Diabetes JSNA

Evidence base

This section provides links and a brief summary of a robust evidence base. For example, peer-reviewd studies, systematic revies, evaluations of interventions and best practice guidelines from national sources.

Issue number 1 = highest priority
1	Source	NHS Digital
	Title incl. web link	National Diabetes Audit 2021-22, Report 1: Care Processes and Treatment Targets, Detailed Analysis Report Health inequalities in diabetes, 2017-18 to 2021-22 - NHS England Digital
	Summary	The factors associated with reduced likelihood of receiving all 8 care processes in people with type 2 diabetes include: Younger age (when compared to reference group 40-49 years) Living in more deprived areas Female sex Diabetes duration of less than a year
	Source	Diabetes UK
	Title incl. web link	Tackling inequity strategy Tackling Inequity Strategy \| Diabetes UK
	Summary	Emphasises community-led approaches, culturally tailored services and partnerships with local organisations to reach underserved populations. The strategy calls for services to be antiracist, poverty-aware, disability-aware and trauma-informed. It promotes targeted screening and outreach in high-risk communities, including those with lower uptake of the 8 care processes.
2	Source	Public Health England
	Title incl. web link	A systematic review and meta-analysis assessing the effectiveness of pragmatic lifestyle interventions for the prevention of type 2 diabetes mellitus in routine practice Review of lifestyle interventions to prevent type 2 diabetes
	Summary	Pragmatic lifestyle interventions in routine practice can significantly reduce diabetes incidence. Key components of successful programmes include: behavioural counselling; goal setting and self-monitoring; group-based education; and culturally tailored content.
	Source	Public Health England
	Title incl. web link	Health matters: preventing Type 2 Diabetes Health matters: preventing Type 2 Diabetes - GOV.UK
	Summary	Emphasises the importance of weight loss (5-7% of body weight), 150 minutes of moderate physical activity per week and smoking cessation. States these changes can delay or prevent the onset of type 2 diabetes especially in high-risk individuals.
3	Source	Diabetes UK
	Title incl. web link	Older people and diabetes Older people and diabetes \| Diabetes UK
	Summary	Routine screening for those aged 40-74 via NHS Health Checks Integrated care for managing multiple long-term conditions Accessible services Nutrition support Physical activity that can be adapted to frailty or disability