Abstract

Position statement

Diabetes UK

  • Supports the recommendations of the UK Expert Committee that those with an HbA1c of 42-47mmol/mol (6.0-6.4%) should be considered high risk, even if asymptomatic.  
  • Currently uses the term “at high risk of Type 2 diabetes” for those with Non-diabetic Hyperglycaemia. Although the term “prediabetes” has become more common in the lay press, in general Diabetes UK won’t use that term because of the lack of clarity over what is meant by prediabetes.
  • Supports NICE public health guidance 38 and the NHS health checks programme in England and calls for them to be fully implemented along with further calls to action, especially in the other nations of the UK who are looking at targeted risk assessment.
  • Would also support international action to agree and harmonise the HbA1c cut point for identifying individuals at high risk of Type 2 diabetes.
  • Supports the NHS Diabetes Prevention Programme in England and would encourage similar developments in the other three nations.

There is a need to identify people with and at high risk of Type 2 diabetes and offer interventions for those at high risk because:

  • It is estimated that 549,043 people have undiagnosed Type 2 diabetes in the UK
  • Up to 50% of people may already have complications when they are diagnosed with Type 2 diabetes
  • Approximately 6 million people in the UK are at high risk of developing Type 2 diabetes, with as many as 11.9 million at increased risk
  • There is clear evidence that interventions for people at high risk can delay or prevent Type 2 diabetes.