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Diabetes Prevention Program

Diabetes Prevention Program. Marcelle Thurston MS, RD, CDE Kelly McCracken RD, CDE Colorado Department of Public Health and Environment. Goals for Today. Define the impact of pre-diabetes in Colorado Provide an overview of the Diabetes Prevention Program (DPP)

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Diabetes Prevention Program

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  1. Diabetes Prevention Program Marcelle Thurston MS, RD, CDE Kelly McCracken RD, CDE Colorado Department of Public Health and Environment

  2. Goals for Today • Define the impact of pre-diabetes in Colorado • Provide an overview of the Diabetes Prevention Program (DPP) • Describe the national infrastructure in place for DPP to be sustainable in individual states • Highlight the onsite Diabetes Prevention Program at the Colorado Department of Public Health and Environment • List potential roles of business coalitions

  3. Impact of Prediabetes in Colorado

  4. What is Pre-diabetes? • A blood sugar level that is higher than normal but not high enough to be classified as diabetes • Without lifestyle changes most people with pre-diabetes will develop type 2 diabetes within 6 years • Risk is highest in overweight adults over the age of 45, have family history of diabetes or history of gestational diabetes

  5. Obesity Trends* Among U.S. AdultsBRFSS, 1990 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14%

  6. Obesity Trends* Among U.S. AdultsBRFSS, 1991 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19%

  7. Obesity Trends* Among U.S. AdultsBRFSS, 1992 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19%

  8. Obesity Trends* Among U.S. AdultsBRFSS, 1993 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19%

  9. Obesity Trends* Among U.S. AdultsBRFSS, 1994 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19%

  10. Obesity Trends* Among U.S. AdultsBRFSS, 1995 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19%

  11. Obesity Trends* Among U.S. AdultsBRFSS, 1996 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19%

  12. Obesity Trends* Among U.S. AdultsBRFSS, 1997 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% ≥20%

  13. Obesity Trends* Among U.S. AdultsBRFSS, 1998 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% ≥20%

  14. Obesity Trends* Among U.S. AdultsBRFSS, 1999 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% ≥20%

  15. Obesity Trends* Among U.S. AdultsBRFSS, 2000 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% ≥20%

  16. Obesity Trends* Among U.S. AdultsBRFSS, 2001 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

  17. Obesity Trends* Among U.S. AdultsBRFSS, 2002 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

  18. Obesity Trends* Among U.S. AdultsBRFSS, 2003 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

  19. Obesity Trends* Among U.S. AdultsBRFSS, 2004 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

  20. Obesity Trends* Among U.S. AdultsBRFSS, 2005 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

  21. Obesity Trends* Among U.S. AdultsBRFSS, 2006 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

  22. Obesity Trends* Among U.S. AdultsBRFSS, 2007 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

  23. Obesity Trends* Among U.S. AdultsBRFSS, 2008 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

  24. Obesity Trends* Among U.S. AdultsBRFSS, 2009 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

  25. Obesity Trends* Among U.S. AdultsBRFSS, 2010 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

  26. 26 millionwith Diabetes 79 millionwith Prediabetes

  27. Value of Investing in Prevention Delaying or preventing diabetes impacts: • Presenteeism • Productivity • Staff retention Mitigates higher risk pool: • Avg. medical costs for a person with diabetes are nearly twice those of a person without diabetes • Costs are more than four-fold for a person with diabetes-related complications compared to a person without diabetes

  28. Overview of the Diabetes Prevention Program (DPP)

  29. The Diabetes Prevention Program (DPP) • Based on NIH and CDC clinical trials • 5% - 7% weight loss & increased physical activity to 150 minutes a week reduced risk of developing type 2 diabetes by 58% • 10-year follow up study showed reduced diabetes incidence of 34% in the lifestyle group • Translated into 16-week group based program

  30. Cardiovascular risk factors also improved with the DPP • Blood pressure significantly lowered • Cholesterol levels significantly improved • At 3 year follow-up the use of meds for both blood pressure and cholesterol were lowered DPP. Diabetes Care 28:888–894, 2005

  31. How DPP differs from other programs • Evidence based • Low cost • Pay for performance model • Decreases risk of other obesity related diseases • National infrastructure to assure fidelity

  32. The look of DPP • 16-week group based classes • Led by a skilled facilitator • Topics include healthy eating, physical activity, goal setting • Offered at YMCA and community based organizations in several counties • Can be offered onsite for employees • UnitedHealthcare covers DPP in CO for fully-insured members • $300-$400 per participant; based on outcomes

  33. Role of Business Coalitions • Educate employers about pre-diabetes and Diabetes Prevention Programs in the area 1-800-DIABETES • Support employers in identifying: • % of employees at risk • communication strategies about prediabetes and DPP • community partners • Align shared priorities and goals • Create tip sheet for how to negotiate with health plans to include the Diabetes Prevention Program

  34. For more informationCDC Diabetes Prevention and Recognition Programhttp://www.cdc.gov/diabetes/prevention/recognition/index.htm Kelly McCracken kelly.mccracken@state.co.us 303/692.2512 Marcelle Thurston marcelle.thurston@state.co.us 303/692.2519

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