Resources — Training & Beyond

💡If a patient attends with a device you don't recognise, the first question is: which platform does it use? Omnipod and CamAPS → Glooko. FreeStyle Libre → LibreView. Dexcom → Clarity. MiniMed → CareLink. Tandem → t:connect. Knowing this before the patient arrives saves time and prevents the awkward mid-consultation download scramble.

💡Recommend Panther to every patient at the point of HCL decision — not at the point of initiation. Giving patients 4–6 weeks to work through the modules before the device arrives transforms initiation appointments. They come with questions about optimisation, not questions about what a bolus is.

💡Every T1DM patient on technology should leave every clinic appointment with three documents confirmed: (1) sick day rules (TREND or ABCD), (2) emergency contact for their pump company, (3) GP backup insulin prescription (glargine or degludec — not detemir, which is being discontinued December 2026). If any of these are missing, the risk of a preventable DKA admission is significantly higher.

💡When a patient on HCL tells you their glucose crashes every time they exercise, the most common reasons are: (1) they haven't activated activity mode before exercise; (2) they've activated it too late (should be 60–90 min before, not at the gym); (3) they've eaten a meal bolus too close to exercise start. ExTOD has downloadable patient-facing guides on each of these scenarios.

💡enhance-d and ExTOD are complementary. ExTOD is primarily for clinicians and motivated patients who want to understand the evidence. enhance-d is the tool that translates that evidence into a practical, in-the-moment guide. Recommend both together for a patient who is struggling with exercise-related glucose management.

💡The most commonly missed MODY is GCK MODY (glucokinase mutation) — these patients have a mildly elevated fasting glucose from birth, very stable HbA1c (usually 42–55 mmol/mol), no significant diabetes complications, and a parent with the same fasting glucose. They don't need treatment — ever. Many spend decades on metformin or insulin unnecessarily. A 2-minute MODY calculator could have caught them at diagnosis. Run the app on your next diabetes new patient who fits this picture.

💡The most common reason doctors delay seeking help is the belief that their difficulties will affect their GMC registration or their job. In the vast majority of cases, this is not true. The services above exist specifically because that fear is a known barrier to doctors getting well. Seeking help early — before things become a crisis — is almost always what protects both your career and your patients. Source: BMA Wellbeing; NHS Practitioner Health.

💡Start with the episodes on CGM accuracy, HCL optimisation, and exercise if you are new to diabetes technology. The pregnancy episode (featuring Professor Eleanor Scott) is essential listening before managing a T1DM pregnancy — it covers the evidence behind tight glucose targets, insulin resistance patterns across trimesters, and the post-delivery insulin drop in a way that no textbook quite matches.