Onset and Care of Type 2 Diabetes Mellitus in People with a Learning Disability: A L e D e R D e e p D i v e

Abstract

People with a learning disability in England have higher rates of new onset of type 2 diabetes compared to the general population. The increase in rates of type two diabetes in people with a learning disability is shifted 10-15 years earlier than in people from the general population. Consideration should be given to offering screening for the presence of type 2 diabetes as part of an annual health check (AHC) to people with a learning disability. People with a learning disability and type 2 diabetes were less likely to have eye and foot checks, an area where improvements should be made. With regards to the management of conditions associated with diabetes, our analyses support the application of existing NHS guidance for the management of obesity, hypertension, and cardiovascular health, and for reducing or monitoring the long-term impact of antipsychotic medication in people with a learning disability. There is a need for improved diabetes care and education for individuals with a learning disability to help prevent and manage the condition effectively. Healthcare providers and caregivers should also be aware of the increased risk of type 2 diabetes mellitus in this population and take steps to ensure that appropriate screening and management strategies are in place.