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

Michael E. Bowen, Julie A. Schmittdiel, Jeffrey T. Kullgren, Ronald T. Ackermann, Matthew J. O’Brien

Research output: Contribution to journalReview articlepeer-review

13 Scopus citations


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.

Original languageEnglish (US)
Article number104
JournalCurrent diabetes reports
Issue number11
StatePublished - Nov 1 2018


  • Diabetes prevention
  • Diabetes risk assessment
  • Diabetes screening
  • Population health

ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism


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