Impact of a Digital Diabetes Prevention Program on Estimated 8-Year Risk of Diabetes in a Workforce Population

J Occup Environ Med. 2022 Oct 1;64(10):881-888. doi: 10.1097/JOM.0000000000002598. Epub 2022 Jun 21.

Abstract

Objective: We asked whether the estimated 8-year risk of diabetes could be reduced within the first 2 years of a digital Diabetes Prevention Program (dDPP) in a workforce population.

Methods: Employees and spouses were eligible if they had prediabetes-range fasting glucose or hemoglobin A 1c and body mass index ≥25 kg/m 2 . Diabetes risk was assessed using the Framingham diabetes risk score in the year before and the 2 years after dDPP initiation.

Results: Among participants completing at least nine dDPP lessons ( n = 286), diabetes risk decreased 5.3% the year after dDPP initiation, after a 5.4% increase the year before initiation (difference in differences, -10.6%; 95% confidence interval, -13.4% to -7.9%; P < 0.001), with risk maintained at reduced levels after the second year of the program.

Conclusion: This dDPP reduced the estimated 8-year risk of diabetes over the first 2 years of the program.

MeSH terms

  • Blood Glucose
  • Diabetes Mellitus, Type 2* / epidemiology
  • Diabetes Mellitus, Type 2* / prevention & control
  • Glucose
  • Glycated Hemoglobin / analysis
  • Humans
  • Prediabetic State* / epidemiology
  • Prediabetic State* / prevention & control
  • Workforce

Substances

  • Blood Glucose
  • Glycated Hemoglobin A
  • Glucose