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Impaired glucose tolerance – Bolton Health Trainers

What did we do?
We worked with NHS Bolton and Wigan Borough Clinical Commissioning Groups (CCGs) to develop and implement a type 2 diabetes prevention initiative for people with IGT. Impaired Glucose Tolerance means that blood glucose is raised beyond normal levels, but not high enough to warrant a diabetes diagnosis.

Why was it important?
In 2010, 2.26 million people in England (5.54% of the population) were registered with a diagnosis of diabetes. The prevalence of diabetes in England among adults is predicted to rise to 8.5% by 2020 and 9.5% by 2030. Evidence suggests that in the absence of any lifestyle advice or pharmacological intervention about 50% of people with IGT will develop type 2 diabetes in five to ten years, meaning that diabetes prevention in this population is critical.

How did we do it?
Following the successful take-up of the IGT health trainer service in NHS Bolton CCG, we then supported NHS Wigan Borough CCG and Bridgewater Community Healthcare NHS Foundation Trust in adopting and assessing a similar service model. We also worked with GP practices in NHS Wigan Borough CCG  to support them in proactively identifying people with IGT to ensure they were referred to the preventative health trainer service as early as possible.

Who did we work with?
Bridgewater Community Healthcare NHS Foundation Trust

NHS Bolton CCG

NHS Wigan Borough CCG


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For more information please contact Michael Spence (Programme Manager).

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