Diabetes Prevention Program (dpp)
The Diabetes Prevention Program (DPP) was a major multicenter clinical research study aimed at discovering whether modest weight loss through dietary changes and increased physical activity or treatment with the oral diabetes drug metformin (Glucophage) could prevent or delay the onset of type 2 diabetes in study participants. At the beginning of the DPP, participants were all overweight and had blood glucose, also called blood sugar, levels higher than normal but not high enough for a diagnosis of diabetes - a condition called prediabetes. The DPP found that participants who lost a modest amount of weight through dietary changes and increased physical activity sharply reduced their chances of developing diabetes. Taking metformin also reduced risk, although less dramatically. The DPP resolved its research questions earlier than projected and, following the recommendation of an external monitoring board, the study was halted a year early. The researchers published their findings in the February 7, 2002, issue of the New England Journal of Medicine . In the DPP, participants from 27 clinical centers around the United States were randomly divided into different treatment groups. The first group, called the lifestyle intervention group, received intensive training in diet, physical activity, and behavior modification. By eating less fat and fewer calories and exercising for a total of 150 minutes a week, they aimed to lose 7 percent of their body weight and maintain that loss. The second group took 850 mg of metformin twice a day. The third group received placebo pills instead of metformin. The metformin and placebo groups also received information about diet and exercise but no intensive motivational counseling. A fourth group was treated with the drug troglitazone (Rezu Continue reading >>
Diabetes Prevention: 5 Tips For Taking Control
Changing your lifestyle could be a big step toward diabetes prevention — and it's never too late to start. Consider these tips. When it comes to type 2 diabetes — the most common type of diabetes — prevention is a big deal. It's especially important to make diabetes prevention a priority if you're at increased risk of diabetes, such as if you're overweight or you have a family history of the disease. Diabetes prevention is as basic as eating more healthfully, becoming more physically active and losing a few extra pounds. It's never too late to start. Making a few simple changes in your lifestyle now may help you avoid the serious health complications of diabetes down the road, such as nerve, kidney and heart damage. Consider the latest diabetes prevention tips from the American Diabetes Association. 1. Get more physical activity There are many benefits to regular physical activity. Exercise can help you: Lose weight Lower your blood sugar Boost your sensitivity to insulin — which helps keep your blood sugar within a normal range Research shows that aerobic exercise and resistance training can help control diabetes. The greatest benefit comes from a fitness program that includes both. 2. Get plenty of fiber It's rough, it's tough — and it may help you: Reduce your risk of diabetes by improving your blood sugar control Lower your risk of heart disease Promote weight loss by helping you feel full Foods high in fiber include fruits, vegetables, beans, whole grains and nuts. 3. Go for whole grains It's not clear why, but whole grains may reduce your risk of diabetes and help maintain blood sugar levels. Try to make at least half your grains whole grains. Many foods made from whole grains come ready to eat, including various breads, pasta products and cereals. Look Continue reading >>
Not A Diet Program, A Prevention Program
Dave Kersten wasn’t interested in a diet of lettuce. He didn’t want to give up eating out with friends and enjoying food. His wife, Judy, had tried to drag him into her diet programs before, but Dave didn’t want any part of them. He was so resistant, when Judy cooked, what he called “some sort of squash spaghetti dinner,” he’d swing by a burger joint before heading home, he said. “I’ve always been up and down with my weight,” Judy admitted. “And there are good programs where you lose weight quickly, but you don’t keep it off, and Dave has never tried things with me.” Judy, however, didn’t give up on herself or Dave. Both found out at their annual wellness exams that they had high A1C (blood glucose) levels — a