The National DPP → Additional Resources
This section includes information and resources that can support and sustain the National Diabetes Prevention Program (National DPP) lifestyle change program.
Stakeholder and Community Support
A key aspect of sustaining the National DPP lifestyle change program is generating stakeholder and community support. States should leverage existing resources in building this support, including state public health departments, diabetes prevention advisory groups or committees, local American Association of Diabetes Educators (AADE) groups, local American Diabetes Association offices, local and state-level business groups focused on health (e.g., state chambers of commerce, etc.), and other community or stakeholder groups.
The CDC offers many resources for states and other public health practitioners to support the development and evaluation of type 2 diabetes prevention and control initiatives.
For more information, see the CDC website Diabetes State & Local Programs.
CDC Cooperative Agreement Investments
States and select organizations have received CDC Cooperative Agreement investments to support National DPP activities. Additional information on these activities is provided below.
For more information on these and other initiatives, click on the links below:
1212: National Diabetes Prevention Program: Preventing Type 2 Diabetes Among People at High Risk Financed Solely by 2012 Prevention and Public Health Funds. Awarded to six national organizations to increase the number of CDC-recognized organizations offering lifestyle change programs via multi-state networks and to expand coverage through relationships with employers and insurers that lead to benefit coverage and reimbursement for delivery organizations.
1305: State Public Health Actions to Prevent and Control Diabetes, Heart Disease, Obesity and Associated Risk Factors and Promote School Health. Awarded to all 50 states and D.C. to raise awareness of prediabetes, increase referrals to CDC-recognized programs, and work with State Employee Benefit Plans and Medicaid to support coverage.
1422: State and Local Public Health Actions to Prevent Obesity, Diabetes, and Heart Disease and Stroke. Awarded to 17 states and four cities to expand on work started by 1212 and 1305 and enroll vulnerable, high-risk populations in the program.
1705: A five-year cooperative agreement to build out the National DPP infrastructure in currently underserved areas to ensure that all adults with prediabetes or at high risk for type 2 diabetes have the opportunity to enroll in a CDC-recognized evidence-based lifestyle change program. Priority programs include working with Medicare beneficiaries and at least one of the following: men, African-Americans, Asian Americans, Hispanics, American Indians, Alaska Natives, Pacific Islanders, and non-institutionalized people with visual impairments or physical disabilities.
Medicaid Demonstration Project: In partnership with the National Association of Chronic Disease Directors (NACDD), CDC funded two states, Maryland and Oregon, to promote Medicaid delivery models for the National DPP lifestyle change program through managed care organizations and/or accountable care organizations.
Other CDC Programs and Initiatives
CDC Diabetes Programs and Initiatives: CDC provides national leadership and support for the implementation of a high-impact prevention approach to reducing new diabetes cases by using combinations of scientifically proven, cost-effective, and scalable interventions and prevention strategies directed towards the most vulnerable populations in the US who are most affected by, or at greatest risk for diabetes. Find out more about the Division of Diabetes Translation funded programs and interventions.
CDC Diabetes State and Local Programs: CDC’s Division of Diabetes Translation (DDT) funds state and local health departments to support programs and activities to prevent or delay the onset of type 2 diabetes and to improve health outcomes for people diagnosed with diabetes.
1421: A Comprehensive Approach to Good Health and Wellness in Indian Country. CDC’s largest single investment to ease health disparities that affect American Indians and Alaska Natives is Good Health and Wellness in Indian Country, a 5-year, $16 million/year program that started in FY 2014. Twelve tribes work on effective community-chosen and culturally adapted strategies to reduce commercial tobacco use and exposure, improve nutrition and physical activity, increase support for health literacy, and strengthen team-based care and community-clinical links. Eleven tribal organizations provide leadership, technical assistance, training, and resources to tribes and villages in their Indian Health Service (IHS) Administrative Areas to start program activities that will lead to improvements in health.
Diabetes Action Plan Legislation
The goal of Diabetes Action Plan legislation is to establish a collaborative process across state agencies to ensure state legislators and other policymakers are strategically taking steps toward reducing the prevalence of type 2 diabetes. This legislation can be used as a strategy to increase coverage for the National DPP. Agencies typically involved include the Medicaid agency, the state department of health, and the agency responsible for state employee health benefits.
As of September 2016, 17 states had Diabetes Action Plans in place or were actively working on their Diabetes Action Plan. This legislation requires state Medicaid programs, state employee health programs, and public programs to biennially assess the medical and financial impact of type 2 diabetes on the programs and propose solutions for legislatures to consider implementing.