Diabetes Complications

Diabetes Complications is a fast, offline clinical reference covering the acute and chronic complications of diabetes — overview and management — for qualified healthcare professionals and students.

Written and developed by Dr Atif Elnil, MBBS MRCP (Neurology & Stroke Fellow, St George's Hospital, London). Content is aligned to UK (NICE, SIGN, JBDS) and US (ADA) guidance, with differences flagged where they matter.

FOR EDUCATIONAL & TRAINING USE ONLY — NOT FOR USE AS SOLE CLINICAL GUIDANCE.
This app is for qualified healthcare professionals and students. It is not a medical device, does not diagnose, does not recommend treatment for any individual patient, and must not be used as the sole basis for any clinical decision.

WHAT'S INSIDE

Acute complications
- Diabetic ketoacidosis (DKA) — diagnosis, fluids, fixed-rate insulin, potassium, euglycaemic DKA, resolution
- Hyperosmolar hyperglycaemic state (HHS)
- Hypoglycaemia — recognition, treatment, impaired awareness, driving
- Sick-day rules and medication holds (SADMANS, SGLT2i cautions)

Microvascular
- Retinopathy — staging, screening, referral, treatment
- Nephropathy / CKD — ACR, eGFR, RAAS blockade, SGLT2i, finerenone
- Neuropathy — painful DN treatment ladder, autonomic features

Macrovascular
- Ischaemic heart disease & cardiovascular risk
- Heart failure — SGLT2i, cautions
- Stroke & TIA
- Peripheral arterial disease

Foot, skin & infection
- Diabetic foot — risk stratification, ulcers, Charcot
- Skin manifestations
- Serious diabetes-associated infections

Cross-cutting
- Glycaemic, BP and lipid targets (UK vs US)
- Drug considerations by comorbidity
- When to refer — red flags
- Clickable references to source guidelines

WHY YOU'LL LIKE IT
- Fast, clean, bedside-friendly layout
- Works fully offline — no account, nothing leaves the device
- Adjustable text size
- No ads

FREE & FULL ACCESS
The overview and the hypoglycaemia quick-reference are free. A single one-time purchase unlocks every chapter — no subscription.

IMPORTANT
This application is provided for the education and training of qualified healthcare professionals and students. It is not a substitute for clinical assessment, local protocols, specialist advice, or the current full guidelines. Doses and thresholds are summarised — always verify against the BNF / local formulary and current guidance, and apply your own clinical judgement.