If the patient is diagnosed with Type 2 diabetes (48mmol/mol or above), refer to Diabetes Type 2 Education X-PERT/Diabetes & You within Structured Education Referrals.
If the patient is pre-diabetic (42-47mmol/mol), refer to Healthier You within Structured Education Referrals.
If patient does not wish to access Diabetes Structured Education Services or requests Weight Management Referral, consider the below:
BMI 25+ (BMI 23+ for Black and Asian ethnicity): refer to Live Life Better Derbyshire.
BMI ≥30 (adjusted to 27.5 for South Asian ethnicities): refer to Livewell.
BMI of 30+ (adjusted to ≥27.5 for people from Black, Asian and ethnic minority backgrounds) AND has a diagnosis of diabetes (Type 1 or Type 2) or hypertension or both: refer to Digital Weight Management.
BMI above 35 with comorbidities, BMI above 50 with no comorbidities OR patients wanting support with lifestyle change to lose weight, including those considering bariatric surgery: refer to Tier 3 Weight Management.