Sheffield has a large student population of about 50,000, attending two universities. Not surprisingly a considerable number of them have diabetes. In November 2015 the practice nurses and diabetes specialist nurses for young people were keen to help improve the service for patients. A new pathway was developed but in 2017 it was found to be suboptimal. A better option was to recreate the specialist secondary care clinic in the University GP practices. The result has been high patient satisfaction and, for those with a starting HbA1c of >58 mmol/mol, HbA1c has improved from an average of 77 to 70 mmol/mol.
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