The Diabetes Prevention Gap And Opportunities To Increase Participation In Effective Interventions: Study examines access and participation in type 2 diabetes prevention and describes opportunities to increase participation in prevention.
Open accessAbstract
To understand the current state of prediabetes burden and treatment in the US, we examined recent trends in prediabetes prevalence, testing, and access to preventive resources. We estimated 13.5 percent prevalence of diagnosed prediabetes in the overall US adult population, using national survey data. Although prediabetes prevalence increased by 4.8 percentage points from 2010 to 2020, access to preventive resources remained low. The most effective intervention for diabetes prevention, known as the National Diabetes Prevention Program, remained woefully undersupplied and underused. There are only 2,098 National Diabetes Prevention Program-recognized providers nationally, and only 3 percent of adults with prediabetes have participated in the program. We suggest three actions to augment prevention efforts: increase payment for prevention interventions to avoid supply distortions, improve data integration and patient follow-up, and extend coverage and broaden access for preventive interventions. These actions, which would require policy-level changes, could lower the barriers to prevention.
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Despite guideline recommendations, only 3% of adults in the US with prediabetes participate in DPPs.
“Despite guideline recommendations,40 only 3% of adults in the US with prediabetes participate in DPPs.41”
From An AI-Powered Lifestyle Intervention vs Human Coaching in the Diabetes Prevention Program: A Randomized Clinical Trial (2025) · cites this paper as [41]
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- Authors
- Alva, M. L., Chakkalakal, R. J., Moin, T., & Galaviz, K. I.
- Affiliations
- Georgetown University (US)
- Emory University (US)
- University of California, Los Angeles (US)
- Indiana University Bloomington (US)
- Venue
- Health Affairs
- Publisher
- Health Affairs Publishing, LLC
- Published
- 2022-07-01
- Volume
- 41
- Issue
- 7
- Pages
- 971-979
- ISSN
- 0278-2715 (ISSN-L)
- 1544-5208
- PMC
- PMC10112939
- OpenAlex
- W4283696455
- Cited by
- 33
- References
- 37
- Citations by year
- 2026: 9 · 2025: 11 · 2024: 5 · 2023: 8
- FWCI
- 4.45
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Health Affairs (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- U.S. Department of Veterans Affairs
- National Institutes of Health
- Centers for Disease Control and Prevention
- National Heart, Lung, and Blood Institute (K01HL149479)
- National Institute of Diabetes and Digestive and Kidney Diseases (R01DK124503, R01DK120814)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Health Promotion and Cardiovascular Prevention
- Keywords
- prediabetes, diabetes prevention, National Diabetes Prevention Program, prediabetes prevalence, access to preventive care, insurance coverage, health policy, barriers to prevention
- MeSH terms
- Adult, Diabetes Mellitus, Type 2, Humans, Prediabetic State, Prevalence
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