National Diabetes Audit: Diabetes Prevention Programme Non-diabetic Hyperglycaemia Report, 2020/21

The National Diabetes Audit (NDA) has published its latest Diabetes Prevention Programme report into non-diabetic hyperglycaemia. Based on data from English GP practice systems for the period of January 2020 to March 2021, and data generated by providers of the Diabetes Prevention Programme relating to referrals up to March 2021, it aims to support the delivery of evidence based behavioural interventions that can prevent or delay the onset of type 2 diabetes in adults who have been identified as having non-diabetic hyperglycaemia (NDH). The report found that 440,260 people were newly diagnosed with NDH, and that new diagnoses continued to be made amongst people of similar demographics to earlier years. Other key findings include:

• 39% of all people with NDH had glycaemic tests and BMI checks (56% in 2019-20)
• Obesity and higher levels of HbA1c were associated with greater risks of progression to type 2 diabetes
• Care process rates dipped overall under COVID-19 pressures – 67% of people with NDH had a glycaemic test, and 46% had body mass index (BMI) monitoring.

However, the report also found noticeable variation in how well people were being monitored across demographic groups, with people who were of black ethnicity, those aged under 40, and people who had been diagnosed with NDH more than 10 years ago being less likely to have had glycaemic tests or BMI checks. People over 65 were most likely to have had care processes completed. As such, it goes on the recommend that GP practices should conduct annual glycaemic tests (HbA1c, or fasting plasma glucose) and BMI checks for people with non-diabetic hyperglycaemia, endeavouring to provide these care processes across all groups. Read the full report: You can read the report by clicking on the link below. Stay up-to-date: For notifications of future reports from HQIP, sign up to our mailing list.