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.
Note: Track 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:
- Be 18 years or older (Or aged 65+ for the Medicare Diabetes Prevention Program)
- Have a body mass index (BMI) of 25 or higher (23 or higher if you are Asian American).
- Not be previously diagnosed with type 1 or type 2 diabetes.
- Not be pregnant
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:
- Chronic Conditions
- Medication Management
- Diet & Nutrition
- Exercise & Fitness