A technology-enabled service to optimise insulin management


The d-Nav Insulin Guidance Service is a technology-enabled managed service providing automated insulin dosage titration for patients using basal, premixed, and basal-bolus insulin regimens with and without carb counting. When implemented in a Trust in Northern Ireland mean HbA1c decreased and patient satisfaction was high. Meanwhile, cost effectiveness analysis demonstrates that d-Nav is cheaper than the current standard of care.


Achieving good glycaemic control in type 2 Diabetes is important to prevent mortality and costly complications. Unfortunately achieving good glycaemic control in people with type 2 Diabetes is a worldwide challenge. Standard UK clinical practice is to start with dietary and lifestyle modification, progressing to antidiabetic drug therapy when glycaemic control is no longer achieved and intensifying drug therapy if the patient remains above target. Yet even when using insulin many patients still fail to achieve glycaemic control targets - many patients are only seen for dosage adjustment every six months.


To improve glycaemic control using the technology-enabled d-Nav insulin guidance service for patients with type 2 diabetes using insulin in South Eastern HSC Trust. To show that d-Nav is more cost effective than the current standard of care, making better use of insulin and reducing use of concomitant medications.

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Quality In Care Diabetes

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  • 2021 KEY DATES
  • Open for entry:
    Tuesday 20 April 2021
  • Extended Entry Deadline:
    Monday 12 July 2021
  • Judging day:
    Tuesday 7 September 2021
  • Awards ceremony:
    Thursday 14 October 2021