There are around 21,600 people with Type 2 diabetes in Sheffield and over 1,700 with Type 1. In total this equates to 4.5% of the overall population. We estimate that there are at least 2,000 people in Sheffield with undiagnosed diabetes.
The number of people with diabetes is projected to increase to over 30,000 by 2020. This is associated with the increase in obesity in the population and the impact of the ageing of the population. We can therefore anticipate an increase in the number of people with diabetes requiring care of somewhere between 500 and 800 persons per year.
Approximately 430 patients per year are admitted to hospital as a direct result of their diabetes. In addition, there are many more cases of hospital admission where diabetes is a complicating and precipitating factor. At any one time, more than 10% of patients in hospital have diabetes.
There are 285 deaths each year in Sheffield where diabetes is recorded as a contributing cause of death. The majority of deaths are due to circulatory diseases (heart disease and strokes) associated with the diabetes. In addition there is an almost equal number of deaths where diabetes is not noted on the death certificate, but in which it was a contributory cause.
NHS Sheffield has invested in activity to help prevent diabetes, including measures to tackle obesity, promotion of exercise and physical activity programmes, and healthy eating. Sheffield was one of the earliest areas in England to provide a systematic screening programme for diabetic retinopathy using digital photography. The PCT is also working to improve case finding of people with undiagnosed diabetes.
Primary and secondary care sectors work together to improve diabetes services. Comprehensive guidelines are in place to support primary care clinicians deliver high quality diabetes care in practices, pharmacies and care homes across the city. A priority is to expand comprehensive structured patient education for self-management for all people with diabetes in accordance with NICE guidance. This will be supported by improved and more accessible patient information and by access to more diabetes services provided in primary care.