Sunday November 14 is World Diabetes Day. The number of people suffering from diabetes is increasing across the world and diabetes is now recognised as a global epidemic. There are currently about 200 million people worldwide with diabetes and this number may is predicted to increase to around 330 million by 2025. In the Department of Primary Care & Public Health at Imperial College, we have an active research, quality improvement and education programmes in diabetes. In research, we have worked with a number of our local primary care organisations to improve the prevention, early detection and treatment of diabetes. Examples of this work include QOF Plus (Hammersmith & Fulham), Vascular Risk Assessment (Ealing) and CONDUIT (Wandsworth). The department also provides primary care advice to the Diabetes Research Network.
Resources on brief physical activity guidance for older adults in isolation for patients and clinicians Giving Older Adults Brief Physical Activity Advice. Given current clinical pressures, clinicians dealing with older adults will likely have limited time, and this adapted 3As model may provide a possible structure to clinician’s advice. Ask: Permission to discuss physical activity as something that could make a difference to health and wellbeing Advise /Explain/Explore: Ask how they physical activity levels have changed and what they could do to increase it? Agree: A plan considering what they will do, how they will do it. Try to ensure that it includes some cardiovascular, muscle and bone strengthening activities including resistance exercises, balance and co-ordination elements to the plan. Cardiovascular : Ideally the individual should be slightly out of breath when performing the activity. Aim to build to 150 minutes
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