Intended for healthcare professionals


Challenges in diabetes and obesity: five minutes with . . . Jonathan Valabhji

BMJ 2023; 383 doi: (Published 29 November 2023) Cite this as: BMJ 2023;383:p2831
  1. Gareth Iacobucci
  1. The BMJ

The former national clinical director for diabetes and obesity at NHS England discusses how care and treatment may evolve over the next decade

“Over the past 30 years we’ve moved from marked premature mortality from cardiovascular disease to increasing longevity with the development of multiple long term conditions. In the next 10 years I think that we’ll need a much greater focus on how we deliver care more effectively for those people with multiple long term conditions, not just a single condition such as diabetes or hypertension or heart disease.

“Another priority is how we can better tackle young onset type 2 diabetes—a relatively recent phenomenon—both in terms of prevention and in achieving possible remission. We’ve been very successful in focusing on the three treatment targets for diabetes: HbA1c [glucose control], blood pressure, and …

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