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Diabetes: learn how we are tackling diabetes in Mid-Furness

Mid-Furness Integrated Care Community is hosting a diabetes prevention awareness programme during 2021 which stems from concern about the growing problem of increasing levels of diabetes in its local community.  

The programme will start with a series of on-line videos and slide shows which explain what diabetes is, how to recognise the risks and measure your BMI, local patient journeys, some tops tips around healthy eating and menu planning, as well as a cookery demo, how to get your bounce back through exercise and some frequently asked questions focusing on the myths and facts around diabetes. 

Diabetes is a serious and growing problem across the UK. One in 15 people in the UK have diabetes, including one million people who have type 2, but haven't been diagnosed+.  In Mid-Furness almost 6% of the population have Type2 diabetes and a further 1.3% have been diagnosed as pre-diabetic. *  

Being diabetic can have serious consequences for long-term health and well-being. Being aware of the causes and how to manage the risks of Type 2 diabetes can not only minimise the risk of serious illness and medical interventions but significantly improve a person’s quality of life and sense of wellbeing.  

With this programme, Mid-Furness ICC hopes to not only raise awareness of Type2 diabetes and pre-diabetes but also to reduce the risk of associated complications such as visual impairment, amputations, renal disease and premature mortality. We want to encourage better blood glucose monitoring (HbA1c) and take up of support programmes, as well as reducing the number of patients developing Type 2 diabetes. As well as better self-management or reversal of the condition by patients already diagnosed. The ICC is working closely with diabetesUK and we will be holding a number of activities and events later in the year to support the programme. 

If you would like further information about diabetes please contact diabetesUK  or by phoning: 0345 123 2399.  Or contact your local GP. 



 *figures as at Feb 2021  +figures from diabetesUK website Mar 2021. 




Hi my name's Alison Johnston, I'm a gp in Ulverston and i'm also a clinical lead for Mid-Furness Integrated Care Community. So i'd like to welcome you all today to our online diabetes awareness event, we would have loved to have done this in person but unfortunately because of COVID we can't but we will hope to do this again in the future and look forward to meeting you all in person then. So we're going to break it down into little chunks of video so you don't have to watch it all at once if you're busy, you can always come back to it. We're going to have some really interesting demonstrations and talkers today so we have Diabetes UK, Slimming World, we're going to have some stories of really inspiring stories of patient successes of losing weight, we've also got University Hospitals of Morecambe Bay where you're doing a cooking demonstration and we've got some ideas for low carb menus and that should be really interesting. We also have active cumbria who are doing some videos for us with some exciting exercises that you can do, so I hope you enjoy this today and if you have any questions then please do get in touch or any feedback for us we're going to be doing a question and answer session at the end too so hopefully any questions that you would have asked, we'll be able to answer them for You, I hope you enjoy it thank you



(Graphic on screen representing the narrative) There are two main types of Diabetes Type 1 and Type 2, they're different conditions but they're both serious. There are some other rarer types of diabetes too, what all types of diabetes have in common is that they cause people to have too much glucose in their blood but we all need some glucose, it's what gives us our energy. We get glucose when our bodies break down the carbohydrates that we eat or drink and that glucose is released into our blood. We also need a hormone called Insulin it's made by our pancreas and it's Insulin that allows the glucose in our blood to enter our cells and fuel our bodies. If you don't have diabetes your pancreas senses when glucose has entered your bloodstream and releases the right amount of insulin so the glucose can get into your cells, but if you have diabetes this system doesn't work. When you've got type 1 diabetes you can't make any insulin at all if you've got type 2 diabetes it's a bit different the insulin you make either can't work effectively or you can't produce enough of it. In both types of diabetes because glucose can't get into your cells it begins to build up in your blood and too much glucose in your blood causes a lot of different problems. To begin with it leads to diabetes symptoms like having to wee a lot, being incredibly thirsty and feeling very tired, you may also lose weight get infections like thrush or suffer from slow healing wounds. Over a long period of time high glucose levels in your blood can seriously damage your heart, your eyes, your feet and your kidneys, these are known as the complications of diabetes but with the right treatment and care people can live a healthy life and there's much less risk that someone will experience these complications. If you've got diabetes you can find lots of information and support about living with it using our website and helpline. As well as campaigning for everyone with diabetes to get the right care Diabetes UK fund research into all types of diabetes so we can develop new treatments and one day find a cure.
You can find out more about type 1 and type 2 diabetes and how they're treated in our next videos.



