Practical Tips for Implementing the Diabetes Prevention Program in Clinical Practice

• Published in: Current diabetes reports Vol. 18; no. 9; pp. 70 - 8
• Main Authors: Jasik, Carolyn Bradner, Joy, Elizabeth, Brunisholz, Kimberly D., Kirley, Katherine
• Format: Journal Article
• Language: English
• Published: New York Springer US 01.09.2018; Springer Nature B.V
• Subjects: Diabetes; Diabetes Mellitus - economics; Diabetes Mellitus - prevention & control; Health Care Delivery Systems and Implementation in Diabetes (ME McDonnell and AR Sadhu; Humans; Insurance, Health, Reimbursement; Medicine; Medicine & Public Health; Obesity; Practice Patterns, Physicians; Prediabetic State - epidemiology; Prediabetic State - prevention & control; Prevention programs; Referral and Consultation; Section Editors; Topical Collection on Health Care Delivery Systems and Implementation in Diabetes; Prevention; Obesity; Lifestyle; Prediabetes; DPP
• ISSN: 1534-4827; 1539-0829
• DOI: 10.1007/s11892-018-1034-0

Purpose of Review The Diabetes Prevention Program (DPP) is an evidence-based lifestyle change program for prediabetes that is associated with a 58% reduction in 3-year diabetes incidence, and it has been supported by the American Medical Association and the Centers for Disease Control and Prevention. However, 9 in 10 patients are unaware they have the condition. Recent Findings With the passage of the Affordable Care Act (ACA) and broadened coverage for preventive services, the DPP has emerged as an accessible intervention in patients at risk. In 2018, Medicare began to cover the DPP, making it widely available for the first time to any patient over the age of 65 meeting eligibility criteria. Summary The DPP is an evidence-based, widely available, frequently covered benefit, for lifestyle change for patients with prediabetes. To take advantage of this intervention, providers need to develop prediabetes screening and DPP referral workflows.