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Ppod guide prediabetes Prediabetes and Primary Prevention of Type Diabetes Prediabetes is a condition in which blood glucose levels are higher than normal but not in the diabetes range PPOD and other health care providers can work with patients who are di

Prediabetes and Primary Prevention of Type Diabetes Prediabetes is a condition in which blood glucose levels are higher than normal but not in the diabetes range PPOD and other health care providers can work with patients who are diagnosed as having prediabetes to help prevent them from progressing to additional health complications Without intervention people with prediabetes will progress to type diabetes at a rate of per year Prediabetes also increases the risk of heart disease and stroke Prediabetes is de ?ned as impaired fasting glucose IFG of to mg dl impaired glucose tolerance IGT diagnosed by a post -gram glucose challenge oral glucose tolerance test of to mg dl or both IFG and IGT or a hemoglobin A C of ?? The Are You at Risk for Type Diabetes test from NDEP can help patients and providers assess individual risk for prediabetes Primary Prevention Primary prevention refers to preventing diabetes from occurring Secondary prevention refers to preventing complications in those who already have diabetes e g prevention of neuropathy and tertiary prevention refers to prevention of worsening complications e g amputation resulting from injury to a neuropathic foot or death Working Together to Manage Diabetes A GUIDE FOR PHARMACY PODIATRY OPTOMETRY AND DENTISTRY CTrend Is Not Destiny Progression to diabetes among those with prediabetes is not inevitable Studies have shown that people with prediabetes who lose weight and increase their physical activity can prevent or delay diabetes and return their blood glucose levels to normal A major National Institutes of Health NIH -supported clinical trial ??the Diabetes Prevention Program DPP study ??provided scienti ?c evidence that the onset of diabetes could be prevented or delayed in people at high risk In the DPP adults with prediabetes reduced their risk of developing diabetes during the course of the study by through lifestyle changes such as R educed fat and calorie intake I ncreased physical activity of at least minutes week e g brisk walking minutes a day days week Loss of at least to of body weight These lifestyle changes were e ?ective in preventing or delaying diabetes in all ages and all ethnic groups in the DPP Among people ages years and older progression to type diabetes was reduced by The DPP showed that moderate changes resulting in modest weight loss can make a di ?erence Interventions to prevent or delay type diabetes in individuals with prediabetes can be feasible and cost-e ?ective Research has found that lifestyle interventions are more cost-e ?ective than medications Further information on prediabetes testing recommendations and more can be found on the National Diabetes Education Program ? s NDEP Small Steps Big Rewards Prevent Type Diabetes campaign site The National Diabetes Prevention Program The National Diabetes Prevention Program is a public- private partnership of community organizations private insurers employers health care organizations and government agencies These partners are working to establish local evidence-based lifestyle change programs for people at high risk for type diabetes It is based on the DPP research study led