB) can check whether you're getting all the benefits you're entitled to. They, as well as your diabetes specialist nurse, should also provide advice about filling in the forms.

Read more about care and support and benefits.