End of life and diabetes | Right Decisions

Please update your RDS mobile app to version 4.7.1

We are pleased to advise that deep linking capability, enabling users to directly download individual mobile toolkits, has now been released on the RDS mobile app. When you install the update, you will see that each toolkit has a small QR code icon the header area beside the search icon – see screenshot below. Clicking on this icon will open up a window with a full-size QR code and the alternative of a short URL for sharing with users. Instructions are provided.

You may need to actively install the update to install RDS app version 4.7.1 to see this improvement. Installing this update is also strongly recommended to get the full benefits of the new contingency arrangements – specifically, that if the RDS website should fail, you will still be able to download new mobile app toolkits.

To check your current RDS version, click on the three dots bottom right of the RDS app screen. This takes you to a “More” page where you will see the version number. To install latest updates:

On iPhones – go to the Apple store, click on your profile icon top right, scroll down to see the apps waiting to be updated and update the RDS app.

On Android phones – these can vary, but try going to the Google Play store, click on your profile icon top right, click on “Manage apps and device”, select and update the RDS app.

Please get in touch with ann.wales3@nhs.scot with any questions.

What do I do if my patient with diabetes is at the end of their life?

The aim in the final days of life is to avoid hypoglycaemia, symptomatic hyperglycaemia, diabetic ketoacidosis or hyperglycaemic hyperosmolar state
Aim capillary blood glucose (CBG) 8 - 15mmol/L
Contact the diabetes team if
- you have concerns about a patient with diabetes at the end of life
- if they are continuing on insulin

Please use the flowchart from these guidelines - this can be found in Appendix 6, page 25 of 'Diabetes at the Front Door: A guideline for dealing with glucose related emergencies at the time of acute hospital admission from the Joint British Diabetes Society (JBDS) for Inpatient Care Group'- click here to view this