Diabetes Newsletter - April 2018

www.berkshirewestdiabetes.org.uk April 2018
Monthly diabetes news for healthcare professionals and
others in Berkshire West

  Pre-diabetes in Berkshire West  
Next week is National Diabetes Prevention week. I have written the following article for patients for use by the CCG Comms Team. I am enclosing this so that you are aware and please feel free to print out for patients.

Some people have an increased risk of developing diabetes and some already have a condition known as “pre-diabetes” (impaired glucose tolerance), although they may not know it. This means their bodies have impaired processing of glucose (sugar). The greatest risk (same as Type 2 diabetes) comes from being overweight or obese but some people inherit a genetic tendency from their family or racial background. 

Pre-diabetes is nearly always without symptoms and in the UK is diagnosed by either a fasting blood sugar between 6.0 and 6.9mmol/l or an HbA1c between 42 and 47 mmol/mol. Some refer to pre-diabetes as “borderline diabetes”.

Why is this condition important? Firstly, it is associated with a 10-12 fold increased risk of developing diabetes itself (Type 2). Additionally, it carries a 2-3 fold increased risk of cardiovascular disease (mainly heart attack and stroke). Pre-diabetes does not progress to diabetes in all cases but should be viewed as a warning sign that this could occur. Changes in lifestyle can prevent this, such as improving diet, reducing weight and increasing exercise.

Although the actual prevalence is unknown, it is estimated that there are seven million people in the UK with pre-diabetes. This comes from a study by Diabetes UK in 2009. The great majority are unaware of this and remain undiagnosed.

For some years, we have run a programme in Berkshire West to identify patients that have pre-diabetes. Once identified, GP practices offer these patients an annual review with a GP or nurse, including  advice on how to make the lifestyle changes that can prevent progression to diabetes itself. We know from overseas studies that without lifestyle change about 60% of people with pre-diabetes become diabetic over the following 7-10 years (about 5-10% per year). If a patient has pre-diabetes, most of our practices run this service so many will already benefit.

Also, if patients have either pre-diabetes or an increased risk of diabetes and fulfil a certain criteria, they can join the National Diabetes Prevention Programme (NDPP) which is run by Public Health England in West Berkshire. Patients can ask their GP practice for a check for diabetes and/or enquire about NDPP by calling 0800 092 1191 or emailing healthieryou.berkshire@nhs.net.

Dr Paul Westcar, Diabetes Lead Berkshire West CCG
  Diabetes Prevention Week 16-22 April 2018  
The NHS Diabetes Prevention Programme is launching a Diabetes Prevention Week campaign next week, running from 16 – 22 April. The campaign has been developed to raise awareness of the Healthier You: NHS Diabetes Prevention Programme (NDPP) with the public and healthcare professionals and to increase referrals to the programme. It also aims to raise awareness of the causes of Type 2 diabetes and the complications associated with it, raise awareness of high risk groups and encourage members of the public to be more aware of the symptoms.

A Diabetes Prevention Week toolkit has been created, which includes posters, leaflets, bunting and stickers. GP practices, libraries, council offices, leisure centres and pharmacies across Berkshire West will be displaying these materials to help raise awareness next week.

The Berkshire NDPP is progressing well in its second year, where we currently have over 2,300 referrals across the county. Across Berkshire West, 73% of referrals have booked an Individual Assessment (stage one of the programme) and 58% have gone on to book onto a programme.

For more information on Diabetes Prevention Week or the Diabetes Prevention Programme, please contact Jenny Willson at Jenny.Willson@westberks.gov.uk or 07766 924830.
  Best 4 Diabetes modular education programme  


BEST 4 Diabetes is a modular HCP Education programme specific to Berkshire West. Modules can be attended individually or the programme can be completed in its entirety.

The programme is funded by Berkshire West CCG and is free to attend. The programme for 2018/2019 is available here. All modules will be held at Berkshire Maestros, Stoneham Court, Reading RG30 4EZ.

The programme is facilitated by the Community Diabetes Team.
Places are limited, to book a place e-mail Diabetes.Training.West@berkshire.nhs.uk.

For further information contact Claire Rowell, Diabetes Nurse/ Team Lead Claire.rowell@berkshire.nhs.uk

  Berkshire West Diabetes website  
The Berkshire West diabetes website: www.berkshirewestdiabetes.org.uk was set up in 2012 and has always been a stand alone site. Berkshire West CCG has now brought the content of this site into their new single CCG website: www.berkshirewestccg.nhs.uk/diabetes. Both these website addresses work.
The site has always been mainly used by health professionals so we have removed the patient and carer sections as there are many other patient sites, such as Diabetes UK.
Diabetes Specialist Nurse Hotline: 07879 814922 (Monday to Friday 10am – 4pm) Consultant Hotline: 07717 867448. Email: virtualdiabetes@royalberkshire.nhs.uk
Visit our website: www.berkshirewestdiabetes.org.uk
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