precursor for Type 2 diabetes. Having heard about UCHealth’s Diabetes Prevention Program in northern Colorado, Judy gave one more push to convince Dave to join her in addressing their health concerns. “I thought I’d give the class a shot for a week and see what happened,” Dave said. “Just like everything else, I thought it would be a waste of time. I’d never been able to lose weight in my life.” At 70 years old and 5 feet, 11 inches tall, Dave weighed 284 pounds. Preventing diabetes This is a year-long program with 22 in-person classes to promote long-term lifestyle change to prevent Type 2 diabetes and other related disease including cardiovascular disease. The next sessions are: 5:30-6:30 p.m. starting Jan. 30, 2018 at UCHealth Poudre Valley Hospital. Noon-1 p.m. starting Feb. 21, 2018 at UCHealth Medical Center of the Rockies. To register or if you have questions, call Teresa at 970.616.6680. The UCHealth Diabetes Prevention Program is an evidence-based, lifestyle-change program, according to Linda Schoon, UCHealth regi Continue reading >>
Diabetes Prevention Program (dpp)
Please click here to go to the Diabetes Prevention Program Study Documents website. The Diabetes Prevention Program (DPP) was a major clinical trial, or research study, aimed at discovering whether either diet and exercise or the oral diabetes drug Metformin (Glucophage) could prevent or delay the onset of type 2 diabetes in people with Impaired Glucose Tolerance (IGT). The answer is yes, they both can. In fact, the DPP Study found that over 3 years, beneficial changes in diet and physical activity greatly reduced the chances that a person with IGT would develop diabetes. Metformin also reduced risk, although less dramatically. The DPP resolved these questions so quickly that, on the advice of an external monitoring board, the program was halted a year early. The researchers published their findings in the February 7, 2002, issue of the New England Journal of Medicine. DPP Study Design and Goals In the DPP, participants from 27 clinical centers around the country were randomly split into different treatment groups. The first group, called the lifestyle intervention group, received intensive training in diet, exercise, and behavior modification. By eating less fat and fewer calories and exercising for a total of 150 minutes a week, participants aimed to lose 7% of their body weight and maintain that loss. The second group took 850 mg of Metformin twice a day. The third group received placebo pills instead of Metformin. The Metformin and placebo groups also received information on diet and exercise, but no intensive counseling efforts. A fourth group was treated with the drug Troglitazone (Rezulin). This part of the study was discontinued after researchers discovered that Troglitazone can cause serious liver damage. All 3,234 study participants were overweight and had IGT Continue reading >>
Diabetes Prevention Program
By improving your diet and increasing physical activity, you can reverse prediabetes and reduce your risk of diabetes in the future. Making healthy food choices and getting regular physical activity can lower weight, blood pressure and cholesterol - and help you keep a normal blood sugar level. Programs that focus on diet and physical activity - like the - are proven to reduce the risk of type 2 diabetes by up to 58% (71% reduction for those over age 60). The Diabetes Prevention Program The Diabetes Prevention Program (DPP) is a year-long, group program held at a local community or health center, such as a YMCA. A trained lifestyle coach will help you learn: • Practical ways to eat healthy • How to add physical activity to your daily routine • How to manage stress What can I do to lower my risk? 5 Healthy Choices I Can Make Today Making healthy food choices when you’re busy can be hard – but it’s one of the most important things you can do for your health. A healthy diet helps control your weight, blood pressure, cholesterol and blood sugar, which reduces your risk for type 2 diabetes. Start with small steps that can make a big difference. 1 Fill-up on non-starchy vegetables You can't have too many non-starchy vegetables like leafy greens (chard or kale:, broccoli or green beans, so eat up! Avoid potatoes and potato-based foods which contain a lot of starch and cause blood sugar to go up quickly, which is important to avoid for people with diabetes 2 Go for healthy proteins Healthy proteins include lean meats like chicken and turkey, or fish, beans, nuts, lo-fat cheeses, and soy products. Thy to limit red meat, especially processed red meat. Yogurt is also another healthy protein, so choose a low-fat or no fat option without added sugar. 3 Choose whole grain Continue reading >>
