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Diabetes Prevention Program: A Systematic Review Paper

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Diabetes Prevention Program: A Systematic Review
Arka Chaudhary, Jeanette Lovato, Jacob Sup, Julie Smithwick, Rasiq Zackria
Year 2 – Epidemiology
Dr. Joy Lewis
Due date: 12/1/2014
RDME(s): Dr. Chris Dixon, Dr. Ray Wagner

Introduction Diabetes is a serious health condition that could potentially lead to heart disease, stroke, kidney disease, and many other complications, if left uncontrolled. Almost all patients that develop diabetes type 2 have prediabetes, a condition where blood glucose levels are higher than normal, but not high enough to be diagnosed with diabetes1. The prevalence of diabetes has increased from 25.8 million in 2010 to 29.1 million in 2012 while about 86 million Americans have prediabetes2. In the Arizona …show more content…
Studies used a variety of outcome measures outcomes to assess improvement from diabetic state at time of enrollment including BMI, random blood glucose level, HbA1c, weight, and blood pressure changes. All studies noticed that, with patient adherence to the program, there was significant weight reduction and improvement of glucose impairment. It was noted that both coach-led and self-directed groups achieved similar weight loss results at the end of the study. It was also noted that group focused vs individual focused intervention had similar outcomes. All articles stated that the lifestyle interventions offered were shown to be successful in reducing the development of diabetes. Studies demonstrate that these programs offer a highly promising vehicle for delivering an adaptation of DPP lifestyle interventions. Established behavioral and lifestyle modifications along with established collaborative partnership have proven to be successful to implementation of the …show more content…
Molitch ME, Fujimoto W, Hamman RF, Knowler WC. The diabetes prevention program and its global implications. Journal of the American Society of Nephrology : JASN. Jul 2003;14(7 Suppl 2):S103-107.
5. Seidel MC, Powell RO, Zgibor JC, Siminerio LM, Piatt GA. Translating the Diabetes Prevention Program into an urban medically underserved community: a nonrandomized prospective intervention study. Diabetes care. Apr 2008;31(4):684-689.
6. Cramer JS, Sibley RF, Bartlett DP, Kahn LS, Loffredo L. An adaptation of the diabetes prevention program for use with high-risk, minority patients with type 2 diabetes. The Diabetes educator. May-Jun 2007;33(3):503-508.
7. Whittemore R, Melkus G, Wagner J, Dziura J, Northrup V, Grey M. Translating the diabetes prevention program to primary care: a pilot study. Nursing research. Jan-Feb 2009;58(1):2-12.
8. Ackermann RT, Holmes AM, Saha C. Designing a natural experiment to evaluate a national health care-community partnership to prevent type 2 diabetes. Preventing chronic disease. 2013;10:E12.
9. Rautio N, Jokelainen J, Saaristo T, et al. Predictors of success of a lifestyle intervention in relation to weight loss and improvement in glucose tolerance among individuals at high risk for type 2 diabetes: the FIN-D2D project. Journal of primary care & community health. Jan

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