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Curr Diab Rep. 2018 Sep 19;18(11):104. doi: 10.1007/s11892-018-1090-5.

Building Toward a Population-Based Approach to Diabetes Screening and Prevention for US Adults.

Author information

1
Division of General Internal Medicine, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd., Dallas, TX, 75390-9169, USA. michael.bowen@utsouthwestern.edu.
2
Division of Outcomes and Health Services Research, University of Texas Southwestern Medical Center, Dallas, TX, USA. michael.bowen@utsouthwestern.edu.
3
Kaiser Permanente Division of Research, Oakland, CA, USA.
4
VA Center for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor, MI, USA.
5
University of Michigan Medical School, Ann Arbor, MI, USA.
6
Division of General Internal Medicine and Geriatrics, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
7
Northwestern University Institute for Public Health and Medicine, Chicago, IL, USA.

Abstract

PURPOSE OF REVIEW:

Evidence-based treatments for prediabetes can prevent and delay the development of type 2 diabetes in adults. In this review, we propose a framework for population-based diabetes prevention that links screening and prevention activities across key stakeholders. We also discuss gaps in current practice, while highlighting opportunities to improve diabetes screening and prevention efforts population-wide.

RECENT FINDINGS:

Awareness of diabetes risk is low, and many adults with prediabetes are not identified through existing screening efforts. Accumulating evidence and policies support expansion of the Diabetes Prevention Program (DPP) into clinical and community settings. However, the infrastructure to facilitate referrals and promote data exchange among patients, clinical settings, and community-based DPP programs is lacking. Development of evidence-driven, scalable processes for assessing diabetes risk, screening eligible adults, and delivering preventive treatments are needed to effectively improve the glycemic health of the US adult population.

KEYWORDS:

Diabetes prevention; Diabetes risk assessment; Diabetes screening; Population health

PMID:
30229480
DOI:
10.1007/s11892-018-1090-5

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