Preventing Diabetes Naturally (type 2, Diet, Causes, Symptoms)
Type 2 diabetes prevention tips and facts While genetics plays an important role in the development of diabetes, an individual still has the ability to influence their health to prevent type 2 diabetes. There is no known way to prevent type 1 diabetes. This article focuses on ways to control risk factors for type 2 diabetes. People should watch their weight and exercise on a regular basis to help reverse prediabetes, and prevent the development of type 2 diabetes. Diet is important because it helps with weight loss. Some foods such as nuts in small amounts provide health benefits in blood sugar regulation. There is no single recommended diabetes prevention diet, but following a sound nutrition plan and maintaining a healthy weight are important steps in preventing the disease. Exercise is even more beneficial with weight loss in the prevention of type 2 diabetes. Smoking is harmful in many ways including increasing the risk of cancer and heart disease. It also increases the risk of developing type 2 diabetes. There are medications available that have been shown in large trials to delay or prevent the onset of overt diabetes. Metformin (Glucophage) is recommended by the American Diabetes Association for prevention of diabetes in high-risk people. The coming years will be very exciting regarding the advances in the field of prevention of diabetes. However, the cornerstone of therapy will likely remain a healthy lifestyle. There are two major forms of diabetes - type 1 and type 2. This article focuses specifically on the prevention of type 2 diabetes since there is no know way to prevent type 1 diabetes. This form of diabetes is virtually a pandemic in the United States. This information reviews the risk factors for developing type 2 diabetes and reviews key points regardi Continue reading >>
Your 5-week Diabetic Diet Meal Plan
The Outsmart Diabetes Diet is based on new research that found four specific nutrients—fiber, vitamin D, omega-3s, and calcium—work together to help balance blood sugar and encourage weight loss. Build your daily diabetic diet meal plan by choosing one breakfast, one lunch and one dinner, plus two snacks—any combination gets you approximately 1,400 calories a day and a healthy dose of the "Fat-Fighting 4." Remember to eat about every 3 hours and practice portion control. Prevention Premium: What Every Woman Knows About Erectile Dysfunction Follow this mix and match diabetic diet meal plan—adapted from The Outsmart Diabetes Diet—for the next five weeks to help fight fat, maintain healthy blood sugar levels, boost energy, and reduce your diabetes risk. BREAKFAST Fruity bagel breakfast: Spread 1 Tbsp light cream cheese and 1 tsp 100% fruit spread on ½ of a whole grain bagel. Serve with 1 c fat-free milk. Crunchy yogurt: Combine 6 oz fat-free light yogurt, ¼ c granola cereal, 1 Tbsp ground flax seed, and 1 Tbsp chopped nuts. Add ground cinnamon and/or sugar substitute to taste. Eggs and English muffin: Scramble 1 egg in a pan coated with 1 tsp canola or olive oil; top with ¼ c chopped tomato, onion, and chile salsa. Serve with toasted 100% whole grain English muffin, spread with 2 Tbsp low-fat (1%) cottage cheese, and 1 c fat-free milk. Instead of scrambled eggs, try poaching an egg: Good Morning Blend: Stir together 6 ounces fat-free yogurt, 2 Tbsp dried mixed fruit, 2 Tbsp ground flax seed and 2 Tbsp chopped almonds, walnuts, or pecans. Nutty Oatmeal: Top ½ c cooked oatmeal with ¼ c walnuts or other nuts; add ground cinnamon and/or sugar substitute to taste. Serve with 1 c fat-free milk or calcium-enriched soy or rice beverage. Bagel and cream cheese: Sprea Continue reading >>
Diabetes Prevention Program - Lindora Clinic
