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Review
. 2019 Aug 5;19(9):78.
doi: 10.1007/s11892-019-1200-z.

Public Health Approaches to Type 2 Diabetes Prevention: the US National Diabetes Prevention Program and Beyond

Stephanie M Gruss  1 , Kunthea Nhim  2 , Edward Gregg  3 , Miriam Bell  2 , Elizabeth Luman  2 , Ann Albright  2
Affiliations
Review

Public Health Approaches to Type 2 Diabetes Prevention: the US National Diabetes Prevention Program and Beyond

Stephanie M Gruss et al. Curr Diab Rep. .

Erratum in

Abstract

Purpose of review: This article highlights foundational evidence, translation studies, and current research behind type 2 diabetes prevention efforts worldwide, with focus on high-risk populations, and whole-population approaches as catalysts to global prevention.

Recent findings: Continued focus on the goals of foundational lifestyle change program trials and their global translations, and the targeting of those at highest risk through both in-person and virtual modes of program delivery, is critical. Whole-population approaches (e.g., socioeconomic policies, healthy food promotion, environmental/systems changes) and awareness raising are essential complements to efforts aimed at high-risk populations. Successful type 2 diabetes prevention strategies are being realized in the USA through the National Diabetes Prevention Program and elsewhere in the world. A multi-tiered approach involving appropriate risk targeting and whole-population efforts is essential to curb the global diabetes epidemic.

Keywords: Diabetes policy; Diabetes prevention; Diabetes prevention program; National Diabetes Prevention Program; Obesity; Type 2 diabetes.

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Conflict of interest statement

Stephanie M. Gruss, Kunthea Nhim, Edward Gregg, Miriam Bell, Elizabeth Luman, and Ann Albright declare that they have no conflict of interest.

Figures

Fig. 1
Fig. 1
Flow chart for analysis sample. CDC = Centers for Disease Control and Prevention; DPRP = Diabetes Prevention Recognition Program; LCP = CDC-recognized lifestyle change program; National DPP = National Diabetes Prevention Program. 1Participant eligibility was based on BMI (≥ 25 kg/m2, or ≥ 23 kg/m2 if Asian American), a blood test indicating prediabetes, a CDC Prediabetes Screening Test or American Diabetes Association Type 2 Diabetes Risk Test, or a previous diagnosis of gestational diabetes mellitus. 2Education level, enrollment sources, and payer sources were not collected before February 2018
See this image and copyright information in PMC

Comment in

References

    1. • International Diabetes Federation. Diabetes atlas 8th edition 2017 global fact sheet. 2017. Available at https://www.idf.org/aboutdiabetes/what-is-diabetes/facts-figures.html. Accessed April 14, 2019. Findings indicate the significant and costly economic and disease burden that diabetes has across the world.
    1. Centers for Disease Control and Prevention. Diabetes 2017 report card. 2017. Available at https://www.cdc.gov/diabetes/pdfs/library/diabetesreportcard2017-508.pdf. Accessed April 14, 2019.
    1. American Diabetes Association Economic costs of diabetes in the U.S. in 2017. Diabetes Care. 2018;41(5):917–928. doi: 10.2337/dci18-0007. - DOI - PMC - PubMed
    1. Tuomilehto J, Lindstrom J, Eriksson JG, Valle TT, Hamalainen H, Ilanne-Parikka P, et al. Prevention of type 2 diabetes mellitus by changes in lifestyle among subjects with impaired glucose tolerance. N Engl J Med. 2001;344(18):1343–1350. doi: 10.1056/nejm200105033441801.. - DOI - PubMed
    1. Noble D, Mathur R, Dent T, Meads C, Greenhalgh T. Risk models and scores for type 2 diabetes: systematic review. Br Med J (Clin Res Ed) 2011;343:d7163. doi: 10.1136/bmj.d7163. - DOI - PMC - PubMed

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