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Brief lifestyle interventions for prediabetes in primary care: a service evaluation

Rhys Thatcher, Nicholas Gregory, Ivy Cheung, Gareth Dunseath Orcid Logo, Sharon Parsons Orcid Logo, Mark Goodwin, Steve Luzio Orcid Logo

BMC Primary Care, Volume: 23, Issue: 1

Swansea University Authors: Ivy Cheung, Gareth Dunseath Orcid Logo, Sharon Parsons Orcid Logo, Steve Luzio Orcid Logo

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DOI (Published version): 10.1186/s12875-022-01658-2

Abstract

BackgroundThe increasing number of cases of prediabetes in the UK is concerning, particularly in Wales where there is no standard programme of support. The aim of the current service evaluation was to examine the effectiveness of brief lifestyle interventions on glucose tolerance in people at risk o...

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Published in: BMC Primary Care
ISSN: 2731-4553
Published: Springer Science and Business Media LLC 2022
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URI: https://cronfa.swan.ac.uk/Record/cronfa60094
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The aim of the current service evaluation was to examine the effectiveness of brief lifestyle interventions on glucose tolerance in people at risk of developing type 2 diabetes.MethodsIn this pragmatic service evaluation clinical data on people deemed at risk of developing type 2 diabetes were evaluated from two GP clusters. Patients (n =&#x2009;1207) received a single 15 to 30-min, face-to-face, consultation with a health care practitioner. Interventions were assessed by changes in HbA1c and distribution across the HbA1c ranges 12&#x2009;months following intervention. Statistical significance of reversion to normoglycaemia and development of diabetes were assessed through comparison with expected rates without intervention.ResultsBetween baseline and 12-month follow-up HbA1c fell from 43.85&#x2009;&#xB1;&#x2009;1.57&#x2009;mmol/mol (6.16&#x2009;&#xB1;&#x2009;0.14%) to 41.63&#x2009;&#xB1;&#x2009;3.84&#x2009;mmol/mol (5.96&#x2009;&#xB1;&#x2009;0.35%), a decrease of 2.22&#x2009;mmol/mol (0.20%) (95% CI 2.01 (0.18%), 2.42 (0.22%); p &lt;&#x2009;0.0001). The proportion of people with normal glucose tolerance at 12&#x2009;months (0.50 95%CI 0.47, 0.52) was significantly larger than the lower (0.06 (p &lt;&#x2009;0.0001) and the upper (0.19 (p &lt;&#x2009;0.0001)) estimates based on no intervention.ConclusionResults indicate significant improvement in glucose tolerance across GP clusters. The brief intervention has the potential to offer a robust and effective option to support people at risk of developing type 2 diabetes. Further research in the form of a randomised trial is needed to confirm this and identify those likely to benefit most from this intervention.</abstract><type>Journal Article</type><journal>BMC Primary Care</journal><volume>23</volume><journalNumber>1</journalNumber><paginationStart/><paginationEnd/><publisher>Springer Science and Business Media LLC</publisher><placeOfPublication/><isbnPrint/><isbnElectronic/><issnPrint/><issnElectronic>2731-4553</issnElectronic><keywords>General Practice; Lifestyle; Prediabetic State; Prevention of Diabetes</keywords><publishedDay>14</publishedDay><publishedMonth>3</publishedMonth><publishedYear>2022</publishedYear><publishedDate>2022-03-14</publishedDate><doi>10.1186/s12875-022-01658-2</doi><url/><notes/><college>COLLEGE NANME</college><department>Biomedical Sciences</department><CollegeCode>COLLEGE CODE</CollegeCode><DepartmentCode>BMS</DepartmentCode><institution>Swansea University</institution><apcterm/><funders>No funding was acquired for the completion of this study.