86 million American adults are prediabetic, making them up to 30% more likely to develop type 2 diabetes within five years 1 . Long-term complications can include cardiovascular disease and damage to your eyes, feet, kidneys, and nerves. The good news? With a little exercise and a change in diet, the symptoms often can be reversed. For more than 45 years, Lindora Clinic has been helping to prevent prediabetes through our comprehensive therapeutic lifestyle program. The Lindora Diabetes Prevention Program is personalized, customized, and delivered through a one-on-one relationship with a team of medical providers, nurses, and coaches. Your health plan may cover the cost of the program. Check with your insurer. Lindoras program begins with a personalized assessment to determine and optimize a plan for you. Our in-clinic programs help you identify your unique needs and challenges. We then help you knock down the barriers to weight loss. Making you smarter every day. Giving you the tools you need to feel supported and stay motivated. Our goal is to help you achieve and maintain a 7% minimum weight loss at one year.* Continue reading >>
- Improved pregnancy outcomes in women with type 1 and type 2 diabetes but substantial clinic-to-clinic variations: a prospective nationwide study
- A National Effort to Prevent Type 2 Diabetes: Participant-Level Evaluation of CDC’s National Diabetes Prevention Program
- YMCA's Diabetes Prevention Program
What To Know About Diabetes Prevention Programs
Thanks in part to the YMCA Diabetes Prevention Program, 41-year-old Erin Rothermel was able to lose 60 pounds and reduce his blood pressure, among other health improvements. Eric Rothermel, now 41, has always been mindful of his health. A tobacco control professional at the YMCA in Harrisburg, Pennsylvania, he knows the importance of following a healthy diet, exercising, and watching your weight. But when he turned 39, he realized that some of his habits, like his waning physical activity, were beginning to catch up with him: His weight had crept up, and he could feel his energy levels plummeting. When I weighed 282 pounds, I could feel it by the end of the day, Rothermel says. I was dragging. Based on his weight, Rothermels colleague, who also happened to be Rothermels lifestyle coach, Megan Maurer, gave him a diabetes risk assessment questionnaire. The questionnaire showed that because of risk factors like a family history of diabetes and his body mass index (BMI) Eric was at risk of developing type 2 diabetes. She suggested that he try the YMCAs Diabetes Prevention Program (DPP) . To be completely honest, I wasnt thrilled about it, Rothermel says of the yearlong program. I knew what to do, and I knew I could get this under control. However, I wasnt doing anything about it. Despite his skepticism, Rothermel joined the program. How Diabetes Prevention Programs May Help Change the Course of Your Health While every DPP has its own distinct features, the overall aim of these programs is to help people with prediabetes avoid developing full-blown type 2 diabetes. The Centers for Disease Control and Prevention (CDC) maintains a list of many local DPP programs, including ones run by the YMCA. The agency also created the National DPP, a network of public and private organiza Continue reading >>
New Diabetes Prevention Program Is A Weight-loss Plan In Disguise
The government plans to create a diabetes prevention program for Medicare and Medicaid beneficiaries with prediabetes. Sounds good, but the program may well hurt more people than it helps. The new program will be called MDPP, or Medicare Diabetes Prevention Program. The program is not new, but this is the first time Medicare will be paying for it and supervising it. MDPP will consist of 16 sessions, mostly training on diet and exercise. It sounds like people will be getting useful support, but for what? The Center for Medicare & Medicaid Services (CMS) proposal rarely mentions the words “glucose” or “blood pressure.” It’s nearly all about weight loss. People will have to weigh in at every session. There is no provision for testing of HbA1c levels or even blood pressure checks. Except for a few mentions, you will search in vain through the dozens of pages of regulations for the terms HbA1c or fasting blood sugar. People will have to have numbers in the prediabetes range to qualify for services. From then on, it’s mainly about weight. If you want to read the report, you can see it here. Why is a weight-loss program pretending to be a diabetes program, and what’s wrong with that? CMS wants hard data, and the easiest data to get is weight. No lab tests, no professional examination. Just step on a scale. But weight is not diabetes. Roughly 10% to 20% of people with Type 2 are not heavy, and most heavy people do not get diabetes. Yes, weight loss is often accompanied by lower glucose numbers. Dr. Roy Taylor showed that a very-low-calorie diet could reverse Type 2. Eating a low-carb diet while exercising more will likely lower your weight in the short-term and improve your sugar levels. But is it the weight loss that lowers sugars, or is it the behaviors that pro Continue reading >>
