A Healthier Future: type 2 Diabetes prevention, early detection and intervention: framework

Glossary of terms

‘At risk’ – Those who are identified through the Diabetes UK tool as moderate of high risk are considered as an ‘at risk’ population of developing type 2 diabetes.

‘At high risk’ – Those with previous or current gestational diabetes, those with polycystic ovary syndrome or those clinically viewed as having pre-diabetes, Impaired Glucose Tolerance or Impaired Fasting Hyperglycaemia.

DPP – Diabetes Prevention Programme

DPPOS – Diabetes Prevention Programme Outcomes Study

IFHG – Impaired Fasting Hyperglycaemia

IGT – Impaired Glucose Tolerance

IJB – Integrated Joint Boards

MCN – Managed Clinical Networks. The diabetes MCNs report back to the Scottish Diabetes Group.

MyDiabetesMyWay – https://mydiabetesmyway.scot.nhs.uk/

NES – NHS Education for Scotland

PCOS – Polycystic ovary syndrome

Pre-diabetes (‘impaired fasting hyperglycaemia’ or ‘impaired glucose tolerance’) – Referred to as at high risk of developing type 2 diabetes. Can be defined as with a HbA1c level of 42−47 mmol/mol.

Recently diagnosed are those who have received a diagnosis of type 2 diabetes within the last 6 years.

Remission – To date there is no internationally agreed consensus on the definition of remission for type 2 diabetes. We will consider the following which is in line with the ADA consensus statement on remission.

Initial remission status is achieved at six months where a patient has HbA1c of <48mmol/mol, and is no longer taking oral and injectable hyperglycaemic medications for treatment of diabetes. Remission is achieved in where the above criteria are sustained for a period of one year.

SDG – Scottish Diabetes Group