Top tips: type 2 diabetes
Dr Kevin Fernando provides top tips on diagnosing and managing type 2 diabetes and identifying people at high risk
identifying people at risk of developing type 2 diabetes and gestational diabetes
tailoring the HbA1c target to the individual
structured education programmes and educational resources that can help patients to self-manage their diabetes.
The State of the nation 2016 (England)time to take control of diabetes report from Diabetes UK warns that 5 million people in England are at high risk of developing type 2 diabetes mellitus (T2DM).1 High-quality evidence from several international diabetes prevention studies shows that early lifestyle intervention can reduce both long-term progression to T2DM,2 and long-term incidence of cardiovascular and all-cause mortality.3 Based on the evidence from five large-scale and tightly controlled randomised trials,3 the NHS Diabetes Prevention Programme46 was launched during 2016 to provide individualised lifestyle support for those at high risk of T2DM.
1 Identify people who are at high risk of T2DM on your practice register
NICE Public Health Guideline (PHG) 38 Type 2 diabetes: prevention in people at high risk recommends the use of a risk-assessment tool such as the QDiabetes-2016 risk calculator to identify patients at high risk of T2DM.7,8 The tool calculates an individuals 10-year risk of developing diabetes; in general, 10% or above is considered high risk.7
NICE PHG38 provides a useful flowchart (see Figure 1, below) outlining recommended interventions for patients at various levels of risk of T2DM:8
if low/medi Continue reading