Academy Policy Strategies to Prevent Type 2 Diabetes

Published:October 18, 2013DOI:
      The Academy of Nutrition and Dietetics (Academy) has long recognized the importance of using legislation and public policy to prevent chronic disease and improve the health of all Americans. Never have these strategies been more important than in the context of diabetes prevention. At present, more than 8.3% of the US population has diabetes.

      2011 National Diabetes Fact Sheet. Centers for Disease Control and Prevention website. Published 2011. Accessed July 10, 2013.

      The health and economic consequences of diabetes are enormous, not just for individual patients but for the population as a whole. This article discusses some of the promising public policies that can help reverse the diabetes epidemic, and ways in which Academy members are engaging their policy makers to help fight diabetes in the United States.
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      1. 2011 National Diabetes Fact Sheet. Centers for Disease Control and Prevention website. Published 2011. Accessed July 10, 2013.

      2. 2011 National Diabetes Fact Sheet. American Diabetes Association website. Published January 26, 2011. Accessed July 10, 2013.

      3. Common Comorbidities and Complications Associated with Prediabetes. American Association of Clinical Endocrinologists website. Accessed July 10, 2013.

      4. Preventing Diabetes Complications. The Cleveland Clinic website. Accessed July 10, 2013.

        • American Diabetes Association
        Economic costs of diabetes in the U.S. in 2007.
        Diabetes Care. 2008; 31: 596-615
        • Diabetes Prevention Program Research Group
        Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin.
        N Engl J Med. 2002; 346: 393-403
        • Diabetes Prevention Program Research Group
        10-year follow-up of diabetes incidence and weight loss in the Diabetes Prevention Program Outcomes Study.
        Lancet. 2009; 374: 1677-1686
        • Zhuo X.
        • Zhang P.
        • Gregg E.W.
        • et al.
        A nationwide community-based lifestyle program could delay or prevent type 2 diabetes cases and save $5.7 billion in 25 years.
        Health Aff. 2012; 31: 50-60
        • Herman W.
        • Hoerger T.J.
        • Brandle M.
        • et al.
        The cost-effectiveness of lifestyle modification or metformin in preventing type 2 diabetes in adults with impaired fasting glucose.
        Ann Intern Med. 2005; 142: 323-332
        • Diabetes Prevention Program Research Group
        Within-trial cost-effectiveness of lifestyle intervention or metformin for the primary prevention of type 2 diabetes.
        Diabetes Care. 2003; 26: 2518-2523
        • Thorpe K.
        • Yang Z.
        Enrolling people with prediabetes ages 60-64 in a proven weight loss program could save Medicare $7 billion or more.
        Health Aff. 2010; 30: 1673-1679
        • Anderson J.
        Achievable cost saving and cost-effective thresholds for diabetes prevention lifestyle interventions in people aged 65 years and older: A single-payer perspective.
        J Acad Nutr Diet. 2012; 112: 1747-1754
        • Franz M.
        • Powers M.A.
        • Leontos C.
        • et al.
        The evidence for medical nutrition therapy for type 1 and type 2 diabetes in adults.
        J Am Diet Assoc. 2010; 110: 1852-1889
        • Pastors J.G.
        • Franz M.J.
        • Warshaw H.
        • Daly A.
        • Arnold M.S.
        How effective is medical nutrition therapy in diabetes care?.
        J Am Diet Assoc. 2003; 103: 827-831
        • Franz M.J.
        Evidence-based medical nutrition therapy.
        Nutr Clin Pract. 2004; 19: 137-144
        • Franz M.J.
        • Splett P.L.
        • Monk A.
        • et al.
        Cost-effectiveness of medical nutrition therapy provided by dietitians for persons with non-insulin-dependent diabetes mellitus.
        J Am Diet Assoc. 1995; 95: 1018-1024
        • Bradley D.W.
        • Murphy G.
        • Snetselaar L.G.
        • Myers E.F.
        • Qualls L.G.
        The incremental value of medical nutrition therapy in weight management.
        Managed Care. 2013; 22: 40-45
      5. Prediabetes Evidence Analysis Team Expert Workgroup. Prediabetes Evidence Analysis Project. Evidence Analysis Library website. Accessed August 12, 2013.