ArticleDiabetic medicine : a journal of the British Diabetic Association2026
Evaluation of a secondary care multidisciplinary clinic for adults with early-onset type 2 diabetes at high risk in Leicester, Leicestershire and Rutland.
Article in Diabetic medicine : a journal of the British Diabetic Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Evaluation of a secondary care multidisciplinary clinic for adults with early-onset type 2 diabetes at high risk in Leicester, Leicestershire and Rutland.Diabetic medicine : a journal of the British Diabetic Association · 2026Article
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Authors and funding
15 authors.
Funding
Abstract
backgroundClinical services for adults with early-onset type 2 diabetes (EOT2D) are in urgent need of improvement.
methodsWe evaluated a multi-disciplinary clinic for individuals with EOT2D at high risk (HbA1c >9%/triglyceride >20 mmol/L), providing 2-3 flexibly arranged consultations per individual between March 2024 and September 2025. Nurse-led case-finding in primary care supported identification and targeted referral of high-risk individuals. On 3 November 2025, electronic medical records were used to evaluate change in cardiometabolic outcomes at 6- and 12-months from baseline and evaluate service activity, including proportions with recorded health information and prescriptions. The paired t-test (continuous) and McNemar's test (proportions) were used to assess change in outcomes. Patient feedback was obtained using questionnaires.
resultsIn total, 159 individuals received an appointment (45% women; median age 34 years). At both 6- and 12-months post-baseline, HbA1c (at 12-months: -2.53% [95% CI: -3.13, -1.93]/-28 mmol/mol [-34, 21]), systolic (-5.89 mmHg [-9.88, -1.91]) and diastolic (-2.72 mmHg [-5.34, -0.10]) blood pressure, body mass index (BMI; -1.49 kg/m DISCUSSION: Case-finding and invitation to flexibly run multidisciplinary clinics were associated with improvements in cardiometabolic outcomes and positive patient feedback. Similar services are immediately required given the rising prevalence of EOT2D and associated complications.
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