Joint British Diabetes Societies (JBDS) for Inpatient Care Group

The Joint British Diabetes Societies (JBDS) for Inpatient Care group was created in 2008 to ‘deliver a set of diabetes inpatient guidelines and proposed standards of care within secondary care organisations’, with the overall aim of improving inpatient diabetes care through the development and use of high quality evidence based guidelines, and through better inpatient care pathways. The JBDS – IP group was created and supported by Diabetes UK, ABCD and the Diabetes Inpatient Specialist Nurse (DISN) UK group, and works with NHS England, TREND-UK and with other professional organisations.

Guidelines
The guidelines produced by the JBDS – IP group (including those planned for the future) are listed below and for those already published click the live link on the date to view:

No Guideline Date
1 Hospital management of hypoglycaemia in adults with diabetes March 2010
1a Hospital management of hypoglycaemia in adults with diabetes - revised - second edition 2013 Sept. 2013
2 The management of diabetic ketoacidosis (DKA) in adults March 2010
2a The management of diabetic ketoacidosis (DKA) in adults - revised - second edition 2013 Sept. 2013
2b Adult diabetic ketoacidosis emergency care pathway to use in the case notes - accompanies the DKA revised guideline 2013 Sept. 2013
2c JBDS DKA condensed management charts accompanies the DKA revised guideline 2013 August 2017
3 Management of adults with diabetes undergoing surgery March 2011a
March 2011b
3a Management of adults with diabetes undergoing surgery – full document March 2016
3b Management of adults with diabetes undergoing surgery - summary March 2016
3c Management of adults with diabetes undergoing surgery – changes to 2011 guideline Sept 2015
4 Self management of diabetes in hospital March 2012
5 Glycaemic management during enteral feeding in stroke June 2012
6 Management of Hyperosmolar Hyperglycaemic State (HHS) August 2012
7 Admissions avoidance in diabetes Nov. 2013
8 Steroid use for inpatients with diabetes Oct. 2014
9 Variable rate insulin infusion (VRII) for medical inpatients with diabetes Oct. 2014
10 Discharge planning for people with diabetes Oct. 2015
11 Management of adults with diabetes on the haemodialysis unit April 2016a
April 2016b
12

Management of glycaemic control in pregnant women with diabetes on obstetric wards and delivery units

August 2017

12a1 Appendix 1 Management of steroid hyperglycaemia during pregnancy Appendix 1 Nov 2017
12a2 Appendix 2 VRIII and fluid protocol during labour and birth Appendix 2 Nov 2017
13 Diabetes in inpatients with mental health issues Sept 2017
14 New diagnosis of diabetes in inpatients In progress

A SurveyMonkey of JBDS-IP guidelines undertaken at the end of 2012 revealed:

• Guidelines have been actively distributed (>21,000 copies, excluding downloads)
• 85-100% responding teams were aware of the guidelines
• >90% adoption in 118 UK Trusts for older guidelines, and around 50% for 2012 guidelines
• Rated highly in terms of patient safety, overall quality and clinical value

Guidelines are being frequently downloaded from the ABCD website: see https://abcd.care/jbds-ip-guidelines-are-being-well-used

The group administrator is Christine Jones and if you or your organisation would like to contribute to future guidelines please contact her (christine.jones@nnuh.nhs.uk).

The core members of JBDS-IP (listed below) include diabetes consultants and diabetes specialist nurses from across the UK, with all 4 nations represented. Twice yearly face to face meetings interspersed with teleconferences ensure regular contact between members.

Chair
Professor Mike Sampson, Norfolk and Norwich University Hospitals NHS Foundation Trust

JBDS IP Group
Dr Belinda Allan, Hull and East Yorkshire Hospital NHS Trust 
Erwin Castro, East Sussex Healthcare NHS Trust
Dr Umesh Dashora, East Sussex Healthcare NHS Trust
Dr Parijat De, Sandwell and West Birmingham NHS Trust
Dr Ketan Dhatariya, Norfolk and Norwich University Hospitals NHS Foundation Trust 
Dr Daniel Flanagan, Plymouth Hospitals NHS Trust 
Dr Stella George, East and North Hertfordshire NHS Trust 
Dr Christopher Harrold, University Hospitals Coventry and Warwickshire NHS Trust
June James, University Hospitals of Leicester NHS Trust 
David Jones, Diabetes UK
Dr Anthony Lewis, Belfast Health and Social Care Trust, Northern Ireland
Dr Omar Mustafa, Consultant Diabetologist, King’s College Hospital NHS Foundation Trust
Dr Dinesh Nagi, Mid Yorkshire Hospitals NHS Trust
Dr Gerry Rayman, The Ipswich Hospital NHS Trust 
Dr Stuart Ritchie, NHS Lothian 
Dr Aled Roberts, Cardiff and Vale University Health Board
Professor Mike Sampson (Norwich) Chair, Joint British Diabetes Societies (JBDS) for Inpatient Care
Debbie Stanisstreet, East and North Hertfordshire NHS Trust 
Professor Jonathan Valabhji, National Clinical Director for Obesity and Diabetes
Esther Walden, Norfolk and Norwich University Hospital NHS Foundation Trust 
Dr Peter Winocour, East & North Hertfordshire NHS Trust