Lambeth Diabetes Intermediate Care Team developed a short
prevention course called STEPS – focused on increased activity
through walking and aimed at local people who are at high risk of
developing type 2 diabetes. STEPS was planned and implemented
by a Diabetes Specialist Nurse and Dietician who are skilled and
passionate about the delivery of accessible structured education
for people living with diabetes. The programme is funded by Lambeth CCG. The course has proved very
popular with GP referrals increasing year-on-year and almost 900 people have attended in the past three
years. No significant changes in HbA1c, total serum cholesterol, blood pressure, weight and body mass index
were found after the course and there was no progression to type 2 diabetes for most participants.
Lambeth is an inner-city borough with a population of 310,000 and is one of the most deprived boroughs in
London. The demographics are diverse, with large numbers of people of African-Caribbean and Portuguese
heritage and more than 100 languages spoken. Based on GP registers, 15,200 people with diabetes live in
Lambeth. Although the population is younger, on average, than most of the UK population, a high prevalence of
diabetes is related to high levels of obesity and also the substantial BME population. There are 48 GP surgeries
in Lambeth and specialist diabetes services are provided in community settings by the Lambeth Diabetes
Intermediate Care Team, which includes consultants, GP specialists, diabetes specialist nurses and dieticians.
To offer a short, education course to people in Lambeth found to be at high risk of developing type 2
diabetes. To reduce the number of high risk people in Lambeth who go on to develop the condition.
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