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Changes in the National Diabetes Prevention Program Present Opportunities for Registered Dietitian Nutritionists to Reduce the Prevalence of Diabetes

      The diagnosis of type 2 diabetes mellitus is often preceded by prediabetes, a stage during which blood glucose levels are greater than normal but not yet high enough to be diagnostic of diabetes.

      Centers for Disease Control. National Diabetes Statistics Report, 2017. https://www.cdc.gov/diabetes/data/. Accessed March 22, 2018.

      About 84 million people in the United States have prediabetes; a number equivalent to approximately one in three adults.

      Centers for Disease Control. National Diabetes Statistics Report, 2017. https://www.cdc.gov/diabetes/data/. Accessed March 22, 2018.

      Without intervention, an unknown, but likely significant proportion of these people will develop type 2 diabetes. However, the progression from prediabetes to type 2 diabetes is not inevitable and can be interrupted with diabetes prevention programs (DPPs) comprising low-cost, structured lifestyle change interventions including improved eating habits and increased physical activity.
      • Knowler W.C.
      • Barrett-Connor E.
      • Fowler S.E.
      • et al.
      Diabetes Prevention Program Research Group. Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin.
      Participation in one DPP has reduced the incidence of type 2 diabetes by almost 60%.
      • Knowler W.C.
      • Barrett-Connor E.
      • Fowler S.E.
      • et al.
      Diabetes Prevention Program Research Group. Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin.

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      References

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      Biography

      A. Skipper is manager, Health and Science, Improving Health Outcomes, American Medical Association, Chicago, IL.

      Biography

      C. Holliday is director, Community and Clinical Linkages, Improving Health Outcomes, American Medical Association, Chicago, IL.