Who is level 3 training for?
This training is aimed at experienced or proficient healthcare professionals such as special diabetes teams in primary or community care and often in secondary care.
Before starting level 3 training, learners must be able to evidence they have undertaken learning to meet the aims at levels 1 and 2. If a learner can demonstrate this, they do not need to do the learning again. This information can be recorded on the competency guides and checklists for learners and managers or supervisors.
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Aims of level 3 training
Level 3 training covers all the aims listed at level 1 and level 2, plus the following:
- Identify which people with diabetes may be suitable and eligible for CGM
- Initiate or refer to an appropriate service for initiation of procured CGM where appropriate after detailed discussion and agreement with the person living with diabetes
- Be proficient at more complex interpretation of CGM and plan care in accordance with results, taking into consideration the wishes of the person living with diabetes
- Be proficient at teaching the person with diabetes and their carers how to interpret their own CGM data and empower people to act in response to results when needed
- Provide support and mentorship to more junior staff to improve competence and confidence.
Level 3 aims for specialist diabetes services only:
- List the criteria for use of insulin pump and hybrid closed loop therapy
- Demonstrate an understanding of the difference in insulin delivery and the benefits and risks associated with insulin pump and hybrid closed loop therapy
- Ensure the individual has access to the most appropriate device for monitoring blood glucose and blood ketone levels
- Monitor and support junior staff to ensure they have appropriate competence.
Level 3 training resources
Before starting level 3 training, learners must be able to evidence they have undertaken learning to meet the aims at levels 1 and 2. If a learner can demonstrate this, they do not need to do the learning again. This information can be recorded on the competency guides and checklists for learners and managers or supervisors. In addition to the resources detailed in the table at level 1 and listed at level 2, the following resources offer further knowledge and skills to progress to level 3.
Glooko Academy is an education platform for diabetes technology, certified by the Association of British Clinical Diabetologists (ABCD). Modules you may find beneficial include:
- Connected pens
- Continuous glucose monitoring
- Flash glucose monitoring
- Self-monitoring blood glucose (SMBG)
- Virtual consultations
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 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.
Online DAFNE closed loop essentials course for adults with type 1 diabetes that may not previously completed a DAFNE course or other structured education and need upskilling in intensive insulin management, carbohydrate counting, pump therapy and the fundamentals of closed loop therapy. This course provides basic knowledge and has been designed in collaboration with the Diabetes Technology Network UK, aligning to the essential skills identified by DTN-UK to manage closed loops safely.
Further information about the course and the benefits to diabetes services can be found on the website DAFNE Closed Loop Essentials - DAFNE