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'Referral advice' recommendation details

Preventing type 2 diabetes - risk identification and interventions for individuals at high risk

Guidance ID NICE 'referral advice' recommendation 'Referral advice' category
PH38 For people confirmed as being at high risk (a high risk score and fasting plasma glucose of 5.5?6.9 mmol/l or HbA1c of 42?47 mmol/mol [6.0?6.4%]): Offer them a referral to a local, evidence-based, quality-assured intensive lifestyle change programme Time frame Not Specified
PH38 Offer people with a BMI of 30 kg/m2 or more (27.5 kg/m2 or more if South Asian or Chinese) a structured weight-loss programme as part of, or to supplement, the intensive lifestylechange programme. Or, if more appropriate, offer them a referral to a dietitian or another appropriately trained health professional. Ensure they are given a personal assessment and tailored advice about diet, physical activity and what techniques to use to help change their behaviour.If the above weight management interventions have been unsuccessful, refer people to a specialist obesity management service Time frame Not Specified
PH38 For people with possible type 2 diabetes(fasting plasma glucose of, 7.0 mmol/l or above, or HbA1c of 48 mmol/mol [6.5%] or above, but no symptoms of type 2 diabetes): Carry out a second blood test. If type 2 diabetes is confirmed, treat this in accordance with NICE guidance on type 2 diabetes. Ensure blood testing conforms to national quality specifications. If type 2 diabetes is not confirmed, offer them a referral to a local, quality-assured, intensive lifestyle-change programme Time frame Not Specified
PH38 Consider referring people who want structured or supervised exercise to an exercise referral scheme or supervised exercise sessions, as part of an intensive lifestyle-change programme. Time frame Not Specified
PH38 If the weight management interventions have been unsuccessful, refer people to a specialist obesity management service (see NICE guidance on obesity). Time frame Not Specified

This page was last updated: 22 August 2012

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Accessibility | Cymraeg | Freedom of information | Vision Impaired | Contact Us | Glossary | Data protection | Copyright | Disclaimer | Terms and conditions

Copyright 2014 National Institute for Health and Care Excellence. All rights reserved.