**Updated data from @NPDA_RCPCH ** As of end September 2026: Ages 0-18 with #T1Diabetes @NHSEngland 🔵 #ContinuousGlucoseMonitor uptake: 93.5% 🔵 #HybridClosedLoop uptake: 74.1% 🔵 Median Hba1c: 55 mmol/mol 🔵 Minimal to no gaps based on ethnicity & deprivation Median HbA1c in 2017/18 just before the tech roll out began: 64 mmol/mol Implementation of @NICEComms NG 18 and TA 943- with funds and a plan The power of technology in self management- across a population. And reduction of complications for a generation. Once you accept less than the best? You allow mediocrity. And in what I do- there is no space for that. @BT1DUK @DiabetesUK @NHSGIRFT #gbdoc

If you are at @EASDnews and fancy coming to a “different” way of doing a session? Come along Sharing a stage with those with lived experience - what’s the point otherwise anyway #T1Diabetes and #T2Diabetes And some provocative discussions on whether everyone should have a CGM in tight health budgets Whether hypos are really THAT big an issue Whether AI is just about tech-bros jumping onto a fad in diabetes care And whether pineapple belongs on a pizza. And oh it’s not a typical stage either Come along for some fun- if you can. #EASD2026 #Milan

Something from nearly a decade ago. 2017. Run by @bmj_latest -a few months into the @NHSEngland role for #Diabetes So much has changed So much hasn't "The NHS isn't Disneyland. Nor is it Mordor..If you enjoy your job, everything else falls into place" bmj.com/content/357/bmj.j221…

The principles of #PeerSupport and #T1Diabetes Via @NHSEngland Document: england.nhs.uk/long-read/the… A fundamental and key part of long term condition management #gbdoc

An appeal to @ScotGovFM @AConstance23 @theSNP to kindly reconsider the decision around funding for #T1Diabetes and #Technology 🏴󠁧󠁢󠁳󠁣󠁴󠁿 We are happy to share data from across @NHSEngland @DHSCgovuk re data, impact and benefits 🏴󠁧󠁢󠁥󠁮󠁧󠁿 We cannot and should not have variable care across the 4 countries 🇬🇧 Thank you for considering please 🙏🏽 #gbdoc 💙

Tomorrow is #InternationalWomensDay I could mention many amazing women in the world of #Diabetes I will mention however only one Prof Stephanie Amiel The greatest teacher one could ever have (Pic 2021) #T1Diabetes #gbdoc 💙

Did you know? As per data Diabetic Keto Acidosis rates in those previously diagnosed with #T1Diabetes is now the LOWEST since records began @NHSEngland Across all ages A plateau with a change in pattern since 2018 Across a country & health system How. About. That. #gbdoc

#DiabetesTEDtalk #Education #Type1Diabetes cannot be reversed/prevented. Insulin is needed to survive Some cases of #Type2Diabetes can be reversed with differing forms of diet & surgery #MODY Diabetes cant be reversed #Diabetes is NOT one homogenous term #KnowYourType 💙

77 today - a concept based on fairness Most of which have now been stripped away The irony is that the public would be satisfied with the #NHS if we did these basics Then again… Happy Birthday 🎂