National Diabetes Prevention Program
Ann Albright, PhD, RD
Director, Division of Diabetes Translation
Centers for Disease Control and Prevention
National Center for Chronic Disease Prevention and Health Promotion
Division of Diabetes Translation
26 million
with Diabetes
79 million
with Prediabetes
Current Projections of Cases of Diabetes
in the United States by 2030
70
60
millions
50
40
30
20
10
0
2007
2010
2015
2020
2025
2030
Risk Stratification Pyramid for Diabetes Prevention
Prevalence (%)
~10 %
~25 %
~65%
10-year risk (%)
Very
High Risk
(A1c > 5.7%;
IGT; GDM)
>30 %
High Risk
(FPG > 100);
Central Obesity; HTN, age
Moderate Risk
>20 %
>10%
Low Risk
>0%
Evidence for National Diabetes Prevention Program
• The DPP research study showed that structured lifestyle
change program achieved modest weight loss of 5-7 percent
and 150 min PA/wk reduced type 2 diabetes by 58% (71% in
those over age 60) in those at high risk for type 2 diabetes
– True for all participating ethnic groups and for both men and women
– Blood pressure and lipids improved
– 10-year f/u shows continued reduction in new cases of type 2 diabetes
• Translational studies demonstrate trained lay health workers
are as effective in delivering the lifestyle change program as
health professionals
• National DPP is 1/3 of the cost of DPP research study and
demonstrates similar lifestyle change results
DISTRIBUTION
AVAILABILITY
Diffusion of
interventions
EFFICIENCY
Supply
EFFECTIVENESS
Biggest effect on
most people
EFFICACY
Real world
settings
BASIC SCIENCE
Ideal
settings
Molecular/
physiological
Adapted from information in Sinclair JC, et al. N Engl J Med. 1981;305:489–494. and
Detsky AS, et al. Ann Intern Med. 1990;113:147-154.
Recent Accomplishments
– Over 1200 lifestyle coaches are trained to conduct
the lifestyle change program
– Over 280 organizations awarded CDC recognition
(pending)
– Four private insurers and 280 self-funded
employers covering the lifestyle change program
– Work with CMS for coverage of National DPP
lifestyle change program
– AMA passed resolution supporting National DPP
– 6 National CDC grantees
Source: CDC DPRP Program Data as of 3/19/2013
THANK YOU
Questions & Discussion
For more information please contact Centers for Disease Control and Prevention
www.cdc.gov/diabetes/prevention
1600 Clifton Road NE, Atlanta, GA 30333
Telephone: 1-800-CDC-INFO (232-4636)/TTY: 1-888-232-6348
E-mail: cdcinfo@cdc.gov Web: http://www.cdc.gov
The findings and statements in this report are those of the authors and do not necessarily represent the official position of the
Centers for Disease Control and Prevention.
National Center for Chronic Disease Prevention and Health Promotion
Division of Diabetes Translation