New NICE guidance on preventing type 2 diabetes in high risk individuals

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The National Institute for Health and Clinical Excellence (NICE) has just published important guidance 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.

The 20 recommendations 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
  • weight management and dietary advice
  • vulnerable groups
  • training and professional development
  • metformin
  • orlistat

Appraisal hints:

  • Are these guidelines prepared in accordance with AGREE principles?


National Institute for Health and Clinical Excellence (NICE). Preventing type 2 diabetes – risk identification and interventions for individuals at high risk (PH38).  July 2012.

Other resources from NICE include:

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I am an information scientist with an interest in making knowledge from systematic research more accessible to people who need it. This means you. I've been attempting this in the area of Evidence-Based Health Care since 1995. So far the results have been mixed. For some reason we expected busy clinicians to search databases and appraise papers instead of seeing patients. We also expected publishers to make the research freely available to the people who paid for it.. Ha! Hence The National Elf service.

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