Adherence to NICE guidelines on diabetes prevention in the UK: Effect on patient knowledge and perceived risk

Nicola Guess, Natarin Caengprasath, Anne Dornhorst, Gary S. Frost

Research output: Contribution to journalArticlepeer-review

14 Citations (Scopus)


Background NICE Guidelines for prevention of diabetes include identifying people at risk followed by cost-effective intervention if necessary. Based on assessment of risk via a questionnaire and/or blood test the intervention may comprise a brief discussion of risk factors and preventive advice or referral to intensive lifestyle intervention. Design and setting In this cross-sectional study 59 subjects recruited from local GP practices were invited by letter to attend a screening for a diabetes prevention study. Method Following a telephone screening during which subjects were asked whether they had been informed if they were at high-risk of type 2 diabetes, eligible subjects completed a Risk Perception Survey for Developing Diabetes (RPS-DD), a validated diabetes risk score and underwent an oral glucose tolerance test (OGTT) at a medical screening. Results As measured by the Diabetes UK Risk Score, 44.1% were at high risk, 42.4% moderate risk and 13.6% at increased risk. 42% of patients had been informed they were at high-risk by a health professional. Those who had been informed of their risk had significantly higher perceived risk scores (p < 0.001), higher knowledge scores (p < 0.001) and decreased optimism scores (p = 0.004), but were not more aware that diet (p = 0.42) and weight management (p = 0.57) can play a role in preventing diabetes. Conclusions People at high-risk of diabetes are not being informed of their risk status as recommended by NICE guidelines. There is scope for education for health professionals and the public.

Original languageEnglish
Pages (from-to)407-411
Number of pages5
JournalPrimary Care Diabetes
Issue number6
Publication statusPublished - 1 Dec 2015


  • Prediabetes
  • Prevention
  • Risk perception
  • Screening
  • Type 2 diabetes


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