Highlights
- •Testing for prediabetes in high risk groups meets the criteria for screening.
- •A diagnosis of prediabetes can be shocking initially, but is not a negative label.
- •A diagnosis of prediabetes is helpful, when offered lifestyle advice and support.
- •Taking control and making dietary changes is preferred to Metformin for prediabetes.
- •A diagnosis of prediabetes without offering therapy is unethical.
Abstract
Aims
The aim of this study was to explore the experience and perceptions of a diagnosis
of prediabetes among a demographically diverse sample of New Zealanders who had, and
had not, regressed to normoglycaemia following participation in a primary care nurse-delivered
intervention for 6 months. The sample included Indigenous Māori who have high rates
of diabetes and associated co-morbidities.
Methods
A purposefully selected sample of 58 people with prediabetes and BMI >25 kg/m2, stratified by male/female, Māori/non-Māori, and those who had/had not regressed
to normoglycaemia, after completing 6-months of a prediabetes intervention were interviewed.
Interviews were audio-recorded and transcribed. Data were analysed by thematic analysis.
Results
Most participants recalled being shocked when told they had prediabetes, but they
did not perceive the diagnosis to be a label in a negative sense, and some, described
the diagnosis as helpful. Participants appreciated knowing that prediabetes could
be reversed, and the opportunity to be able to take supported action and make lifestyle
changes through the nurse-delivered prediabetes lifestyle intervention. Participants’
clear preference was to take control and make dietary changes, not to take Metformin.
Conclusions
Prediabetes was not considered a negative label, but an opportunity, when coupled
with a primary care nurse-delivered dietary intervention.
Keywords
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Article info
Publication history
Published online: December 22, 2021
Accepted:
October 2,
2021
Received in revised form:
September 16,
2021
Received:
July 30,
2021
Identification
Copyright
© 2021 Primary Care Diabetes Europe. Published by Elsevier Ltd. All rights reserved.
