Next review: To be scheduled
NICE's recommendations aim to help prevent type 2 diabetes among populations and communities of adults who are at high risk. Risk factors include being overweight or obese and whether or not someone is physically active. In addition to these individual risk factors, certain ethnic communities and people from lower socioeconomic groups are particularly at risk.
The 11 recommendations advise on:
- Integrating national strategy on type 2 diabetes with national activities to prevent other non-communicable diseases (such as cardiovascular disease and certain cancers).
- National action to promote a healthy diet and physical activity.
- Local needs assessments and strategies, including local action to promote a healthy diet and physical activity among communities at high risk.
- Training for those involved in helping to spread awareness of the risks and how to prevent the condition.
This guideline was previously called preventing type 2 diabetes: population and community-level interventions.
It is aimed at those working in national and local public health services. This includes: directors and commissioners, GPs, practice nurses, dietitians, public health nutritionists and other health professionals, as well as those involved in physical activity interventions and community engagement.
It may also be of interest to members of the public.
A second piece of guidance on type 2 diabetes, looking at interventions aimed at individuals at high risk is available (published July 2012).
The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, professionals are expected to take this guideline fully into account, alongside the individual needs, preferences and values of their patients or service users. The application of the recommendations in this guideline is not mandatory and the guideline does not override the responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or their carer or guardian.
Local commissioners and/or providers have a responsibility to enable the guideline to be applied when individual health professionals and their patients or service users wish to use it. They should do so in the context of local and national priorities for funding and developing services, and in light of their duties to have due regard to the need to eliminate unlawful discrimination, to advance equality of opportunity and to reduce health inequalities. Nothing in this guideline should be interpreted in a way that would be inconsistent with compliance with those duties.
Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible.