Recommendations for type 2 diabetes as part of global recovery
Professor Kamlesh Khunti CBE, Director of National Institute for Health and Care Research (NIHR) Applied Research Collaboration (ARC) East Midlands and Professor of Primary Care Diabetes and Vascular Medicine at the University of Leicester, said: “A major global crisis, such as a pandemic, is an opportunity to reflect on things that are taken for granted. This concept is encapsulated by the building back better strategy espoused by the UN to reduce the risk of future disasters on nations and communities.”
Professor Sam Seidu, Clinical Professor in Primary Care Diabetes and Cardio-metabolic Medicine at the University of Leicester and study co-author, said: “The Covid-19 pandemic has reminded the global community of the importance of prevention, often seen as a less urgent issue to health-care providers than treatment. We, therefore, recommend that all stakeholders and governments should implement strategies aimed at preventing and optimising diabetes care so that the world is more prepared to minimise the adverse outcomes associated with diabetes before the next global health threat.
“In the UK, the National Health Service Diabetes Prevention Programme has provided remote and digital delivery of lifestyle interventions by non-health-care professionals, fostering programme resilience throughout the two years of the pandemic.”
A strategy for prioritising recall for diabetes reviews, based on identifiable clinical need, is also proposed, with those with high-risk factor burden prioritised for review within three months.
Highlighting the impact of the coronavirus on people with diabetes, the researchers cited a number of studies. One revealed that the odds ratios for in-hospital Covid-19-related deaths, compared with the general population, were 3.51 in people with type 1 diabetes and 2.03 in those with type 2 diabetes.
Read the report in The Lancet Diabetes & Endocrinology
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