We have now completed the first cohort of patients through the PreDM intervention. Altogether 250 patients were invited to participate. Although the classes were well subscribed there was a fairly high initial drop out rate at/before commencement. However we are delighted that 37 people completed the 10 week course.
However what is astounding are the achievements of the group. Together they lost a total of 110Kg, or 17 and a half stone. This equates to about the average starting weight per person for the group. We have also noticed a drop in resting heart rate of around 5 bpm. We are now looking to analyse the blood results.
We are aware of 5 new diagnoses of Diabetes Mellitus found in the initial blood tests and are awaiting further results to confirm the numbers of IGT etc.
QDiabetes has already been integrated into EmisWEB. In order to roll out the PreDM programme across the CCG we have been working with practices using LV and INPS to create extractions of data from their clinical systems. These can be run through an Excel spreadsheet and formatted into a file that is compatible with the QDiabetes Batch Processor available from Clinrisk
We have been able to create a list of patients in a similar way as we have done within EmisWEB, and selected a similar list of 50 patients suitable for recruiting into the project from INPS and EmisLV practices.
We hope to develop a similar extraction shortly from SystmOne practices.
The first group of sessions of Eat4Health has now concluded. Initial invites went out to 250 selected patients at 5 (EmisWEB) surgeries, and we had approximately a 20% response to the sessions.
We know we have already picked up 4 previously undetected Diabetics (mainly based on HbA1c > 48) and suspect at least double that number will turn out to have IGT/IFG. Although this is a worthwhile outcome in itself it is not the point of the project, which is to try and intervene before the point of diagnosis.
Once the post intervention bloods and measurements have been collated we can then identify the actual numbers of IGT/IFG.