Key Takeaways

  • There are 96 million American adults who have prediabetes, or 1 in 3 adults.

  • The National Diabetes Prevention Program (DPP) provides the opportunity for people with prediabetes or at risk for type 2 diabetes to participate in evidence-based, affordable, and high-quality lifestyle change programs.

  • These Centers for Disease Control and Prevention (CDC)-recognized programs help older adults reduce their risk of type 2 diabetes and improve their overall health.

The National Diabetes Prevention Program (DPP) works to make it easier for people with prediabetes to participate in affordable, high-quality lifestyle change programs to reduce their risk of type 2 diabetes and improve their overall health.

Through the National DPP, partner organizations are able to:

  • Deliver CDC-recognized lifestyle change programs nationwide
  • Ensure quality and adherence to proven standards
  • Train community organizations that can run the lifestyle change program effectively
  • Increase referrals to and participation in CDC-recognized lifestyle change programs
  • Increase coverage by employers and public and private insurers

All CDC-recognized lifestyle change programs follow a CDC-approved curriculum and discuss the same topics over the year. But, lifestyle coaches will adapt the sessions to match the group’s background, interests, and needs. 

NoteTrack health promotion program guidance during COVID-19 regularly for updates to program implementation and training options. Programs traditionally implemented in-person may be temporarily allowable by telephone or online.

  • Target audience: 

To participate in a CDC-recognized lifestyle change program, participants need to meet ALL 4 of these requirements:

You’ll also need to meet 1 of these requirements (unless you are enrolling in the Medicare Diabetes Prevention Program, which has different criteria):

  • Had a blood test result in the prediabetes range within the past year (includes any of these tests and results):
    • Hemoglobin A1C: 5.7–6.4%.
    • Fasting plasma glucose: 110–125 mg/dL.
    • 2-hour plasma glucose (after a 75 g glucose load): 140–199 mg/dL.
  • Be previously diagnosed with gestational diabetes (diabetes during pregnancy).
  • Received a high-risk result (score of 5 or higher) on the Prediabetes Risk Test.
  • Health outcomes
    • Participants who lost 5-7% of their body weight and added 150 minutes of exercise per week cut their risk of developing type 2 diabetes by up to 58% (71% for people over 60 years old).​​​​​
    • A decade later, participants were one-third less likely to develop type 2 diabetes than individuals who did not join a program.
    • Participation has been found to lower the risk of having a heart attack or stroke, improve your health, help you feel more energetic, and reverse a prediabetes diagnosis.
  • Delivered by: Trained Lifestyle Coach
  • Program type: Group
  • Format: In-person in community setting or online
  • Length: 1 year (Weekly meetings for the first 6 months, monthly or bimonthly meetings for the last six months.)
  • Training: Lifestle Coach and Advanced Lifestyle Coach training are availanle in-person or online
  • Professional required: No
  • Available in languages other than English: Yes, there’s also a Spanish-language curriculum, so some programs are offered completely in Spanish.
  • Cultural adaptations:
  • Accessibility adaptations: 
  • Topic(s):
    • Chronic Conditions
    • Medication Management
    • Diet & Nutrition
    • Exercise & Fitness

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