Diabetes Prevention Program in Free and Charitable Clinics

Diabetes is a serious chronic illness that impacts more than 30 million Americans and is the seventh leading cause of death, with type 2 diabetes accounting for approximately 95 percent of all diagnosed cases of diabetes. Prediabetes is a preventable health condition that significantly increases the risk of developing type 2 diabetes, heart disease and stroke. Estimates show that 86 million people in the United States have prediabetes, but less than ten percent are aware of their condition. 
Photo by Matthew McDermott

Americares is working to address prediabetes among those served by free and charitable clinics to increase the identification of prediabetes, reduce health disparities and improve health-related outcomes for a highly vulnerable population. Through our free and charitable clinic partners, we are working to promote and support the implementation of the Centers for Disease Control and Prevention (CDC) National Diabetes Prevention Program (DPP), an evidence-based lifestyle change intervention. Descriptions of Americares DPP-focused initiatives are below. 

DPP Materials and Resources

 

DPP and Healthy Food Integration: Americares, Loyola University and Feeding America

Americares has partnered with Loyola University and Feeding America to expand upon the initial DPP pilot study (2014) to address access to healthy food along with implementing the DPP for uninsured patients served by free and charitable clinics. Launched in 2017, Americares and our collaborative partners selected two free clinics to implement the DPP curriculum for 45 patients: Greenville Free Medical Clinic (SC) and Grace Medical Home (FL). Each clinic is working closely with their local food bank partner to provide each patient who enrolls in the DPP a box of healthy food at each DPP session to help address food insecurity and access.

Initial DPP Pilot and Research Study: Americares Transforming Prediabetes Care Initiative

In 2014, Americares, in partnership with Loyola University of Chicago, launched its initial DPP pilot program and research study in five free and charitable clinics to evaluate the feasibility of the DPP in this setting and with an uninsured population of patients. The clinics that participated in this research study are: Center for Healthy Hearts (VA), Grace Medical Home (FL), Greenville Free Medical Clinic (SC), the Social Welfare Board (MO) and St. Mary’s Health Wagon (VA). This program was implemented with the support of the American Medical Association (AMA) and is aligned with the AMA’s strategic focus on improving health outcomes, which aims to reduce the incidence of prediabetes in U.S. patients. 


Source: CDC