The National Diabetes Education Program at 20 Years: Lessons Learned and Plans for the Future

Siminerio, Linda M.; Albright, Ann; Fradkin, Judith; Gallivan, Joanne; McDivitt, Judith; Rodriguez, Betsy; Tuncer, Diane; Wong, Faye L.

doi:10.2337/dc17-0976

Cited by 23 publications

(15 citation statements)

References 33 publications

(29 reference statements)

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“…The YMCA also provided the DPP to Medicare beneficiaries with prediabetes in participating YMCAs nationwide (1,6), reducing medical spending and utilization, inpatient admissions, and emergency department visits. In 2010, the National DPP (NDPP) was authorized by Congress to build an infrastructure of community-based programs across the country (74), with new regulations expanding CMS coverage for Medicare beneficiaries in 2015 (91,125). As mandated and funded by Congress, the Indian Health Service implemented the Special Diabetes Program for Indians demonstration project, translating the DPP lifestyle intervention across rural, reservation, and urban American Indian/Alaska Native communities (62).…”

Section: Research Gaps and Implications Of Current Translation Researchmentioning

confidence: 99%

“…Despite a level of broad success, the DPP has been translated less effectively in populations at risk for disparities (125). Recent findings from the NDPP found that non-Hispanic whites lose more weight than do Hispanics and non-Hispanic blacks; low-income participants lose less weight than do those from high-income communities.…”

Section: Research Gaps and Implications Of Current Translation Researchmentioning

confidence: 99%

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The Next Generation of Diabetes Translation: A Path to Health Equity

Haire‐Joshu

Hill-Briggs²

2019

Annu. Rev. Public Health

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Disparities in diabetes burden exist in large part because of the social determinants of health (SDOH). Translation research and practice addressing health equity in diabetes have generally focused on changing individual behavior or providing supportive approaches to compensate for, rather than directly target, SDOH. The purpose of this article is to propose a pathway for addressing SDOH as root causes of diabetes disparities and as an essential target for the next generation of interventions needed to achieve health equity in diabetes prevention and treatment. This review describes ( a) the current burden of diabetes disparities, ( b) the influence of SDOH on diabetes disparities, ( c) gaps in and implications of current translation research, and ( d) approaches to achieving health equity in the next generation of diabetes translation.

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Section: Research Gaps and Implications Of Current Translation Researchmentioning

confidence: 99%

Section: Research Gaps and Implications Of Current Translation Researchmentioning

confidence: 99%

The Next Generation of Diabetes Translation: A Path to Health Equity

Haire‐Joshu

Hill-Briggs²

2019

Annu. Rev. Public Health

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“…Diabetes prevalence has increased over time not only in adults; in the last two decades, T2DM has become increasingly more frequent among youth worldwide, a trend that seems to be especially related to obesity . The highest prevalence has been observed in the United States, where T2DM represents 10% to 50% of new cases of diabetes among adolescents and over 50% among minority groups, including Latin and Hispanic youth. In contrast, in Europe, T2DM is considered a rare disease, accounting for only 2% of new diabetes cases among youth .…”

Section: Introductionmentioning

confidence: 99%

Prevalence of type 2 diabetes among adolescents in Brazil: Findings from Study of Cardiovascular Risk in Adolescents (ERICA)

et al. 2019

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Background Type 2 diabetes mellitus (T2DM) in adolescents represents a clinical challenge related to lifestyle and obesity; however, only a few data are available in developing countries. Therefore, our aim was to investigate the prevalence of T2DM and prediabetes among Brazilian adolescents, as well as to describe the cardio‐metabolic profile according to the diagnosis. Methods This is a cross‐sectional school‐based multicenter study including youth aged 12 to 17 years from cities with more than 100 000 inhabitants in Brazil (n = 37 854 students). Fasting glucose, hemoglobin A1c (HbA1c) and other cardio‐metabolic risk factors were measured. Prediabetes was defined by glucose levels 100 to 125 mg/dL or HbA1c 5.7% to 6.4%. T2DM was defined by self‐report, glucose ≥126 mg/dL or HbA1c ≥ 6.5%. Multinomial logistic regression was used to estimate the odds ratio (OR) of prediabetes or T2DM according to covariates. Results Prevalences of prediabetes and T2DM were 22.0% (95% confidence interval [CI] 20.6%‐23.4%) and 3.3% (95% CI 2.9%‐3.7%), respectively. This estimates represented 213 830 adolescents living with T2DM and 1.46 million adolescents with prediabetes in Brazil. Prevalences of cardio‐metabolic risk factors were higher in adolescents with prediabetes and T2DM. In the multinomial logistic model, obesity (OR 1.59, 95% CI 1.20‐2.11), high waist circumference (OR 1.51, 95% CI 1.13‐2.01), and skipping breakfast (OR 1.48, 95% CI 1.21‐1.81) were associated with an increased OR for T2DM, while studying at rural area (OR 0.56, 95% CI 0.41‐0.78) was associated with a decreased OR for T2DM. Conclusions The prevalence of T2DM and prediabetes was high among Brazilian adolescents, which highlights that this disease became a public health challenge not only among adults in Brazil.

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“…For long-term success, diabetes health education is critical. The National Diabetes Education Program (NDEP) was established to translate findings from diabetes research studies into clinical and public health practice [ 7 ]. To achieve this task, patients and providers work together in a long-term, ongoing process.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of Systematic Health Education Model for Type 2 Diabetes Patients

Yong-wen

Chu

2018

International Journal of Endocrinology

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Background Health education is considered to be essential in the overall care of patients with type 2 diabetes mellitus (T2DM); systematic health education integrates individual education not only during hospitalization but also extended care outside of a hospital. To test effectiveness of the systematic health education model for T2DM, we conducted a randomized study with a control group among patients with T2DM living in Nanjing, China. Methods 998 eligible patients completed the enrollment and were randomized to systematic health education model and conventional model groups (498 and 500 patients, resp.). The systematic health education model was based on the following aspects: image education, visitation of the exhibition hall, dissemination of educational materials, individualized medical nutrition therapy and exercise programs, WeChat group and regular health lectures, evaluation of complications, lifestyle modification, systematic treatment scheme, self-monitoring of glycemic control, monthly evaluation of the therapeutic effect, proposed improvement measures, and individualized follow-up scheme. The main outcome measures were glycated hemoglobin A1c (HbA1c), blood pressure, body mass index (BMI), and lipids during the 2-year follow-up. Results The systematic health education model led to a favorable variation in HbA1c, LDL cholesterol, and systolic blood pressure (SBP) (P < 0.05). After adjusted analysis, the HbA1c decreased by 0.67% (P < 0.01) in the systematic health education model, SBP decreased by 10.83 mmHg (P < 0.01), and the level of diastolic blood pressure (DBP), HDL cholesterol, and total cholesterol decreased slightly and was not significant. The BMI did not change significantly during the study in either of the two groups. Conclusions The systematic health education model is a useful method in the treatment of T2DM because it contributes to decrease in HbA1c, LDL cholesterol, and SBP levels, as well as helps in increasing the compliance with the control criteria, except for DBP and BMI.

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The National Diabetes Education Program at 20 Years: Lessons Learned and Plans for the Future

Cited by 23 publications

References 33 publications

The Next Generation of Diabetes Translation: A Path to Health Equity

The Next Generation of Diabetes Translation: A Path to Health Equity

Prevalence of type 2 diabetes among adolescents in Brazil: Findings from Study of Cardiovascular Risk in Adolescents (ERICA)

Effectiveness of Systematic Health Education Model for Type 2 Diabetes Patients

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