IDF general

IDF

Guideline for Management of Postmeal Glucose 2007

HbA1c Working Group

The measurement of glycated haemoglobin (HbA1c) is central to diabetes care. This is a measure by which healthcare providers can relate blood glucose control to the risk of complications, such as eye damage or kidney failure. However, a lack of standardization in the methods used to measure glycated haemoglobin has produced wide variations among results and is among the current limitations to the effective use of HbA1c results in gauging a person's risk of these complications.

Criteria of metabolic syndrome in children and adolescents

Age 6 to <10 years

  • Obesity > 90th percentile as assessed by waist circumference
  • Metabolic syndrome cannot be diagnosed, but further measurements should be made if family history of metabolic syndrome, type 2 diabetes mellitus, dyslipidaemia, cardiovascular disease, hypertension, or obesity
  • IDF suggests that a strong message for weight reduction should be delivered for those with abdominal obesity

Age 10 to <16 years

IDF definition of metabolic syndrome in children and adolescents

The International Diabetes Federation (IDF) has launched a new definition to identify children and adolescents at increased risk of developing type 2 diabetes and cardiovascular disease in later life. The definition has been published in The Lancet¹ and is also available as a booklet.

Finland

Development Programme for the Prevention and Care of Diabetes in Finland DEHKO 2000–2010

The Development Programme for the Prevention and Care of Diabetes (DEHKO 2001-2010) is Finland’s national diabetes programme. It aims to prevent type 2 diabetes and diabetes-related complications to improve the quality of diabetes care and to support the self-care of people with diabetes.

Population approach

The Population Approach

The IDF population approach to the prevention of type 2 diabetes aims to bring about important changes in the health of a large percentage of the population.

Type 2 diabetes is a disease of slow onset, the prevalence of which increases with age. Its prevention, therefore, cannot be accomplished rapidly or with a single measure, and the approach must instead be methodical and sustained over a long period of time.

High Risk Approach

The High Risk Approach

IDF proposes a simple three step plan for the prevention of type 2 diabetes in those at increased risk:

Step 1: Identification of those who may be at higher risk

Highlights of the IDF Consensus

In this section you can find more information on the following aspects of the IDF consensus:

National Diabetes Prevention Plans

The IDF population strategy requires the governments of all countries to develop and implement a National Diabetes Prevention Plan. This National plan would encompass many groups including schools; communities (for example, religious and ethnic groups); industry (marketing, investment policy, product development) and the workplace (health promotion within the working environment).

Finnish Diabetes Prevention Strategy

Diabetes prevention studies

There is overwhelming evidence from studies in the USA, Finland, China, India and Japan that lifestyle changes (achieving a healthy body weight and moderate physical activity) can help prevent the development of type 2 diabetes in those at high risk. The new IDF strategy advocates that this should be the initial intervention for all people at risk of developing type 2 diabetes, as well as the focus of population health approaches.

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