Evidence and Challenges for Translation and Population Impact of the Diabetes Prevention Program

Purpose of Review Type 2 diabetes is common, burdensome, and preventable. Landmark trials such as the Diabetes Prevention Program (DPP) demonstrated that resource–intensive lifestyle support interventions resulting in modest weight loss via healthy diet changes and physical activity can lower the ra...

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Bibliographic Details
Published in:Current diabetes reports 2020-02, Vol.20 (3), p.9-9, Article 9
Main Authors: Ackermann, Ronald T., O’Brien, Matthew J.
Format: Article
Language:English
Subjects:
Adult
Diabetes
Diabetes Mellitus, Type 2 - prevention & control
Economics and Policy in Diabetes (AA Baig and N Laiteerapong
Exercise
Health Promotion
Humans
Life Style
Medicine
Medicine & Public Health
Prediabetic State - prevention & control
Prevention programs
Program Evaluation
Public Health
Section Editors
Topical Collection on Economics and Policy in Diabetes
United States
Weight Loss
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Summary:Purpose of Review Type 2 diabetes is common, burdensome, and preventable. Landmark trials such as the Diabetes Prevention Program (DPP) demonstrated that resource–intensive lifestyle support interventions resulting in modest weight loss via healthy diet changes and physical activity can lower the rate of diabetes development by 58%. We performed a review of efforts to translate and implement DPP-like programs throughout the USA to identify challenges and opportunities for improvement. Recent Findings For more than a decade, multiple stakeholders have worked to translate evidence-based principles of diabetes prevention to reach 84 million Americans with prediabetes. DPP-like programs have been delivered by over 1500 organizations, reaching almost 300,000 people, but this number represents less than 1% of the target population. Research has uncovered large gaps in efforts to diagnose, raise awareness, and provide access to DPP-like programs for adults with prediabetes, requiring further stakeholder engagement and coordination to resolve. Summary Efforts to address prevailing gaps in diabetes prevention must address distinct and sometimes conflicting priorities and concerns of stakeholders. Our review recommends several areas of further research and action to improve type 2 diabetes prevention on a population scale.
ISSN:1534-4827
1539-0829
DOI:10.1007/s11892-020-1293-4