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If your HbA1c indicates non-diabetic hyperglycaemia (4247 mmol/mol) , NICE guideline NG215 recommends: Referral to the NHS Diabetes Prevention Programme (NHS DPP) , a structured lifestyle intervention recommended by NICE and associated with improvements in weight and HbA1c in people at high risk of type 2 diabetes Dietary modification, including reducing refined carbohydrates and ultra-processed foods Increasing physical activity to at least 150 minutes of moderate-intensity exercise per week, in line with UK Chief Medical Officers' guidelines Annual HbA1c monitoring to track progression or improvement Weight management support if BMI is elevated If your HbA1c confirms type 2 diabetes (48 mmol/mol or above) , your GP will initiate a structured care plan, which may include lifestyle advice, self-monitoring guidance, and consideration of pharmacological therapy

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Physical exam shows a stooped posture and diminished anterior flexion of the lumbar spine