The case for diabetes prevention
Diabetes care begins with diabetes prevention

Diabetes prevention strategy overview


Type 2 diabetes is one of the nation’s fastest growing chronic diseases, placing a heavy burden on the health care system and the overall health of the nation.

The AMA is dedicated to supporting health care organizations in preventing new cases of type 2 diabetes in their patient population. As a key member of your health care organization’s diabetes prevention team, it’s important to understand the core components of a successful diabetes prevention strategy that includes the National Diabetes Prevention Program (National DPP) lifestyle change program, an evidence-based treatment option for patients with prediabetes. Implementing a successful diabetes prevention strategy will help your organization:

  • Improve patient outcomes by preventing or delaying progression to type 2 diabetes.

  • Reduce medical expenditures associated with treating type 2 diabetes and its complications.

  • Improve clinical practice burden associated with treating diabetes.

In this section, you’ll learn more about the impact of diabetes and how you can meet your health care organization’s prevention goals with a National DPP lifestyle change program.

    Prediabetes and why prevention is important


    Prediabetes occurs when blood glucose levels are higher than normal but have not reached the levels consistent with a diagnosis of diabetes. If left untreated, people with prediabetes may develop type 2 diabetes and are at increased risk of cardiovascular disease.

    1-out-of-10

    Current burden

    Compared to people without diabetes those with the condition are:

    • 100% more likely to develop hypertension. 2 

    • 85% more likely to develop congestive heart failure. 

    • 80% more likely to be hospitalized for a heart attack. 

    • 70% more likely to die from heart disease or stroke. 


    Increased medical costs

    Individuals with diabetes typically have medical expenses 2.3 times higher than those without it.

    An epidemic you can stop


    In the average primary care practice, up to one‑third of patients age 18 and above—and up to half age 65 and above—could have prediabetes and be at risk for type 2 diabetes. Intensive lifestyle intervention can prevent or delay progression to type 2 diabetes in patients with prediabetes. Screening patients and referring those with the condition to treatment involves the entire clinical team.

    The Cost of Diabetes

    Launch a National Diabetes Prevention Program lifestyle change program


    The prevalence of prediabetes and type 2 diabetes presents increased chronic and fatal health outcomes. National DPP lifestyle change program is founded on the science of the original diabetes prevention program research study. People with prediabetes who took part in a structured lifestyle change program reduced their risk of developing type 2 diabetes (at average follow-up of 3 years) compared to placebo.3

    The AMA has developed a guided process and resources that health care teams can use, including tools to incorporate referrals into existing workflows to ensure patients have access to in-person or online National DPP lifestyle change programs.

    What Makes the National DPP Lifestyle Change Program Effective?


    The CDC-recognized program is delivered by a trained lifestyle coach who works to empower each participant to adopt the necessary skills needed to sustain lasting lifestyle changes and improve their overall health and well-being.

    • Participants meet in groups with their assigned coach for 16 weekly sessions and 6 to 8 monthly follow-up sessions.

    • These are not exercise classes. During each session, patients learn ways to incorporate healthier eating habits as well as physical activity routines, problem-solving and stress-reduction skills into their daily lives.

    • The goal is a 5 percent weight loss and 150 minutes of weekly physical activity.   

    Results are real

    The original diabetes prevention program compared intensive lifestyle counseling to placebo.

    Participants in the original study: 

    • Had a reduced incidence of type 2 diabetes by 58 percent. 

    There are many CDC-recognized organizations delivering the National DPP lifestyle change program across the nation, with demonstrated results.
     

    Improves health outcomes and cost

    • Subsequent research on the original DPP study has shown that lifestyle intervention “provides good value for the money spent” among high risk adults.5

    • The National DPP lifestyle change program has the potential to generate cost savings and provide a positive return on investment.

    • A systematic review of 56 studies found intensive lifestyle interventions to be “very cost effective.” 6


    Launch a National DPP Lifestyle Change Program

    Join the movement

    The AMA is committed to providing health care organizations of any size with the tools and support needed to implement a diabetes prevention strategy that includes providing patients with access to a National DPP lifestyle change program.     

    Getting started is simple.

    1. Complete a quick online assessment. Answer a few questions about your health care organization’s current diabetes prevention efforts.

    2. Access a customized planning dashboard. Your responses will be used to create a dashboard to help guide you through key considerations needed to plan and implement a diabetes prevention strategy at your healthcare organization.

    3. Get free access to best practice solutions currently being used by a variety of health care organizations across the country to systematically identify and manage their patients with prediabetes.

    We know that implementing a sustainable diabetes prevention strategy takes time. On average, it takes nine months. That’s why we designed the online experience to interact with your health care organization over the course of your strategic planning process—tracking milestones as you complete assigned tasks along the way.

    Register now to access the AMA’s assessment, and learn how you can plan and implement a diabetes prevention strategy.

    You’ll receive a free, step-by-step framework for building your strategy, including online support and assistance to help you get started.

     

     

     

     

     

    Sources:

    1 Centers for Disease Control and Prevention. National Diabetes Statistics Report: Statistics Report, 2017. www.cdc.gov/diabetes/pdfs/data/statistics/national-diabetes-statistics-report.pdf  Accessed Nov. 20, 2018.
    2 American Diabetes Association. Economic costs of diabetes in the US in 2017. Diabetes Care.  2018. care.diabetesjournals.org/content/early/2018/03/20/dci18-0007 Accessed Nov. 20, 2018.
    3 Knowler WC, Barrett-Connor E, Fowler SE, et al. Diabetes Prevention Program Research  Group. Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. N Engl J Med 2002;346(6):393-403. 
    4 Herman WH, Hoeger TJ, Brandie M, et al. The cost-effectiveness of lifestyle modification or metformin in preventing type 2 diabetes in adults with impaired glucose tolerance. Ann Intern Med. 2005;142(5):323-332. www.ncbi.nlm.nih.gov/pubmed/15738451. Accessed Dec. 3, 2018.
    5 Diabetes Prevention Program Research Group. The 10-Year Cost-Effectiveness of  Lifestyle Intervention or Metformin for Diabetes Prevention: an Intent-to-Treat Analysis of the  DPP/ DPPOS. Diabetes Care. 012;35(4):  723-30.  care.diabetesjournals.org/content/35/4/723 Accessed Dec. 3, 2018.
    6 Li R, Zhang P, Barker LE, et. al. Cost-Effectiveness of Interventions to Prevent and Control Diabetes Mellitus: A Systematic Review. Diabetes Care. 2010;33(8): 1872-1894. ncbi.nlm.nih.gov/pubmed/20668156. Accessed Nov. 20, 2018. 

    DISCLAIMER: THE CONTENT ON AMApreventdiabetes.org (referred to as the “AMA Prevent Diabetes Website”) IS PROVIDED FOR INFORMATIONAL PURPOSES ONLY AND IS NOT INTENDED AS MEDICAL ADVICE, OR AS A SUBSTITUTE FOR THE MEDICAL ADVICE OF A PHYSICIAN.  SOME CONTENT SUGGESTIONS AND BUDGET TOOLS MAY NOT BE RIGHT FOR YOUR PRACTICE OR PATIENTS, SO CONSULT YOUR LEGAL OR FINANCIAL ADVISER BEFORE DEPLOYING THEM.

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