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<p>The long-term approach to diabetes involves both seeking to reduce the increase
in the prevalence of diabetes and, for those with diabetes, seeking to reduce the
likelihood of developing complications and improving overall levels of treatment and
care.</p><p>Work to reduce the increase in future prevalence of type 2 diabetes is
being delivered through the NHS Diabetes Prevention Programme. By 2020, the programme
will support up to 100,000 people at high risk of type 2 diabetes each year across
England. Those referred will get tailored, personalised support over at least nine
months to achieve a healthy weight, improve nutrition and increase levels of physical
activity in order to reduce risks of developing type 2 diabetes.</p><p>Work on reducing
the likelihood of those with diabetes developing complications is through the diabetes
treatment and care programme. This focuses on four key interventions:</p><p>- Increasing
attendance at structured education by both those newly diagnosed with diabetes and
those who have had the condition for a longer period;</p><p>- Increasing achievement
of the diabetes treatment targets and reducing variation in achievement of these targets
between clinical commissioning groups and between general practitioner practices;</p><p>-
Reducing the levels of amputations by increasing the availability of multidisciplinary
footcare teams; and</p><p>- Reducing lengths of inpatient stay for people with diabetes
by increasing the availability of diabetes inpatient specialist nurses.</p><p> </p>
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