TY - JOUR
T1 - Building Toward a Population-Based Approach to Diabetes Screening and Prevention for US Adults
AU - Bowen, Michael E.
AU - Schmittdiel, Julie A.
AU - Kullgren, Jeffrey T.
AU - Ackermann, Ronald T.
AU - O’Brien, Matthew J.
N1 - Funding Information:
Acknowledgments Dr. Bowen is supported by NIDDK K23-DK104065 and the Dedman Family Scholars in Clinical Care. Research reported in this publication was supported by the National Institute of Diabetes and Digestive and Kidney Diseases of the National Institutes of Health. Dr. O’Brien is supported by the National Institute of Diabetes and Digestive and Kidney Diseases of the National Institutes of Health (R21-DK112066). The content of this article is solely the responsibility of the authors and does not necessarily reflect the official views of the National Institutes of Health. Dr. Kullgren is a VA HSR&D Career Development awardee at the Ann Arbor VA. He is supported by the Department of Veterans Affairs, Veterans Health Administration, Health Services Research and Development Service. The views expressed in this article are those of the authors and do not necessarily reflect the position or policy of the Department of Veterans Affairs or the United States government.
Publisher Copyright:
© 2018, Springer Science+Business Media, LLC, part of Springer Nature.
PY - 2018/11/1
Y1 - 2018/11/1
N2 - 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. Summary: 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.
AB - 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. Summary: 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.
KW - Diabetes prevention
KW - Diabetes risk assessment
KW - Diabetes screening
KW - Population health
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U2 - 10.1007/s11892-018-1090-5
DO - 10.1007/s11892-018-1090-5
M3 - Review article
C2 - 30229480
AN - SCOPUS:85053679759
SN - 1534-4827
VL - 18
JO - Current diabetes reports
JF - Current diabetes reports
IS - 11
M1 - 104
ER -