</funders><lastEdited>2022-06-14T12:14:35.4338331</lastEdited><Created>2022-05-27T11:41:43.6313743</Created><path><level id="1">Faculty of Medicine, Health and Life Sciences</level><level id="2">Swansea University Medical School - Medicine</level></path><authors><author><firstname>Rhys</firstname><surname>Thatcher</surname><order>1</order></author><author><firstname>Nicholas</firstname><surname>Gregory</surname><order>2</order></author><author><firstname>Ivy</firstname><surname>Cheung</surname><order>3</order></author><author><firstname>Gareth</firstname><surname>Dunseath</surname><orcid>0000-0001-6022-862X</orcid><order>4</order></author><author><firstname>Sharon</firstname><surname>Parsons</surname><orcid>0000-0002-5841-8309</orcid><order>5</order></author><author><firstname>Mark</firstname><surname>Goodwin</surname><order>6</order></author><author><firstname>Steve</firstname><surname>Luzio</surname><orcid>0000-0002-7206-6530</orcid><order>7</order></author></authors><documents><document><filename>60094__24306__9f65c62bde2b446ebc35e4f74dc6f7e0.pdf</filename><originalFilename>60094.pdf</originalFilename><uploaded>2022-06-14T12:11:57.1326113</uploaded><type>Output</type><contentLength>699225</contentLength><contentType>application/pdf</contentType><version>Version of Record</version><cronfaStatus>true</cronfaStatus><documentNotes>&#xA9; The Author(s) 2022. This article is licensed under a Creative Commons Attribution 4.0 International License</documentNotes><copyrightCorrect>true</copyrightCorrect><language>eng</language><licence>http://creativecommons.org/licenses/by/4.0/</licence></document></documents><OutputDurs/></rfc1807>
spelling 2022-06-14T12:14:35.4338331 v2 60094 2022-05-27 Brief lifestyle interventions for prediabetes in primary care: a service evaluation a9142ffd398f89eff40ada503e315639 Ivy Cheung Ivy Cheung true false fccbba9edcaee08a839a3c5cff8cbe19 0000-0001-6022-862X Gareth Dunseath Gareth Dunseath true false f428211d8324336eb2bc7f4e6a08a421 0000-0002-5841-8309 Sharon Parsons Sharon Parsons true false 01491e1cd582746a654fad9addf0de16 0000-0002-7206-6530 Steve Luzio Steve Luzio true false 2022-05-27 BMS BackgroundThe increasing number of cases of prediabetes in the UK is concerning, particularly in Wales where there is no standard programme of support. The aim of the current service evaluation was to examine the effectiveness of brief lifestyle interventions on glucose tolerance in people at risk of developing type 2 diabetes.MethodsIn this pragmatic service evaluation clinical data on people deemed at risk of developing type 2 diabetes were evaluated from two GP clusters. Patients (n = 1207) received a single 15 to 30-min, face-to-face, consultation with a health care practitioner. Interventions were assessed by changes in HbA1c and distribution across the HbA1c ranges 12 months following intervention. Statistical significance of reversion to normoglycaemia and development of diabetes were assessed through comparison with expected rates without intervention.ResultsBetween baseline and 12-month follow-up HbA1c fell from 43.85 ± 1.57 mmol/mol (6.16 ± 0.14%) to 41.63 ± 3.84 mmol/mol (5.96 ± 0.35%), a decrease of 2.22 mmol/mol (0.20%) (95% CI 2.01 (0.18%), 2.42 (0.22%); p < 0.0001). The proportion of people with normal glucose tolerance at 12 months (0.50 95%CI 0.47, 0.52) was significantly larger than the lower (0.06 (p < 0.0001) and the upper (0.19 (p < 0.0001)) estimates based on no intervention.ConclusionResults indicate significant improvement in glucose tolerance across GP clusters. The brief intervention has the potential to offer a robust and effective option to support people at risk of developing type 2 diabetes. Further research in the form of a randomised trial is needed to confirm this and identify those likely to benefit most from this intervention. Journal Article BMC Primary Care 23 1 Springer Science and Business Media LLC 2731-4553 General Practice; Lifestyle; Prediabetic State; Prevention of Diabetes 14 3 2022 2022-03-14 10.1186/s12875-022-01658-2 COLLEGE NANME Biomedical Sciences COLLEGE CODE BMS Swansea University No funding was acquired for the completion of this study. 2022-06-14T12:14:35.4338331 2022-05-27T11:41:43.6313743 Faculty of Medicine, Health and Life Sciences Swansea University Medical School - Medicine Rhys Thatcher 1 Nicholas Gregory 2 Ivy Cheung 3 Gareth Dunseath 0000-0001-6022-862X 4 Sharon Parsons 0000-0002-5841-8309 5 Mark Goodwin 6 Steve Luzio 0000-0002-7206-6530 7 60094__24306__9f65c62bde2b446ebc35e4f74dc6f7e0.pdf 60094.pdf 2022-06-14T12:11:57.1326113 Output 699225 application/pdf Version of Record true © The Author(s) 2022. This article is licensed under a Creative Commons Attribution 4.0 International License true eng http://creativecommons.org/licenses/by/4.0/
