A health informatics platform supporting chronic disease management
nationally and internationally creating impact upon:
An urgent need has been identified to redesign diabetes health services
for young people in the UK, which has the fifth largest paediatric
diabetes population in the world with no standardised approach to care.
The Adolescent Diabetes Needs Assessment Tool (ADNAT) App is the first
intervention of its kind filling a recognised gap in UK service provision.
Evidence from the underpinning research programme that has studied
adolescent diabetes self-care and explored technological methods of
learning, has guided the development, validation and clinical evaluation
of ADNAT which has now been included in the UK's 2013-2018 National
Paediatric Service Improvement Delivery Plan.
Research founded on population-based cohort studies has directly informed NICE Public Health
guidance on the prevention of diabetes. In prospective studies Wareham and Griffin demonstrated
that diabetes can be predicted by a simple risk score using routinely available information and by
HbA1c levels. Although people with a high HbA1c account for 36% of incidence, the majority of
future cases emerge from the larger population of people with moderately elevated levels, justifying
a more population-wide perspective on the prevention of diabetes. The research also showed that
the same behaviour targets that are effective in high risk individuals are strongly associated with
diabetes in the wider population.