Based on the prevalence of pre-diabetes in England it is estimated that over half a million people in Wales could be at high risk of developing diabetes. In 2015, the North Ceredigion GP Cluster initiated a pre-diabetes intervention that targeted patient education and lifestyle modification. The intervention comprised of a 30-minute one-to-one consultation for those identified as having a higher than ideal blood glucose level, but not high enough to be suffering from diabetes. Measures were taken for body mass, Body Mass Index (BMI), waist circumference, blood pressure and HbA1c (a measure of blood glucose) during the initial consultation and at 12 month follow up.
Data on the first 129 patients to complete the follow up tests indicate there were significant decreases in:
- BMI from an average of 30 to 29,
- Average waist circumference was reduced by 1 cm,
- and HbA1c fell from 43.8 mmol·mol-1 to 38.9 ± 6.7 mmol·mol-1.
- The number of patients with pre-diabetes fell from 129 to 79.
The number of patients in north Ceredigion who have had the opportunity to engage with this programme now exceeds 1000, many of whom have yet to have their 12-month follow-up assessment. The data presented above are based on the first patients to complete and the results are supportive of early identification of, and, educational intervention for, type II diabetes.