GoodFellow

Pre-diabetes

Date Published

Tuesday, 16 April 2019

Duration

19:53

Category

Diabetes

Professor Bruce Arroll discusses pre-diabetes and preventing progression to type 2 diabetes. Bruce is a GP in South Auckland, director of the Goodfellow Unit and a Professor in General Practice at the University of Auckland.

Topics

The role of diet, exercise, weight loss and medication in preventing progression to type 2 diabetes.
Assessing and managing cardiovascular risk.
Health equity issues (risk groups).
Integrated care within the primary care setting (patient, community and primary health care providers).

Take home messages

Pre-diabetes is significant AND adds to the health burden in NZ.
Proactive management from the primary healthcare team can help the patient prevent or delay the progression to T2DM.
Assess and manage cardiovascular risk in a timely proactive manner.
Consider a multi-faceted well supported management plan; include diet, exercise, weight loss and consider use of metformin.
A culturally appropriate community wrap-around service is the ideal model.

Resources

A rising tide of type 2 diabetes in younger people: what can primary care do? BPAC (2018)
NZ primary care handbook 2102 Ministry of Health (2018 update)
Pre-diabetes and self-management of long term conditions Ministry of Health (2016)
Initiating interventions in people with intermediate hyperglycaemia ("pre-diabetes") BPAC (2012)
Pre-diabetes patient resources Health Navigator NZ
Weight loss: the options and the evidence BPAC 2019

Patient Resources

Presenter

Professor Bruce Arroll

General Practitioner

To contact Bruce Click here.

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The Goodfellow Unit podcast is funded in part by the Royal New Zealand College of General Practitioners.

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