This site is intended for health professionals only

At the heart of general practice since 1960

Read the latest issue online

A faulty production line

Report this comment to a moderator

Please fill in the form below if you think a comment is unsuitable. Your comments will be sent to our moderator for review.

Report comment to moderator

Required fields.


NICE finalises guidance for GPs to refer to diabetes prevention scheme


The DIabetes Prevention Scheme,is seductive, especially as it's "evidence based", but the weight of the evidence is from the DPP, the Diabetes programme. The DPP used a highly selected group of highly motivated American patients, it was for 5years and cost about $1000/year, the Finnish Diabetes Prevention Study published the same time probably cost less but had ongoing regular support. The benefits of the DPS with less selection and less input are likely to be much less, and effect will fade away. In the DPP and Finnish study the diet and exercise group did get better results than the metformin group; but in the young and Obese metformin was actually just as effective and cost just £10/year. It's probably far more applicable for the general population. It's also approved by NICE but it remains little used, and GPs who prescribe it take on more work for no remuneration. Arguably putting it in the QoF would be far better use of resource.

Posted date

15 Sep 2017

Posted time