The Y : Ymca's Diabetes Prevention Program
More than 200 Ys across the country help thousands of people reduce their risk for developing type 2 diabetes with YMCAs Diabetes Prevention Program. This small-group program helps people with prediabetes eat healthier, increase their physical activityand lose weight, which can delay or even prevent the onset of type 2 diabetes. Diabetes is a chronic disease that causes blood sugar levels to rise higher than normal. Diabetes affects more than 29 million people. A condition calledprediabetesoccurs when blood sugar levels are higher than normal but not high enough for a type 2 diabetes diagnosis. More than 86 million Americans have prediabetes and are at risk of developing diabetes. Diabetes has no cure, but prediabetes can be reversed. Chances are you know at least one person with diabetes and probably more than one with prediabetes. To find out if you are at risk, take this quick test . Then share the test with friends and family. If you find out you or someone you know is at risk for developing diabetes, the YMCA's Diabetes Prevention Program can help. Find out if a Y near you runs the program . Continue reading >>
The Weight Watchers Program*
Recognized as a National Diabetes Prevention Program by the Centers for Disease Control and Prevention (CDC).** Positive lifestyle changes, such as losing weight and being more physically active, not only lower your risk of developing type 2 diabetes, but also improve your overall well-being and the well-being of your family.*** Numerous expert panels recommend lifestyle changes as a key strategy for weight loss, and highlight that group support and trained Leaders are critical keys to success.‡ Weight Watchers has been tested in those with prediabetes and the results show significant weight loss and improvements in blood sugar control in 6 months, and most importantly, sustained those improvements over 12 months.† PROVEN PROGRAM You'll make healthier food choices and discover fun ways to move more each day to help you lose weight. SUPPORT Real-world weight-loss strategies from a trained Leader and members just like you. FLEXIBILITY You can start the program at any time. The DPP curriculum is incorporated in the standard Weight Watchers program, which is repeated frequently through the year. There numerous times and locations so you can find the meeting that fits your life. * The Weight Watchers program and guidance is not intended as a substitute for medical diagnosis or treatment; you should always consult your physician or health care provider about any health care issues. ** Weight Watchers has received pending recognition from the CDC as a provider of diabetes prevention services as of August 2015. ***CDC Website. “About Prediabetes & Type 2 Diabetes.” † Marrero et al. Comparison of commercial and self-initiated weight loss programs in people with prediabetes: a randomized controlled trial. Am J Public Health 2016;106(5):949-956. ‡ Jensen MD et al. 2013 Continue reading >>
Jenny Craig Joins Cdcs National Diabetes Prevention Program
Jenny Craig Joins CDCs National Diabetes Prevention Program Named a Top Diet in U.S. News & World Reports 2016 Best Diets Rankings Carlsbad, Calif. (April 7, 2016) Jenny Craig , a leader in the weight loss industry, announced today it has joined hands with the U.S. Centers for Disease Control and Prevention (CDC) to help people living with prediabetes reduce their risk for developing type 2 diabetes. Additionally, for the 6th consecutive year, Jenny Craig was named a top diet program by U.S. News & World Report , earning recognition in several categories including weight loss, ease of compliance, and ability to prevent or manage type 2 diabetes and heart disease. Prediabetes is a serious medical condition that can increase a persons risk of developing type 2 diabetes, as well as diabetes-related conditions such as heart disease and stroke. With changes in diet and increased physical activity though, prediabetes can be reversed. Research shows that participation in a year-long, structured lifestyle change program reduced the incidence of type 2 diabetes by 58 percent among adults