The Diabetes Prevention Gap And Opportunities To Increase Participation In Effective Interventions

To understand the current state of prediabetes burden and treatment in the US, we examined recent trends in prediabetes prevalence, testing, and access to preventive resources. We estimated 13.5 percent prevalence of diagnosed prediabetes in the overall US adult population, using national survey dat...

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Bibliographic Details
Published in:Health affairs (Millwood, Va.) Va.), 2022-07, Vol.41 (7), p.971-10
Main Authors: Alva, Maria L, Chakkalakal, Rosette J, Moin, Tannaz, Galaviz, Karla I
Format: Article
Language:English
Subjects:
Access
Adults
Age
Beneficiaries
Body mass index
Data integration
Diabetes
Diabetes mellitus
Ethnicity
Exercise
Family medical history
Hispanic people
Insurance coverage
Intervention
Lifestyles
Medicare
Participation
Patients
Policy making
Polls & surveys
Population
Prevention
Prevention programs
Preventive medicine
Risk factors
Sociodemographics
Socioeconomic factors
Socioeconomic status
Trends
Womens health
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Summary:To understand the current state of prediabetes burden and treatment in the US, we examined recent trends in prediabetes prevalence, testing, and access to preventive resources. We estimated 13.5 percent prevalence of diagnosed prediabetes in the overall US adult population, using national survey data. Although prediabetes prevalence increased by 4.8 percentage points from 2010 to 2020, access to preventive resources remained low. The most effective intervention for diabetes prevention, known as the National Diabetes Prevention Program, remained woefully undersupplied and underused. There are only 2,098 National Diabetes Prevention Program-recognized providers nationally, and only 3 percent of adults with prediabetes have participated in the program. We suggest three actions to augment prevention efforts: increase payment for prevention interventions to avoid supply distortions, improve data integration and patient follow-up, and extend coverage and broaden access for preventive interventions. These actions, which would require policy-level changes, could lower the barriers to prevention.
ISSN:0278-2715
1544-5208
DOI:10.1377/hlthaff.2022.00259