This guidance focuses on identifying people at high risk of type 2 diabetes and the provision of effective, cost effective and appropriate interventions for them.
The 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. The recommendations can be used alongside the NHS Health Check programme. They cover:
risk assessment.
encouraging people to have a risk assessment.
risk identification (stage 1).
risk identification (stage 2).
matching interventions to risk.
reassessing risk.
commissioning risk identification and intensive lifestyle-change programmes.
intensive lifestyle-change programmes.
physical activity.
weight management advice.
dietary advice.
information and services.
supporting lifestyle change.
intensive lifestyle-change programmes: quality assurance.
training and professional development.
metformin.
orlistat.
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