Key Points
- CDC’s Division of Diabetes Translation funds state and local health departments to support programs and activities to prevent or delay type 2 diabetes.
- Funding also supports improving health outcomes for people diagnosed with diabetes.
Improving the Health of Americans Through Prevention and Management of Diabetes, Heart Disease, and Stroke
This 5-year cooperative agreement began in October 2018. It funded all 50 states and the District of Columbia to carry out work to prevent and manage diabetes, heart disease, and stroke.
States focused on implementing and evaluating evidence-based strategies to manage diabetes and prevent or delay type 2 diabetes in high-burden populations and communities.
Strategies
Diabetes self-management education and support (DSMES)
Strategy A.1: Improve access to and participation in DSMES services recognized by the American Diabetes Association or accredited by the Association of Diabetes Care & Education Specialists.
Strategy A.2: Expand DSMES coverage among private insurers, public insurers like Medicaid, and employer-provided health benefits.
Pharmacy
Strategy A.3: Increase pharmacist engagement in medication therapy management and DSMES. Learn more.
Prediabetes screening, testing, and referral
Strategy A.4: Assist health care organizations in implementing systems to identify people with prediabetes and refer them to CDC-recognized lifestyle change programs for type 2 diabetes prevention. Learn more.
Increasing coverage for the National Diabetes Prevention Program (National DPP) lifestyle change program through public and private employers and Medicaid
Strategy A.5: Expand health benefit coverage for the National DPP lifestyle change program among public and private employers and Medicaid. Learn more.
Increasing enrollment in the National DPP lifestyle change program
Strategy A.6: Increase enrollment in the National DPP lifestyle change program for type 2 diabetes prevention. This can include startup of new programs or enrollment of high-burden populations in existing programs. Learn more.
Community health worker (CHW) sustainability
Strategy A.7: Develop statewide infrastructure for CHW sustainability and reimbursement. Learn more.
Projected outcomes (evaluation in process)
Type 2 diabetes prevention
- Increased access to and health benefit coverage for the National DPP lifestyle change program.
- Increased community-clinical linkages that facilitate referrals and provide support to enroll and retain participants in the lifestyle change program.
Diabetes management
- Increased access to, coverage for, and participation in recognized or accredited DSMES services.
- Increased use of pharmacist-patient care processes that help people with diabetes manage their medications.