Pharmacist Toolkit: Glossary

Glossary definitions

CDC-Recognized Organization: An organization that offers the National Diabetes Prevention Program (National DPP) lifestyle change program (LCP). The organizations must have received pending, preliminary, temporary preliminary, or full recognition from CDC's Diabetes Prevention Recognition Program (DPRP).

Centers for Medicare & Medicaid Services (CMS): The federal agency that runs the Medicare program and works with states to administer the Medicaid program.

Diabetes Prevention Program (DPP): The original research study led by the National Institutes of Health. Findings showed that making modest behavior changes helped participants with prediabetes lose 5% to 7% of their body weight and reduce their risk of developing type 2 diabetes by 58% (71% for people over 60).

Diabetes Prevention Recognition Program (DPRP): The quality assurance arm of the National DPP. This program evaluates organizations' ability to effectively deliver the National DPP lifestyle change program with quality and fidelity. Organizations can earn CDC recognition by following a CDC-approved curriculum and achieving outcomes proven to prevent type 2 diabetes in participants at high risk.

DPRP Recognition Statuses

• Pending Recognition: The CDC recognition status granted to all applicant organizations once an initial application is approved.
• Preliminary Recognition: An intermediate level of CDC recognition. This allows organizations to become "Medicare" Diabetes Prevention Program (MDPP) suppliers and to begin billing Medicare. Organizations achieve preliminary recognition when they meet the following criteria:
  • The requirements for pending recognition AND
  • DPRP Standards Requirement 5.
• Temporary Preliminary Recognition: A status given when an organization has preliminary or full recognition for one delivery mode and then applies to implement the National DPP lifestyle change program through an additional delivery mode. The DPRP will convey this temporary status to the new delivery mode. This recognition will last until the organization has its first evaluation for the new delivery mode.
• Full Recognition: The highest level of CDC recognition where all DPRP requirements are met (allows organizations to become MDPP suppliers and to begin billing Medicare). Organizations achieve full recognition when they meet the following criteria:
  • The requirements for pending recognition AND
  • The requirements for preliminary recognition AND
  • DPRP Standards Requirements 6 (at least one condition is met) and 7.

DPRP Standards: National quality assurance standards that describe the requirements that program delivery organizations must meet to achieve CDC recognition. See the CDC Diabetes Prevention and Recognition Program Standards and Operating Procedures.

Lifestyle Coach: A person responsible for implementing the yearlong CDC-approved curriculum. A Lifestyle Coach also provides support and guidance to participants in the National DPP lifestyle change program.

Medicare Diabetes Prevention Program (MDPP): Medicare offers the National DPP, as of April 1, 2018. About 26 million US adults 65 or older have diabetes and could directly benefit. For more information, visit the MDPP website.

Motivational Interviewing: A counseling technique that supports patients in working through their beliefs until they actively seek change and make behavior changes.

National DPP: A partnership of public and private organizations working to build a nationwide delivery system for the lifestyle change program. The National DPP is proven to prevent or delay onset of type 2 diabetes in adults at high risk.

National DPP Customer Service Center (CSC): A website where organizations can access training materials, toolkits, and videos. Staff can ask questions and receive technical assistance related to all aspects of the National DPP. For more information, visit the National DPP CSC.

National DPP Lifestyle Change Program: A program that applies principles of the National DPP intervention to everyday use. It includes:

• Is a yearlong, structured program offered in person, online, or through any combination of these delivery modes, as defined in the DPRP Standards. It consists of:
  • An initial 6-month phase offering at least 16 sessions over 16 to 26 weeks and
  • A second 6-month phase offering at least 1 session a month (at least 6 sessions).
• Is facilitated by a trained Lifestyle Coach.
• Uses a CDC-approved curriculum.
• Includes regular opportunities for direct interaction between the Lifestyle Coach and participants.
• Focuses on behavior, medication adherence, stress management, and social support.

Prediabetes: A health condition in which blood sugar levels are higher than normal but not high enough to be diagnosed as type 2 diabetes. Prediabetes can lead to heart disease, stroke, and increases a person's risk of developing type 2 diabetes. Prediabetes is defined by one of the following measures:

• HbA1C of 5.7% to 6.4%
• Fasting plasma glucose of 100 to 125 mg/dL
• Plasma glucose of 140 to 199 mg/dL measured 2 hours after a 75 gm glucose load.

Prediabetes Risk Test: A prediabetes screening test that can be administered online or in person using a paper test.

Type 2 Diabetes: A condition where someone has high blood sugar levels because their body can't use insulin efficiently. Type 2 diabetes develops most often in middle-aged and older adults but can develop in children, teens, and young adults.