Patient | Guidelines | Patient 3 Data | Patient 3 Predictions | Patient 24 Data | Patient 24 Predictions |
---|---|---|---|---|---|
IMD | Deprived areas <6437.6 | 13 349 | 18 942 | ||
Ethnicity | Indian | White British | |||
HbA1c | <7.4% or 57.4 mmol/mol | 11.10% 97.8 mmol/mol | Reduced (baseline measurement is high so there is scope for change) | 12.1% 108.7 mmol/mol | Reduced (had baseline been a bit lower no change would have been predicted because current dietary changes are not substantial and she is already doing enough exercise) |
Waist | 94 cm white/black men; <90 cm Asian men; <80 cm women | 96.52 cm | None | 114 | Reduced |
Exercise | >10 000 steps per day | 4872 | Increase (he talks about increasing his exercise) | 10 700.67 | None (already exercising enough) |
Anxiety | Clinical limit >8 | 3 | None | 6 | None |
Depression | Clinical limit >8 | 3 | None | 0 | None |
Diabetes distress | >40 high distress; 20–40 moderate distress; <20 no distressed | 53.75 | Reduced (baseline measurement is high so there is scope for change) | 10 | None |
Self-efficacy | >101 high; 51–100 moderate; <50 low | 120 | 96 | ||
Knowledge | 13 | 14 | |||
Change talk: changes made | Eats a healthy diet (mainly vegetarian, no alcohol, healthy food). Eats smaller portions. Has started walking more | Cut down on butter and fat in diet. Has started walking more | |||
Change talk: changes planned | To increase exercise (walking, cycling, swimming), and find time for it | To increase her exercise—walk enough to get out of breath | |||
Treatment satisfaction | Very positive about DSME | DSME is a bit repetitive at times |
DSME, Diabetes Management Self-Efficacy; HbA1c, glycated haemoglobin; IMD, Index of Multiple Deprivation.