Public Health Approaches to Type 2 Diabetes Prevention: the US National Diabetes Prevention Program and Beyond

Curr Diab Rep. 2019 Aug 5;19(9):78. doi: 10.1007/s11892-019-1200-z.

Abstract

Purpose of review: This article highlights foundational evidence, translation studies, and current research behind type 2 diabetes prevention efforts worldwide, with focus on high-risk populations, and whole-population approaches as catalysts to global prevention.

Recent findings: Continued focus on the goals of foundational lifestyle change program trials and their global translations, and the targeting of those at highest risk through both in-person and virtual modes of program delivery, is critical. Whole-population approaches (e.g., socioeconomic policies, healthy food promotion, environmental/systems changes) and awareness raising are essential complements to efforts aimed at high-risk populations. Successful type 2 diabetes prevention strategies are being realized in the USA through the National Diabetes Prevention Program and elsewhere in the world. A multi-tiered approach involving appropriate risk targeting and whole-population efforts is essential to curb the global diabetes epidemic.

Keywords: Diabetes policy; Diabetes prevention; Diabetes prevention program; National Diabetes Prevention Program; Obesity; Type 2 diabetes.

Publication types

  • Review

MeSH terms

  • Diabetes Mellitus, Type 2 / epidemiology*
  • Diabetes Mellitus, Type 2 / prevention & control*
  • Health Promotion
  • Humans
  • Life Style
  • Preventive Health Services / statistics & numerical data
  • Public Health / methods*
  • Public Health / statistics & numerical data*
  • Risk Factors
  • United States / epidemiology