Obesity Management Pathway
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  • 1. PATHWAY FOR WEIGHT MANAGEMENT FOR DIABETES SERVICES IN LEICESTERSHIRE Based on best practice from NICE guidance INITIAL ASSESSMENT OR AT ANNUAL REVIEW For review 2006 Waist circumference (WC) Lipids Body Mass Index (BMI) Physical activity HbA1c Smoking Blood pressure Depression scale (Self assessment) Is the patient depressed? Treat depression first Yes No Yes Is there a health risk/patient No Check patient’s concern associated with understanding of High WC or BMI? health risk LIFESTYLE ADVICE Offer information/advice MONITOR/SUPPORT No Person not ready for to maintain weight ASSESS READINESS change/not thought Discuss benefits of In primary/secondary FOR CHANGE about change weight loss on health care as part of the Screening tool - Address other risk factors annual review process Importance/confidence (diet, physical activity, of change smoking) COMMERCIAL eg Weightwatchers, Slimming Yes GROUP NHS MONITORING/ primary care or secondary care SUPPORT DISCUSS OPTIONS As appropriate to Locally based options intervention and PRIMARY CARE re-assess at annual Exercise INDIVIDUAL SPECIALIST CARE Discuss options review Weight management programme SELF HELP SUCCESS? Yes Disordered eating Measured as Improved No Yes Health Outcome No Review future goals Not ready WC reduced by 5-10cm Review as part of Re-assess readiness for change Weight decreased by 5% annual review MONITOR/REVIEW or more Ready As part of the annual Review options review process Morbid obesity clinic/surgery PSYCHOLOGY SERVICES Developed by University Hospitals of Leicester in partnership with Primary Care Trusts