A few days on and I have the final results from our Newbury Show stand.
310 QDiabetes assessments and risk counselling conversations.
111 HbA1c point of care tests on those with a QDiabetes Risk of 10% or more.
80 Body Composition Analyses as part of healthy lifestyle discussions.
We provisionally diagnosed 5 people as diabetic who were not previously diagnosed.
There were 8 people with HbA1c 42-47 (at risk of DM) who were advised to get further assessment.
We have subsequently booked 30 people into the Eat4Health Sessions as a result of the stand
Notes. Many of the QDiabetes calculations were prompted by people requesting them (particularly at busy times) though we did invite passer-by people to be tested (and we recognise a slight bias to inviting those people who might have a higher BMI!)
The threshold for offering HbA1c was set at 20% QDiabetes risk on Saturday, (plus clinically driven exceptions) but having assessed the day one data we revised our threshold down to 10% risk on the second day. This was based on the experience of identifying someone with DM with a risk of 16% on day one. Overall there is a balance to be struck between cost, workload and pickup rate, but informally we would suggest a 15% QDiabetes risk would have caught all of the “hidden” diabetics in our small cohort.
There was a fairly “generous” approach to applying the rules, with clinicians asking for HbA1c according to their judgement at times.
Some people slipped through the net and only told us they were diabetic after QDiabetes assessment (!) but gratifyingly their risks were generally over 30%. Similarly we tested a couple of people with very low apparent QDiabetes scores, due to symptoms, BMI or suspicions.
In our overall small sample there was a small bias of risk score to be higher in the male subjects. There appears to be an overall trend of higher HbA1c results in those tested, correlating to the QDiabetes risk score.