MSU Extension awarded full recognition for diabetes prevention education
MSU Extension received full recognition from the National Diabetes Prevention Program.
Over 2.6 million adults in Michigan are prediabetic and only 7.3 percent have been told that they are prediabetic. Prediabetes is considered a risk factor for Type 2 diabetes, with a high risk of conversion to diabetes within five years. Complications prior to diabetes diagnosis include neuropathy, vision and bone loss in youth. The good news is that there is evidence supporting interventions that prevent or postpone diabetes for those at high risk by adopting healthy lifestyles—specifically losing five to seven percent of their body weight and being physically active 150 minutes a week. The National Diabetes Prevention Program (NDPP) provides the tools necessary to make those lifestyle changes.
For the past two years, Michigan State University Extension has been in the process of acquiring recognition through the Centers for Disease Control and Prevention CDC for the NDPP. On May 2, 2015, MSU Extension was granted recognition. The CDC Diabetes Prevention Recognition Program (DPRP) are key components of the NDPP. The purpose of the DPRP is to recognize organizations that have shown that they can effectively deliver a proven lifestyle change program to prevent Type 2 diabetes. Organizations with pending recognition have agreed to use the NDPP which is an evidence-based curriculum that meets the duration, intensity and reporting requirements described in the DPRP. Full recognition means that an organization has demonstrated effectiveness by achieving all of the performance criteria detailed in the DPRP Standards.
The CDC NDPP curriculum is based on a clinical research study led by the National Institutes of Health and supported by the CDC. This research was published in the The New England Journal of Medicine. The one year lifestyle change program consists of the following:
- Sixteen sessions during the first six months led by a trained “lifestyle coach”. Organizations pending recognition follow the CDC-approved curriculum which is based on evidence from efficacy and effective trials.
- At least six sessions during the last six months to reinforce and build on content.
- For evaluation of performance, organizations pending recognition and fully recognized by the DPRP submit evaluation data to the DPRP every 12 months with data on participants’ progress in their classes.
The NDPP program helps participants learn ways to change their lifestyle and improve their health. Participants meet in a group led by a trained lifestyle coach and a support group of others facing similar challenges to learn how to make modest lifestyle changes. Enrollment into the NDPP is based on the following criteria:
- 18-years of age or older
- BMI greater than or equal to 24kg/m2 (greater than or equal to 22 for Asian)
- Diagnosis of prediabetes or Gestational Diabetes Mellitus (GDM) based on one or more of the following:
- Fasting blood glucose (range 100-125 mg/dl)
- 2-hour glucose (range 140-199 mg/dl)
- HbA1C (range 5.7-6.4)
- Previous GDM (may be self-reported).
MSU Extension currently has 10 educators that are trained lifestyle coaches across the state. By the end of 2015, MSU Extension is planning to have at least 15 trained coaches offering the NDPP. MSU Extension educators that provided NDPP programming towards the recognition process for the last two years include, Dawn Earnesty, Sheilah Hebert, Cathy Newkirk, Diana Hassan and Laura Anderson.