Prevention/delay of type 2 diabetes
• Patients with prediabetes should be referred to
Diabetes Prevention Program (DPP)
Diabetes Prevention Program (DPP)
an intensive diet loss of 7% of body weight
– physical activity increase their moderate intensity physical activity (such as brisk walking) to at least
150 min/week.
150 min/week.
A
– behavioral counseling program
– behavioral counseling program
• Follow-up counseling and maintenance programs should be
offered for long-term success in preventing diabetes.
offered for long-term success in preventing diabetes.
• Based on the cost-effectiveness of diabetes prevention, such
programs should be covered by third-
programs should be covered by third-
party payers.
Metformin for prevention of type 2 diabetes should
be considered in those with prediabetes, especially
with:
be considered in those with prediabetes, especially
with:
– BMI > 35 kg/m2,
– aged < 60 years,
– women with prior gestational diabetes mellitus.
• At least annual monitoring for the development of diabetes in those with prediabetes.
Screening for and treatment of modifiable risk factors
for cardiovascular disease is suggested. Diabetes self-management education and support
programs can prevent or delay the onset of diabetes.
for cardiovascular disease is suggested. Diabetes self-management education and support
programs can prevent or delay the onset of diabetes.
• Technology-assisted tools (Internet-based social
networks, distance learning, DVD-based content, and
mobile applications) can be useful for effective lifestyle
networks, distance learning, DVD-based content, and
mobile applications) can be useful for effective lifestyle
modification to prevent diabetes
