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DPP Intervention is Adaptable in This Subgroup

Diabetes Care; ePub 2016 Feb 23; Van Name, et al

An intervention based on the Diabetes Prevention Program can be used effectively in a community health center setting that serves mostly Hispanic individuals, according to a study involving 122 women with prediabetes.

Participants—90% of whom were Hispanic—were randomized to receive either the intervention or usual care. The intervention included 14 weeks of group sessions focused on food choices, behavior change, physical activity, and weight loss. Weight, BMI, and glucose levels were measured at baseline and 1 year later. Among the results:

• Groups had similar baseline weight, BMI, and fasting and 2-h glucose.

• One year later, the intervention group lost an average of 3.8 kg, whereas the usual care group gained 1.4 kg.

• 2-hour glucose excursion decreased 15 mg/dL in the intervention group, and 1 mg/dL in the usual care contingent.

• Significant decreases in BMI, percent body fat, waist circumference, and fasting insulin were observed in the intervention group.

Citation: Van Name M, Camp A, Magenheimer E, et al. Effective translation of an intensive lifestyle intervention for Hispanic women with prediabetes in a community health center setting. [Published online ahead of print February 23, 2016]. Diabetes Care. doi:10.2337/dc15-1899.