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.
These are the costings for the PreDM Stand at Newbury Show
6*6m erected tent = 890
3*2m trestle table = 43
Car Passes = 15
Power Supplies * 2 = 228
Work tables * 3 = 51
Passes * 24 = 229
iPads * 4 = FOC (loan)
Public Liability Insurance = 71
Laptop for data entry = FOC
Banners for tent 6m * 2 = 175
Banners for tables 4*2m = 222
Table cloths = 58
Board covering = 10
Thermal Rolls = 11
Pins, tape etc = 6
Velcro for banners etc = 25
t-Shirts for E4H * 4 = 110
Mileage for E4H
Leaflets from Diabetes UK = 15
Chairs * 10 = 100
Projector and screen = FOC
Display boards/privacy screens * 5 = FOC
HbA1c test strips * 110 = 440
HbA1c machines * 2 = Loan
Gloves and lancets etc = from stock from Dept of PH
Sweatshirts * 5 =120
Misc catering etc circa 100
E4H staff * 4 = 500
PH Nurses * 3 = (approx 500) funded by PH
PreDM staff * 3 for front of house daily = 1200 (paid at 15pph)
Total cost for the 2 days, (excluding planning and setting up the previous day), approximately 5000 (of which half was staffing, split between the PreDM staff doing the QDiabetes screening, the E4H staff promoting exercise, and the nursing staff running the HbA1c tests and counselling)
It is impossible to break down the individual value of each component but this “bought”
310 QDiabetes screening and lifestyle advice
111 HbA1c tests and lifestyle advice
80 Body compositions analyses and lifestyle advice
5 new diagnoses of Diabetes
Approximately 10 borderline results
At least 30 people signed up for weight loss program, Eat4Health
General raising of awareness of diabetes risk in the community (approximately 60,000 people at the show) and both the wider public and local clinicians