Practical Tips for Implementing the Diabetes Prevention Program in Clinical Practice
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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.
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.
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.
KeywordsPrediabetes Obesity DPP Prevention Lifestyle
Thank you to Shannon Haffey, MHSA, and Annalynn Skipper, PhD, RD, at the AMA for thoughtful review of the manuscript.
Compliance with Ethical Standards
Conflict of Interest
Carolyn Bradner Jasik is employed by Omada Health, Inc. and owns stock in the company. This company is referenced (among others) in the manuscript. She also owns stock in Mango Health, Inc. This company does medication adherence programming, which is not referenced in this manuscript.
Elizabeth Joy reports grants from the America Medical Association.
Kimberly D. Brunisholz and Katherine Kirley declare that they have no conflict of interest.
Human and Animal Rights and Informed Consent
This article does not contain any studies with human or animal subjects performed by any of the authors.
The views expressed in this article are those of the authors and should not be interpreted as American Medical Association policy.
Papers of particular interest, published recently, have been highlighted as: •• Of major Importance
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