Type 2 diabetes: prevention in people at high risk: Public Health guideline [PH38]

NICE, November 2017

This guideline covers how to identify adults at high risk of type 2 diabetes. It aims to remind practitioners that age is no barrier to being at high risk of, or developing, the condition. It also aims to help them provide those at high risk with an effective and appropriate intensive lifestyle-change programme to prevent or delay the onset of type 2 diabetes. The recommendations in this guideline can be used alongside the NHS Health Check programme.

Click here to view the guidance.

New parts of the country set to benefit from expansion of diabetes prevention programme

NHS England, June 2017

The head of NHS England, Simon Stevens, has announced 13 new areas are now live and ready to offer a leading NHS prevention programme to patients identified at risk of developing Type 2 diabetes.

Wave 2 of the Healthier You NHS Diabetes Prevention Programme is part of a wider package of measures to support people with diabetes and those on the cusp of it, to stay fit, well and prevent further deterioration. Lancashire and Cumbria are a Wave 2 site.

Click here to read the full story.

Development and validation of risk prediction equations to estimate future risk of blindness and lower limb amputation in patients with diabetes: cohort study

BMJ, 11 November 2015

This prospective cohort study looks at whether it is possible to develop and externally validate risk prediction equations to estimate the 10 year risk of blindness and lower limb amputation in patients with diabetes aged 25-84 years.

The study concludes that patients with type 1 or type 2 diabetes are at increased risk of blindness and amputation but generally do not have accurate assessments of the magnitude of their individual risks. The new algorithms calculate the absolute risk of developing these complications over a 10 year period in patients with diabetes, taking account of their individual risk factors.

Click here to read the full text paper.

Diabetes 2015 – Care in Crisis survey

InDependent Diabetes Trust, October 2015

The InDependent Diabetes Trust’s (IDDT) report, ‘Diabetes 2015: Care in Crisis’ based on a survey of more than 15,000 people, shows that almost 40 per cent of people with diabetes believe the NHS has “worsened” since the £1.1bn health service reforms.  The results of the survey also show that nearly 40 percent feel they were not given appropriate advice and information about diet and exercise at the time of their diagnosis. The report calls on the government to introduce a specialist diabetes organisation which would work with the clinical community to drive improvements in care and stresses that CCGs should be more strongly encouraged to follow NICE commissioning guidance for diabetes education courses.

Click here to read the full report.

Integrated primary care for patients with mental and physical multimorbidity: cluster randomised controlled trial of collaborative care for patients with depression comorbid with diabetes or cardiovascular disease

BMJ, March 2015

Congratulations to Dr Waquas Waheed, Consultant Psychiatrist at Lancashire Care NHS Foundation Trust, who was a co-author on the Collaborative Interventions for Circulation and Depression trial that has been published in the BMJ.

Click here to view the full text article.