Local health providers can adapt existing service provision and tailor it to provide lifestyle programmes for people with impaired glucose tolerance. Both service delivery models offer effective diabetes prevention although each model may cater for different population needs and a choice of services might be the preferred option.
Whilst an uncontrolled observational study with a small sample size, this pilot suggests IGT Care Call may be effective in promoting positive and sustained lifestyle changes to prevent type 2 diabetes, which warrants further investigation. A telephone method of service delivery was acceptable, convenient and may have improved self confidence in how to reduce risk of type 2 diabetes.
Introduction: Diabetes is one of the major health challenges of our time. Diabetes UK recently estimated 10% of the total NHS budget is spent on diabetes care. NICE guidance "Prevention of type 2 diabetes in adults" (2011) and "Prevention of type 2 diabetes in high-risk groups" (currently consultation phase) emphasises the importance of prevention. Impaired glucose tolerance (IGT) is a precursor for the development of type 2 diabetes and is additionally associated with increased cardiovascular risk. Positive lifestyle changes (healthy eating, increased activity, weight reduction) have been proven to prevent or delay onset of type 2 diabetes in people diagnosed with IGT. Aims and objectives:Working together, Greater Manchester CLAHRC and Salford's NHS Diabetes Care Call team developed a sixmonth, telephone-based, lifestyle intervention programme for people with IGT. The aim was to provide a convenient, accessible and tailored service that would motivate and enable people to make positive behaviour changes to prevent or delay onset of type 2 diabetes. The programme was delivered by a team of trained health advisors who provided standardised, evidence-based education via a series of electronic scripts developed and maintained by the specialist diabetes team. Supporting resources, including a patient education leaflet and DVD designed in-house, were sent by post. Health advisors worked on an individual basis with participants and had access to an online directory of local services and groups to signpost appropriately. The project ran from May 2010 to January 2011, enrolling 55 people with IGT from seven GP practices in Salford. All calls were recorded on the electronic patient record, viewable across primary and secondary care.Key results: All 55 participants completed the pathway. Clinical Outcomes:52% (n=26) reverted to normal fasting and glucose tolerance. 10% (n=5) reduced risk to impaired fasting glucose. 75% (n=38) confirmed weight loss, average 4.8 kg (5.3%) per person. 61% (n=31) reduced FINDRISC score by average 2.1 points per person. 88% (n=48) achieved or partially achieved their overall lifestyle goal. Qualitative outcomes (from questionnaires and focus groups):88% (n=36) participants reported increased understanding of blood results. 78% (n=32) participants reported definite increased confidence about how to reduce their own risk of developing type 2 diabetes. 90% (n=37) felt they received relevant, up to date advice about reducing diabetes risk.GP practices reported high-levels of confidence that the service provided evidence-based dietary and lifestyle advice and motivational support.Large-scale research studies strongly suggest lifestyle programmes preventing diabetes are cost effective. Cost benefit analysis of this project and extrapolation for whole population shows roll out is achievable with payback on investment in year three. Conclusion:The IGT care call service is a highly scalable and cost-effective approach to preventing diabetes and amenable for 'hard to reach' groups. A full eval...
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.