Wednesday, April 24, 2019

Treating Prediabetes in a Primary Care Setting Can Be Effective

According to the  Centers for Disease Control and Prevention (CDC), prediabetes is a chronic disease. The disease affects 84% of the adults in the U.S. And having prediabetes raises the risk for a number of diseases, including diabetes heart disease stroke and other problems. The CDC established the Diabetes Prevention Program (DPP) in 2012 to address prediabetes. The DPP is based on a study, funded by the National Institutes of Diabetes and Digestive and Kidney Disease (NIDDK). The study was done and reported on between 1996 and 2002. The services delivered in the DPP are being delivered in community organizations, including YMCAs and churches. However, the DPP services can be delivered in a primary care setting.

A study was done in New Zealand using a nurse-led diabetes prevention program in a primary setting. One hundred fifty-seven patients with prediabetes were enrolled in the six month study. Two groups were formed for the study, where 85 of the participants comprised the intervention group and 72 participants were in the control group. HbA1c, BMI and waist circumference were analyzed, and it was found that these parameters decreased in the intervention group while they increased in the control.

While the differences in outcomes between the intervention group and the control groups were not statistically significant, the study showed that the DPP program can work well in a primary care setting. The program was acceptable to the patients and the nurses.

Another study confirmed the effectiveness of wellness coaching programs addressing prediabetes in a primary setting. A survey was used to evaluate the experiences of participants in a 12 week prediabetes program in a primary setting. Sixty-three percent of the participants completed the survey. And the participants were very satisfied with the program.

This means that primary care practices might want to focus on integrating prediabetes treatment procedures into the practices. The integration could reduce the number of patients who eventually experience type 2 diabetes. 


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