ABSTRACT
As a patient’s needs may change with time, the composition of the team may also need to change. Given the number of different healthcare professionals who will be involved in the care of a person with diabetes over their lifetime, maintaining a consistent approach to management can be difficult. The one constant is the person with diabetes, and they should be at the centre of the personalised management plan. The aim of integrating care is to refocus services around the individual with diabetes, removing barriers between specialties and organisations (integrated care = person-centred coordinated care). By working together, multiprofessional teams can minimize patients’ health risks by identifying problems early and initiating timely treatment so that the patient has the best possible outcome.
