Providers of the Diabetes Prevention Programme need to be more consistent, and offer flexibility and equality of access

2021 ◽  
Keyword(s):  
Diabetes Prevention ◽  
Prevention Programme ◽  
Diabetes Prevention Programme ◽  
Equality Of Access

scholarly journals Mixed methods pilot study of a low-carbohydrate diabetes prevention programme among adults with pre-diabetes in the USA

BMJ Open ◽  
2020 ◽  
Vol 10 (1) ◽  
pp. e033397 ◽  
Author(s):  
Dina Hafez Griauzde ◽  
Laura Saslow ◽  
Kaitlyn Patterson ◽  
Tahoora Ansari ◽  
Bradley Liestenfeltz ◽  
...  
Keyword(s):  
Weight Loss ◽  
Mixed Methods ◽  
Pilot Study ◽  
Outcome Measures ◽  
Weight Change ◽  
Diabetes Prevention ◽  
Prevention Programme ◽  
Diabetes Prevention Programme ◽  
Low Carbohydrate ◽  
The Usa

Objectives(1) To estimate weight change from a low-carbohydrate diabetes prevention programme (LC-DPP) and (2) to evaluate the feasibility and acceptability of an LC-DPP.Research designSingle-arm, mixed methods (ie, integration of quantitative and qualitative data) pilot study.SettingPrimary care clinic within a large academic medical centre in the USA.ParticipantsAdults with pre-diabetes and Body Mass Index of ≥25 kg/m2.InterventionWe adapted the Centers for Disease Control and Prevention’s National Diabetes Prevention Program (NDPP)—an evidence-based, low-fat dietary intervention—to teach participants to follow a very low-carbohydrate diet (VLCD). Participants attended 23 group-based classes over 1 year.Outcome measuresPrimary outcome measures were (1) weight change and (2) percentage of participants who achieved ≥5% wt loss. Secondary outcome measures included intervention feasibility and acceptability (eg, attendance and qualitative interview feedback).ResultsOur enrolment target was 22. One person dropped out before a baseline weight was obtained; data from 21 individuals were analysed. Mean weight loss in kilogram was 4.3 (SD 4.8) at 6 months and 4.9 (SD 5.8) at 12 months. Mean per cent body weight changes were 4.5 (SD 5.0) at 6 months and 5.2 (SD 6.0) at 12 months; 8/21 individuals (38%) achieved ≥5% wt loss at 12 months. Mean attendance was 10.3/16 weekly sessions and 3.4/7 biweekly or monthly sessions. Among interviewees (n=14), three factors facilitated VLCD adherence: (1) enjoyment of low-carbohydrate foods, (2) diminished hunger and cravings and (3) health benefits beyond weight loss. Three factors hindered VLCD adherence: (1) enjoyment of high-carbohydrate foods, (2) lack of social support and (3) difficulty preplanning meals.ConclusionsAn LC-DPP is feasible, acceptable and may be an effective option to help individuals with pre-diabetes to lose weight. Data from this pilot will be used to plan a fully powered randomised controlled trial of weight loss among NDPP versus LC-DPP participants.Trial registration numberNCT03258918.

Cardiometabolic profile of people screened for high risk of type 2 diabetes in a national diabetes prevention programme (FIN-D2D)

2010 ◽  
Vol 4 (4) ◽  
pp. 231-239 ◽  
Author(s):  
Timo Saaristo ◽  
Leena Moilanen ◽  
Jari Jokelainen ◽  
Eeva Korpi-Hyövälti ◽  
Mauno Vanhala ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
High Risk ◽  
Diabetes Prevention ◽  
Prevention Programme ◽  
Diabetes Prevention Programme ◽  
Cardiometabolic Profile
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