Building Toward a Population-Based Approach to Diabetes Screening and Prevention for US Adults

Purpose of review Evidence-based treatments for prediabetes can prevent and delay the development of type 2 diabetes in adults. In this review, we propose a framework for population-based diabetes prevention that links screening and prevention activities across key stakeholders. We also discuss gaps...

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Bibliographic Details
Published in:Current diabetes reports 2018-11, Vol.18 (11), p.104-12, Article 104
Main Authors: Bowen, Michael E., Schmittdiel, Julie A., Kullgren, Jeffrey T., Ackermann, Ronald T., O’Brien, Matthew J.
Format: Article
Language:English
Subjects:
Adult
Diabetes
Diabetes Mellitus, Type 2 - diagnosis
Diabetes Mellitus, Type 2 - epidemiology
Diabetes Mellitus, Type 2 - prevention & control
Diabetes Mellitus, Type 2 - therapy
Health Care Delivery Systems and Implementation in Diabetes (ME McDonnell and AR Sadhu
Humans
Life Style
Mass Screening
Medical screening
Medicine
Medicine & Public Health
Population
Prevention
Risk Assessment
Section Editors
Topical Collection on Health Care Delivery Systems and Implementation in Diabetes
United States
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Summary:Purpose of review Evidence-based treatments for prediabetes can prevent and delay the development of type 2 diabetes in adults. In this review, we propose a framework for population-based diabetes prevention that links screening and prevention activities across key stakeholders. We also discuss gaps in current practice, while highlighting opportunities to improve diabetes screening and prevention efforts population-wide. Recent findings Awareness of diabetes risk is low, and many adults with prediabetes are not identified through existing screening efforts. Accumulating evidence and policies support expansion of the Diabetes Prevention Program (DPP) into clinical and community settings. However, the infrastructure to facilitate referrals and promote data exchange among patients, clinical settings, and community-based DPP programs is lacking. Summary Development of evidence-driven, scalable processes for assessing diabetes risk, screening eligible adults, and delivering preventive treatments are needed to effectively improve the glycemic health of the US adult population.
ISSN:1534-4827
1539-0829
DOI:10.1007/s11892-018-1090-5