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

“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 cholesterol. But we’re now seeing younger and younger onset of type 2 diabetes, driven by more severe obesity and high prevalence of obesity. And this is playing out most obviously among people in more deprived areas and in those of…
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