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This guidance focuses on identifying people at high risk of type 2 diabetes and the provision of effective, cost effective and appropriate interventions for them.

The guidance is not advocating a national screening programme for type 2 diabetes, rather the recommendations remind practitioners that age is no barrier to being at high risk of, or developing, type 2 diabetes. The recommendations can be used alongside the NHS Health Check programme. They cover:

risk assessment.

encouraging people to have a risk assessment.

risk identification (stage 1).

risk identification (stage 2).

matching interventions to risk.

reassessing risk.

commissioning risk identification and intensive lifestyle-change programmes.

intensive lifestyle-change programmes.

physical activity.

weight management advice.

dietary advice.

information and services.

supporting lifestyle change.

intensive lifestyle-change programmes: quality assurance.

training and professional development.

metformin.

orlistat.