Workshop 1: Activity, lifestyle and pre-diabetes – challenges and opportunities

Leads

Scott Elliot (Senior Public Health Manager, Medway Council, NHS Diabetes Prevention Programme website lead); Dr Andrew Burnett (PH Consultant and Lead for Diabetes Prevention Programme, Berkshire)

Introduction

Structured interventions combining physical activity and modest weight loss have been shown to lower type 2 diabetes risk by up to 58% in high-risk populations.
The National Institute for Health and Care Excellence (NICE) recommends that a drug or intervention costing up to £30,000 per quality-adjusted life year is justified. Get Physical keynote speaker Dr William Bird estimates that 68 patients can be treated annually with a physical activity intervention for the same cost.
Regular aerobic and resistance exercise improves insulin action, blood glucose and lipid levels, blood pressure, risk of CVD and mortality, and quality of life – provided it is done on a regular basis. Simple activities help to break the sedentary habit. These include standing desks, frequent breaks from sitting, frequent short walks; walk, cycle or jog to work once a week or taking a daily walk to the shops.

Workshop debate

1. Empowering high- risk people to self-manage through physical activity
2. Using NHS Health checks to target pre-diabetes patients and refer for appropriate services
3. With current NHS resources, reproducing the positive effects seen in large clinical trials
4. What are the key challenges and barriers to behaviour change; how might they be overcome
5. What might the landscape look like in 5 years’ time if physical activity is successfully introduced into diabetes prevention, early intervention and management.



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