Hi there my name is Jennifer Shaw i'm part of the volunteering team for Diabetes UK in the north of England today I'm going to do a really quick run-through of our online know your risk tool and this is a tool to find out your risk of type 2 diabetes, so i'm just going to start sharing my screen.
(screen changes to display of the tool) Okay so this online know your risk tool, you can find it through our website or you can enter know your risk into the search engine and it should be the first result that comes up, and so this is a really quick seven step as you can see process to find out your risk of type 2 diabetes. It will go through the risk factors for type 2 diabetes so before you start you will need a tape measure and some scales, as you'll need your height weight and waist measurement; and if you are in england um and you come out at risk of type 2 diabetes at the end of of the process there'll be a link to self-refer into the NHS diabetes prevention program as well and which i'll show you when we get to the end. Okay so to start finding out your risk you simply click here (find out your risk)
So as you can see the seven questions um related to your risk of type two diabetes and underneath each question there's a little information bracket here on why we're asking so the first question is around gender and here we're looking at gender at birth um as we know that men are slightly at higher risk of developing type 2 diabetes/ So for today's I'm going to click female okay question two was around age we ask this because we know the older you are the higher your risk for type 2 diabetes, so today i'm going to put in 66. Okay the third question is around ethnicity and we have blocked it out and to make it as simple as possible into you know wider ethnic groups and we're asking this because we know that some ethnic groups are more likely to develop type 2 diabetes than others so for today say i'm going to select white
Okay question 4 is around that close relation with diabetes so do you have a parent a sibling or a child who has diabetes and we ask this because we know that that close relative with diabetes does increase your risk of developing type 2 diabetes, so for today I'm going to select yes.
Okay question five is around your waist measurements we asked this because we know that a larger waist measurement increases your risk for type 2 diabetes, there's a little diagram here as to where you can find your waist and so it's just below where you feel your bottom rib and the top of your hip bone and you can enter in inches or in centimeters, today i'm going to put in 110 centimeters.
Okay question six is around your body mass index, your bmi, you don't have to calculate this yourself and we just need your height and your weight and the the calculator will do it for you, we ask this because we know those who are overweight or obese and they do have a greater risk of type 2 diabetes so for today i'm going to put in 5 foot 7 inches and we'll go with 13 stone 8 pounds.
Okay see so there is your bmi just calculated below. okay and we'll click next, okay and the last question is around blood pressure and have you been told that you have high blood pressure or ever given medication for it again we asked this because we know that those who have been treated for high blood pressure, it will contribute to the overall risk of type 2 diabetes and so today i'm going to select yes.
Okay just before you get your results and there's a page here where you'd be prompted to put in a contact email address, now this is optional so um this is for those who want the information sent directly to them and but if they don't want to put their information at this stage there's a skip link here and you can you will be prompted again on the next screen and in case you change your mind but again it's entirely optional. Okay and this is the last um final page where you get your results and so here you can see at the top um it's quite nice and clear and so here it says your risk is high um and underneath is this color-coded system, so low would come out green increased would come out yellow moderate would come out red and high comes out oh sorry moderate would come out orange and high would come out red, and so trying to keep it as clear as possible for our online users. So here it talks about my risk score so this is broken uh down further down the page my risks are 31 and as you can see it falls within this high bracket and what does that mean for me, so that means that one in four people with this risk score will get type 2 diabetes in the next 10 years. So that puts it into context and and the importance of what that means for me. Okay as i mentioned at the start people are in england they can self-refer to the nhs diabetes prevention program and here's the link for it but for everyone um who takes part and we do advise that they they contact their gp practice as soon as possible be tested for type 2 diabetes and have that chat as well around um what is type 2 diabetes and their risk for it.
Okay this is um the risk score explained so that number of 31 how did we get there so on the left you can see the things that you can't change so the age gender ethnicity and those close relations with diabetes and this breaks down where that risk score has come from um as you can see we did mention as you get older, excuse me, as you get older your risk for type 2 diabetes increases and men are slightly more at risk and those certain ethnic groups are more at risk of type 2 diabetes and if you've got a close relation with diabetes whether it's type 1 type 2 or another type that does increase your risk as well; and those things on the right here are things that we can influence we can change and they're really important to have a look at when you get your risk score. So you can see um waist measurement here I entered 110 centimeters you can see that's the highest bracket so actually if i want to reduce my risk of type 2 diabetes then losing some a few centimeters to my waist would actually make a big difference and to my risk score so to my overall risk of type 2 diabetes. The same goes with my BMI so you can see here actually I'm about to move into the next bracket um so it's looking at those numbers and and where those um key changes could be made to reduce your risk of type 2 diabetes. And everyone will get a personalized risk score like that. Okay this is where you get prompted again to put your email address in and so those who have come out moderate and high risk for type 2 diabetes and they will um get a letter that they can direct straight to their gp and you know print and post or send over email and this will let your gp know that you've taken part in the Diabetes UK know your risk tool that you've come out moderate or high risk for type 2 diabetes and to book you in for a diabetes test and a consultation around your risk for the condition. So that's why we prompt again in case anyone changes their mind it will also send some useful links and um kind of where you can get support as well; but again it is optional it's it's entirely up to the user. There's a keeping in touch with diabetes uk section in case you wanted to hear more from us and let's spread the word right at the bottom as well so if you think you know close relations or anyone you know might want to take part and and use the tool that's how you can easily share it there.
(Back to speaker) Okay well I hope that's been helpful and as i said it should be nice and easy um to follow through and to use and but if you do have any questions then you can get in touch with our north of England team and by email on uk and or you can get through to our uh national helpline on 0345 123 2399  and thanks again for for listening today thanks.