This review also found mixed views on the value of preventative services within primary care .
The third theme was centred on professional factors impacting on diabetes prevention which included workload , time constraints , re sources , self-efficacy and knowledge as well as professionals ' perception of patient motivations towards change .
BACKGROUND Type 2 diabetes is impacting millions of people globally ; however , many future cases can be prevented through lifestyle changes and interventions .
Primary care is an important setting for diabetes prevention , for at-risk population s , because it is a patient 's primary point of contact with the health care system and professionals can provide lifestyle counselling and support , as well as monitoring health outcomes .
These are all essential elements for diabetes prevention for at-risk adults .
AIM To underst and the factors related to the delivery and uptake of type 2 diabetes prevention interventions within primary care in higher income countries .
CONCLUSION This review explored the factors influencing diabetes prevention in primary care , and identified the context of prevention , as well as patient and professional factors related to preventative services being offered in primary care .
Improved lifestyle and decreased diabetes risk over 13 years: long-term follow-up of the randomised Finnish Diabetes Prevention Study (DPS)
Aims /hypothesisThis study aim ed to determine whether lifestyle intervention lasting for 4 years affected diabetes incidence , body weight , glycaemia or lifestyle over 13 years among individuals at high risk of type 2 diabetes . Methods Overweight , middle-aged men ( n = 172 ) and women ( n = 350 ) with impaired glucose tolerance were r and omised in 1993–1998 to an  intensive lifestyle intervention group ( n = 265 ) , aim ing at weight reduction , dietary modification and increased physical activity , or to a control group ( n  = 257  )  that received general lifestyle information . The primary outcome was a diagnosis of diabetes based on annual OGTTs . Secondary outcomes included changes in body weight , glycaemia , physical activity and diet . After active intervention ( median 4 years , range 1–6 years ) , participants still free of diabetes and willing to continue their participation ( 200 in the intervention group and 166 in the control group ) were further followed until diabetes diagnosis , dropout or the end of 2009 , with a median total follow-up of 9 years and a time span of 13 years from baseline . Results During the total follow-up the adjusted HR for diabetes ( intervention group vs control group ) was 0.614 ( 95 % CI 0.478 , 0.789 ; p < 0.001 ) . The corresponding HR during the post-intervention follow-up was 0.672 ( 95 % CI 0.477 , 0.947 ; p = 0.023 ) . The former intervention group participants sustained lower absolute levels of body weight , fasting and 2 h plasma glucose and a healthier diet . Adherence to lifestyle changes during the intervention period predicted greater risk reduction during the total follow-up . Conclusions /interpretationLifestyle intervention in people at high risk of type 2 diabetes induces sustaining lifestyle change and results in long-term prevention of progression to type 2 diabetes . Trial registration Clinical Trials.gov NCT00518167 Funding The DPS study has been financially supported by the Academy of Finl and ( 128315 , 129330 ) , Ministry of Education , Novo Nordisk Foundation , Yrjö Jahnsson Foundation , Juho Vainio Foundation , Finnish Diabetes Research Foundation , Finnish Foundation for Cardiovascular Research , Unilever , and Competitive Research Funding from Tampere , Kuopio and Oulu University Hospitals . The study sponsors had no role in the design and conduct of the study ; the collection , analysis and interpretation of the data ; or the preparation , review or approval of the manuscript
This review also found mixed views on the value of preventative services within primary care .
The third theme was centred on professional factors impacting on diabetes prevention which included workload , time constraints , re sources , self-efficacy and knowledge as well as professionals ' perception of patient motivations towards change .
BACKGROUND Type 2 diabetes is impacting millions of people globally ; however , many future cases can be prevented through lifestyle changes and interventions .
Primary care is an important setting for diabetes prevention , for at-risk population s , because it is a patient 's primary point of contact with the health care system and professionals can provide lifestyle counselling and support , as well as monitoring health outcomes .
These are all essential elements for diabetes prevention for at-risk adults .
AIM To underst and the factors related to the delivery and uptake of type 2 diabetes prevention interventions within primary care in higher income countries .
CONCLUSION This review explored the factors influencing diabetes prevention in primary care , and identified the context of prevention , as well as patient and professional factors related to preventative services being offered in primary care .