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Non-Diabetic Hyperglycaemia, 2018-19 Diabetes Prevention Programme England12 November 2020

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Not sure I follow what’s new to you. The Diabetes Prevention Programme has been running for some time, members have referred to it on here.
What is new to me, is referring to an HbA1c of between 42 and 48 as 'non-Diabetic Hyperglycaemia' instead of 'Prediabetes'. Which makes more sense, because it’s known that not everyone with an HbA1c of 42-48 goes on to develop Type 2, even if they don’t modify their lifestyle, so they aren’t really 'pre-diabetic'.
 
Robin said:
Not sure I follow what’s new to you. The Diabetes Prevention Programme has been running for some time, members have referred to it on here.
What is new to me, is referring to an HbA1c of between 42 and 48 as 'non-Diabetic Hyperglycaemia' instead of 'Prediabetes'. Which makes more sense, because it’s known that not everyone with an HbA1c of 42-48 goes on to develop Type 2, even if they don’t modify their lifestyle, so they aren’t really 'pre-diabetic'.
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Robin, that's what I was referng to, not heard that term before, only heard the term pre-diabetes, but I suppose that the term pre-diabetes implies you are going to get diabetes whereas, that may not be the case?
 
Anitram said:
Agree, and I think it's being told that they are pre-diabetic is what causes alarm and, in many cases, distress as we've seen many times from posts from newbies. If they were told instead that they had NDH I think that would send a completely different messly
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I do however think that being told that you are pre-diabetic is more likely to spur you into action than if you are told you have NDH, which suggests that it is nothing to do with diabetes, when the likelihood is that most people in that range will progress to diabetes if they do not take action.
Most of us knew pre diagnosis that we were carrying too much weight and should make an effort to lose it, but it was the diabetes diagnosis which prompted us to do so. If you can use that mentality with pre-diabetics then I don't think there is any harm in people being a little panicked into action that they probably already knew needed taking but couldn't motivate themselves to do without that impetus.
 
rebrascora said:
I do however think that being told that you are pre-diabetic is more likely to spur you into action than if you are told you have NDH, which suggests that it is nothing to do with diabetes, when the likelihood is that most people in that range will progress to diabetes if they do not take action.
Most of us knew pre diagnosis that we were carrying too much weight and should make an effort to lose it, but it was the diabetes diagnosis which prompted us to do so. If you can use that mentality with pre-diabetics then I don't think there is any harm in people being a little panicked into action that they probably already knew needed taking but couldn't motivate themselves to do without that impetus.
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I agree. The pre-diabetes label scares the **** out of people and spurs some into positive action!
 
‘prediabetes’ used to be an american thing didnt it?

It isnt an officially recognised classification or diagnosis as far as I know - it is more a shorthand for ‘at risk of diabetes’ (which I think DUK tries to use instead).

It seems to be becoming more widely used though - even by some HCPs (but perhaps this is mostly because it’s used a lot in the meeja?)
 
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We had a sticky for several months about the Diabetes Prevention Programme (which I’ve just re-stuck since people seem to have missed it)

forum.diabetes.org.uk

At risk of diabetes? You can refer yourself for extra support

As part of a pilot programme, people at risk of developing T2 diabetes in England can now refer themselves for additional supoort as part of the NHS diabetes prevention programme. (If you live in Wales, Northern Ireland and Scotland you will still need contact your GP if your risk is moderate or...
forum.diabetes.org.uk forum.diabetes.org.uk
 
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This thread is now closed. Please contact Anna DUK, Ieva DUK or everydayupsanddowns if you would like it re-opened.
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