Preventing Type 2 Diabetes

Topics: Obesity, Diabetes mellitus, Health Pages: 104 (23987 words) Published: April 10, 2013
Contents
Introduction ................................................................................................................................... 5 1 Recommendations ................................................................................................................... 7 Definitions................................................................................................................................................ 7 Types of intervention ............................................................................................................................... 9 Guiding principles .................................................................................................................................... 9 Whose health will benefit? ..................................................................................................................... 12 Recommendation 1 Integrating national strategy on non-communicable diseases ................................ 13 Recommendation 2 Local joint strategic needs assessments ............................................................... 14 Recommendation 3 Developing a local strategy .................................................................................... 15 Recommendation 4 Interventions for communities at high risk of type 2 diabetes ................................. 16 Recommendation 5 Conveying messages to the whole population ....................................................... 18 Recommendation 6 Conveying messages to the local population .......................................................... 19 Recommendation 7 Promoting a healthy diet: national action ............................................................... 20 Recommendation 8 Promoting a healthy diet: local action .................................................................... 21 Recommendation 9 Promoting physical activity: national action ........................................................... 23 Recommendation 10 Promoting physical activity: local action ............................................................... 24 Recommendation 11 Training those involved in promoting healthy lifestyles ........................................ 26

2 Public health need and practice ................................................................................................ 30 Overview ................................................................................................................................................. 30 Risk factors for type 2 diabetes ............................................................................................................... 30 Vulnerable groups ................................................................................................................................... 31 Tackling barriers to change ..................................................................................................................... 32

3 Considerations .......................................................................................................................... 33 Individual versus population approaches ................................................................................................ 33 Evidence.................................................................................................................................................. 34 Cost effectiveness .................................................................................................................................. 36

© NICE 2011. All rights reserved. Last modified May 2011

Page 2 of 91

Preventing type 2 diabetes: population and community-level
interventions

NICE public health
guidance 35

Existing NICE guidance .......................................................................................................................... 37 Issues outside the scope...

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