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

Measuring the use of this guidance

Recommendation: 1.6.5

For people 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 a blood test at least once a year (preferably using the same type of test). Also offer to assess their weight or BMI. This includes people without symptoms of type 2 diabetes whose: •first blood test measured fasting plasma glucose at 7.0 mmol/l or above, or an HbA1c of 48 mmol/mol (6.5%) or greater, but •whose second blood test did not confirm a diagnosis of type 2 diabetes. [2012]

What was measured: Proportion of people at high risk (i.e. those who have a diagnosis of pre-diabetes, non-diabetic hyperglycaemia or impaired glucose regulation) who had their BMI checked.
Data collection end: March 2017
Area covered: England
Source: NHS Digital. National Diabetes Prevention Programme Pilot Study.

Recommendation: 1.9.1

Intensive lifestyle-change programmes should offer ongoing tailored advice, support and encouragement to help people: • undertake a minimum of 150 minutes of 'moderate-intensity' physical activity per week • gradually lose weight to reach and maintain a BMI within the healthy range • increase their consumption of wholegrains, vegetables and other foods that are high in dietary fibre • reduce the total amount of fat in their diet • eat less saturated fat. [2012]

What was measured: Public Health Outcomes Framework indicator 2.13: Proportion of over 16s doing at least 150 “equivalent” minutes of at least moderate intensity physical activity per week in bouts of 10 minutes or more in the previous 28 days.
Data collection end: December 2012
Data collection end: December 2013
Data collection end: December 2014
Area covered: England
Source: Sport England - Active people survey

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