with prediabetes, and by 71 percent among those aged 60 years or older with prediabetes.1 Jenny Craig recently received recognition as a provider of the CDCs National Diabetes Prevention Program (NDPP). Based on the findings of the National Institutes of Health-funded Diabetes Prevention Program clinical trial, the National Diabetes Prevention Program is an evidence-based lifestyle change program intended to prevent type 2 diabetes. Eighty-six million American adults have prediabetes, and 9 out of 10 of them dont know they have it. 2 The good news is by losing just 5 percent to 7 percent of their body weight, many people with prediabetes can avoid progressing to type 2 diabetes, 1 said Ann Albr Continue reading >>
Evaluation Of The Ymca Diabetes Prevention Program
Evaluation of the YMCA Diabetes Prevention Program Evaluation of the YMCA Diabetes Prevention Program Study connects a lifestyle intervention with health care savings Center for Medicare and Medicaid Innovation (Innovation Center) Type 2 diabetes widely afflicts the U.S. adult population, with more than one-third of adults at risk. In addition to the impact on patients and families, diabetes imposes a substantial burden on Medicare. According to the Centers for Medicare & Medicaid Services (CMS), one in four Medicare patients has diabetes, and treating diabetes consumes one-third of Medicare spending. More than 30 years of research shows that improving diet, exercising more, and losing weight can reduce the prevalence and incidence of Type 2 diabetes. But until now, few studies tied such lifestyle interventions to health care savings. In 2012 CMS provided an $11.8 million award to the YMCA to test whether a specific education program could reduce diabetes prevalence and incidence and reduce the cost of care. The award allowed the YMCA to implement the Centers for Disease Control and Preventions National Diabetes Prevention Program (DPP) at more than 250 locations in 11 states. An Educational Diet and Exercise Program Designed to Help Patients Lower the Risk of Becoming Diabetic Individuals with pre-diabetes aged 65 and over were invited to participate in the YMCA program, which was intended to help participants lose 5 percent of their total body weight and to gradually increase their physical activity to 150 minutes per week. Prediabetics have blood sugar levels that are higher than normal, making them at higher risk for developing diabetes. The CDC reports that losing 5 to 7 percent of body weight reduces the risk that prediabetes will progress to diabetes by 58 perce Continue reading >>
Diabetes Prevention Program | Diabetic Mediterranean Diet
Paula Deens recent announcement of her type 2 diabetes got me to thinking about diabetes prevention again. If youre at high risk of developing diabetes you can reduce your risk of full-blown type 2 diabetes by 58% with intensive lifestyle modification. Heres how it was done in a 2002 study : The goals for the participants assigned to the intensive lifestyle intervention were to achieve and maintain a weight reduction of at least 7 percent of initial body weight through a healthy low-calorie, low-fat diet and to engage in physical activity of moderate intensity, such as brisk walking, for at least 150 minutes per week. A 16-lesson curriculum covering diet, exercise, and behavior modification was designed to help the participants achieve these goals. The curriculum, taught by case managers on a one-to-one basis during the first 24 weeks after enrollment, was flexible, culturally sensitive, and individualized. Subsequent individual sessions (usually monthly) and group sessions with the case managers were designed to reinforce the behavioral changes. Although the Diabetes Prevention Program encouraged a low-fat diet, another study from 2008showed that a low-fat diet did nothing to prevent diabetes in postmenopausalwomen . I dont know Paula Deen. Ive never watched one of her cooking shows. She looks overweight and Id be surprised if shes had a good exercise routine over the last decade. Im sorry shes part of the diabetes epidemic we have in the U.S. I wish her well. Amy Tenderich posted the transcript of her brief interview with Paula , who calculates her sweet tea habit gave her one-and-a-half cups of sugar daily). Nearly 27% of American adults age 65 or older have diabetes (overwhelmingly type 2) Half of Americans 65 and older have prediabetes 11% of U.S. adults (nearly 2 Continue reading >>
