Next review: To be scheduled

The 20 recommendations in this guideline can be used alongside the NHS Health Check programme.

They cover:

  • risk assessment
  • risk identification (stages 1 and 2)
  • reassessing risk
  • matching interventions to risk
  • commissioning risk assessment and intensive lifestyle-change programmes
  • providing intensive lifestyle-change programmes:
  • physical activity:
    • awareness-raising
    • providing tailored advice
  • weight management and dietary advice
  • vulnerable groups
  • training and professional development
  • metformin
  • orlistat

This guidance is not advocating a national screening programme for type 2 diabetes, rather the recommendations remind practitioners that age is no barrier to being at high risk of, or developing, type 2 diabetes.

It was previously called preventing type 2 diabetes: risk identification and interventions for individuals at high risk.

This guideline is for everyone who is involved identifying people at high risk of type 2 diabetes and in preventing or delaying its onset. This includes GPs, nurses and other health professionals, as well as commissioners and managers within the NHS, local authorities and the wider public, private, voluntary and community sectors.

It is also for pharmacists, occupational health specialists, optical practitioners,  those involved in the NHS Health Check programme and all those who deliver dietary, physical activity and weight management services.  

In addition, it may be of interest to people at high risk of developing type 2 diabetes, their families and other members of the public.

Your responsibility

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.

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