Pre-diabetes treatment in primary care – what predicts success?

What is it about?

Prediabetes increases the risk of developing type 2 diabetes and cardiovascular disease. We have developed and tested a primary care nurse delivered dietary intervention for the treatment of prediabetes. Now, in a 2 year study, we aim to determine if there are important differences between those with prediabetes and excess weight who no longer have prediabetes, those who have persistent prediabetes and those who progress to type 2 diabetes following participation in our 6-month primary care nurse-delivered prediabetes dietary intervention. We will interview participants about their experiences of making dietary changes. We will examine the number of people who no longer have prediabetes and the number of people who develop type 2 diabetes after the intervention and at 2 years. We will describe changes in health-related quality of life and estimate potential cost savings from a funder’s perspective at 2 years.

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Why is it important?

Diabetes is common. Individual and population efforts to prevent diabetes and its complications have had limited success to date. This study uses a feasible primary care nurse delivered dietary intervention and aims to inform diabetes prevention programmes.

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