title Brief lifestyle interventions for prediabetes in primary care: a service evaluation
spellingShingle Brief lifestyle interventions for prediabetes in primary care: a service evaluation
Ivy Cheung
Gareth Dunseath
Sharon Parsons
Steve Luzio
title_short Brief lifestyle interventions for prediabetes in primary care: a service evaluation
title_full Brief lifestyle interventions for prediabetes in primary care: a service evaluation
title_fullStr Brief lifestyle interventions for prediabetes in primary care: a service evaluation
title_full_unstemmed Brief lifestyle interventions for prediabetes in primary care: a service evaluation
title_sort Brief lifestyle interventions for prediabetes in primary care: a service evaluation
author_id_str_mv a9142ffd398f89eff40ada503e315639
fccbba9edcaee08a839a3c5cff8cbe19
f428211d8324336eb2bc7f4e6a08a421
01491e1cd582746a654fad9addf0de16
author_id_fullname_str_mv a9142ffd398f89eff40ada503e315639_***_Ivy Cheung
fccbba9edcaee08a839a3c5cff8cbe19_***_Gareth Dunseath
f428211d8324336eb2bc7f4e6a08a421_***_Sharon Parsons
01491e1cd582746a654fad9addf0de16_***_Steve Luzio
author Ivy Cheung
Gareth Dunseath
Sharon Parsons
Steve Luzio
author2 Rhys Thatcher
Nicholas Gregory
Ivy Cheung
Gareth Dunseath
Sharon Parsons
Mark Goodwin
Steve Luzio
format Journal article
container_title BMC Primary Care
container_volume 23
container_issue 1
publishDate 2022
institution Swansea University
issn 2731-4553
doi_str_mv 10.1186/s12875-022-01658-2
publisher Springer Science and Business Media LLC
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str Swansea University Medical School - Medicine{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}Swansea University Medical School - Medicine
document_store_str 1
active_str 0
description BackgroundThe increasing number of cases of prediabetes in the UK is concerning, particularly in Wales where there is no standard programme of support. The aim of the current service evaluation was to examine the effectiveness of brief lifestyle interventions on glucose tolerance in people at risk of developing type 2 diabetes.MethodsIn this pragmatic service evaluation clinical data on people deemed at risk of developing type 2 diabetes were evaluated from two GP clusters. Patients (n = 1207) received a single 15 to 30-min, face-to-face, consultation with a health care practitioner. Interventions were assessed by changes in HbA1c and distribution across the HbA1c ranges 12 months following intervention. Statistical significance of reversion to normoglycaemia and development of diabetes were assessed through comparison with expected rates without intervention.ResultsBetween baseline and 12-month follow-up HbA1c fell from 43.85 ± 1.57 mmol/mol (6.16 ± 0.14%) to 41.63 ± 3.84 mmol/mol (5.96 ± 0.35%), a decrease of 2.22 mmol/mol (0.20%) (95% CI 2.01 (0.18%), 2.42 (0.22%); p < 0.0001). The proportion of people with normal glucose tolerance at 12 months (0.50 95%CI 0.47, 0.52) was significantly larger than the lower (0.06 (p < 0.0001) and the upper (0.19 (p < 0.0001)) estimates based on no intervention.ConclusionResults indicate significant improvement in glucose tolerance across GP clusters. The brief intervention has the potential to offer a robust and effective option to support people at risk of developing type 2 diabetes. Further research in the form of a randomised trial is needed to confirm this and identify those likely to benefit most from this intervention.
published_date 2022-03-14T04:17:55Z
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