The Low Carb Program for people with type 2 diabetes and pre-diabetes: a mixed methods feasibility study of signposting from general practice

Autor: Emma Scott, Mishkat Shehata, Arjun Panesar, Charlotte Summers, Jeremy Dale
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: BJGP Open, Vol 6, Iss 1 (2022)
Druh dokumentu: article
ISSN: 2398-3795
DOI: 10.3399/BJGPO.2021.0137
Popis: Background: Evidence shows type 2 diabetes mellitus (T2DM) can be effectively treated with a reduced-carbohydrate diet to support weight loss. Digital apps are increasingly used to support weight loss, yet little is known about their use as part of general practice diabetes care. Aim: Determine the feasibility of signposting from routine NHS general practice to a digital weight management tool (Low Carb Program) for patients with T2DM and pre-diabetes. Design & setting: Mixed-methods feasibility study implemented within routine general practice consultations at four practices in the Midlands, England. Method: General practices offered signposting to eligible patients attending consultations of any type during a 4-week recruitment period. Rates of offering and accepting signposting were recorded, with program registration, program completion, and self-reported health outcomes (weight, haemoglobin A1C [HbA1c]). Results: Signposting was offered to 351 patients; 160 (45.6%) accepted, 103 (29.3%) registered with the intervention and 43 (26.9% of patients accepting signposting) completed the programme. GPs reported that signposting added between 1–4 minutes to the consultation length. Patients completing the programme reported greater weight loss (7.2kg versus 1.6kg, P
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