Who is level 2 training for?
This training is aimed at registered healthcare professionals including practice nurses, GPs, community and district nurses and pharmacists in primary care networks (PCNs).
Click here to go back to the main diabetes medical technology workforce training page.
Aims of level 2 training
Before starting level 2 training, learners must be able to evidence they have undertaken learning to meet level 1 aims. The additional aims of level 2 learning are as follows:
- Able to interpret blood glucose results and HbA1c results to identify unrecognised hypoglycaemia and to be able to refer for review for CGM for those who would benefit
- Teach a person how to apply and use prescribed CGM
- Identify and demonstrate an understanding of when CGM testing alone is not appropriate and where traditional finger prick testing is required in parallel. An example would be for measuring ketones, if there is concern that the CGM device is not working, for heavy goods vehicle drivers and so on
- Can advise on appropriate individualised targets for CGM
- Able to advise on the frequency of scanning that would be recommended in the case of CGM
- Can do basic interpretation of CGM data and action a plan in response to readings that are outside of the individuals target ranges
- Are able to identify those who would benefit from escalation from CGM to a HCL system and know how to refer individuals to access HCL
Level 2 aims for specialist diabetes services only:
- Demonstrate an awareness of insulin pumps and hybrid closed loop (HCL) system when in contact with the individuals using this therapy
- Know how to treat hypoglycaemia in someone using an insulin pump or HCL system
- Know what to do in the case of insulin pump or HCL system failure
- Demonstrate an understanding of the impact of intercurrent illness and the urgent need for escalation to specialist team for review and treatment if individual is unwell
- Follow local or national guidance if admitted to acute sector for care
- Enable the person with diabetes to self-care when in a hospital setting
Level 2 training resources
Before embarking on level 2 training, learners must be able to evidence they have undertaken learning to meet level 1 aims. In addition to the resources detailed in the table at level 1, the following resources provide learning to further enhance knowledge and skills i.e. up to Level 2 learning.
EDEN has developed an education package Implementing glucose sensing in primary care. Endorsed by the Primary Care Diabetes Society and Diabetes Technology Network, the training has been developed in response to the latest NICE guidelines (NG17 and NG28) recommending wider access on the NHS to glucose monitoring for people living with diabetes.
Abbott customer service contact details:
- General enquiries: 0800 170 1177 (Mon-Fri 8:00am – 8:00pm, Sat 9:00am – 5:00pm)
- Digital Health Solutions (FreeStyle LibreLink, LibreLinkUp and LibreView): 0800 612 3006 (Mon-Fri 8:00am – 5:30pm)
Abbott primary care onboarding web page has the following resources:
- FreeStyle Academy: Certified bite-sized learning modules (each taking 10-15 minutes to complete)
- FreeStyle Libre 2 tutorial videos
- On demand webinars covering topics such as: Understanding time in range and Spotlight on hypoglycaemia
- LibreView set up - short tutorials on how to complete your individual practice setup and start to connect with your patients
- FreeStyle UK and Ireland YouTube channel with over 30 tutorial and educational videos, playlists and webinars
- Sample sensors for use by HCPs for training purposes
Patient starter kits for use by HCPs to order free of charge sensors and readers to their practice if they wish to initiate patientsCompatible smartphone guide.
Virtual training sessions for healthcare professionals
Introduction to the FreeStyle Libre 2 system – training session for healthcare professionals to understand FreeStyle Libre 2 system and the value it can bring to patients. Select your session here.
Tools and resources for FreeStyle Libre 2 initiation – Session on useful tools and resources for healthcare professionals to help initiate patients on FreeStyle Libre 2 system. Select your session here.
Getting started on LibreView – training session that equips healthcare professionals with all you need to know to begin using LibreView (diabetes management system). Select your session here.
- Session one – Introduction to CGM and glucose targets – training session that supports healthcare professionals to have more effective patient consultations by using CGM data. Select session one here.
- Session two – How to have an effective consultation using LibreView reports – training session that focus on 4 simple steps for using the AGP and LibreView reports for structured and effective patient consultations. Select session two here.
- Session three – LibreView case studies – patient case studies and practical use of LibreView, AGP and other LibreView reports to support your patient consultations. Select session three here.
Maximising the use of the FreeStyle Libre 2 system in the community
- Part 1 – training session for district nurses, care homes workers and wider community teams who manage the care of people with diabetes in care homes and assisted living facilities. Select part 1 session here.
- Part 2 – training session tailored for district nurses, care homes staff, and community teams who manage the care of people with diabetes in care homes and assisted living facilities. Select part 2 session here.
Dexcom website for healthcare professionals has a dedicated Dexcom Pharmacy FAQ page that is particularly helpful for Dexcom ONE. The Dexcom Education Hub is a comprehensive resource for staying informed about diabetes care and technology, designed to help healthcare professionals offer the best diabetes care and technology. It holds a wealth of constantly updated CPD accredited online courses, relevant clinical studies and reviews.
Dexcom’s patient care specialist team can be contacted by email to: ukie.
Resources needed to get patients started on Dexcom ONE, including starter guides and patient handouts are available on the Dexcom clinic resources page.
A range of training resources are available on the GlucoRx healthcare professional hub, including an ‘AiDEX Academy’ made up of six bite-sized modules, video tutorials and FAQs.
The CDEP has a range of CGM training modules suitable for different levels and different staffing groups. Please see this continuous glucose monitoring leaflet for an overview of the training.
Please note that a CDEP licence is required to access CDEP training modules. See the contact details on the main page to get your CDEP licence.
The Primary Care Diabetes Society (PDCS) free learning modules are aimed at those wishing to increase their knowledge of CGM, insulin safety and non-insulin therapy (as well as other diabetes learning). Each module video has breaks for multiple-choice questions, followed by a multiple-choice assessment to check your understanding. Modules take around 60 minutes to complete and cover:
- What CGM is and who is eligible
- Initiating CGM in primary care
- Introduction to Time in Range
- Interpreting glucose profiles
- Advanced interpretation of ambulatory glucose profiles
The CDEP is developing a training module that looks at who may benefit from using a hybrid closed loop system to manage their diabetes. This module is expected to be available from November 2024.
Please note that a CDEP licence is required to access CDEP training modules. See the contact details on the main page to get your CDEP licence.