Materiały źródłowe

• #1 Preventing Type 2 Diabetes – NIDDK

  https://www.niddk.nih.gov/health-information/diabetes/overview/preventing-type-2-diabetes

  Perhaps you have learned that you have a high chance of developing type 2 diabetes, the most common type of diabetes. […] The good news is that type 2 diabetes can be delayed or even prevented. […] You can help prevent or delay type 2 diabetes by losing a modest amount of weight by following a reduced-calorie eating plan and being physically active most days of the week. […] Research such as the Diabetes Prevention Program shows that you can do a lot to reduce your chances of developing type 2 diabetes. […] You may be able to prevent or delay diabetes by losing 5 to 7 percent of your starting weight. […] Get at least 30 minutes of physical activity 5 days a week. […] Eat smaller portions to reduce the amount of calories you eat each day and help you lose weight. […] Ask your health care professional about what other changes you can make to prevent or delay type 2 diabetes.

• #2 Diabetes prevention: 5 tips for taking control

  https://www.mayoclinic.org/diseases-conditions/type-2-diabetes/in-depth/diabetes-prevention/art-20047639

  Changing your lifestyle could be a big step toward diabetes prevention and it’s never too late to start. […] Lifestyle changes can help prevent type 2 diabetes, the most common form of the disease. Prevention is especially important if you have a higher risk of type 2 diabetes. […] If you’ve been diagnosed with prediabetes high blood sugar that doesn’t reach the level of a diabetes diagnosis lifestyle changes can prevent or delay type 2 diabetes. […] Making a few changes in your lifestyle now may help you avoid serious diabetes health complications in the future. […] Losing weight lowers the risk of diabetes. The American Diabetes Association recommends that people with prediabetes lose at least 5% to 7% of their body weight to prevent diabetes. […] People in one large study lowered their risk of developing type 2 diabetes by almost 60% over three years.

• #3 Diabetes prevention: 5 tips for taking control

  https://www.mayoclinic.org/diseases-conditions/type-2-diabetes/in-depth/diabetes-prevention/art-20047639

  Changing your lifestyle could be a big step toward diabetes prevention and it’s never too late to start. […] Lifestyle changes can help prevent type 2 diabetes, the most common form of the disease. Prevention is especially important if you have a higher risk of type 2 diabetes. […] If you’ve been diagnosed with prediabetes high blood sugar that doesn’t reach the level of a diabetes diagnosis lifestyle changes can prevent or delay type 2 diabetes. […] Making a few changes in your lifestyle now may help you avoid serious diabetes health complications in the future. […] Losing weight lowers the risk of diabetes. The American Diabetes Association recommends that people with prediabetes lose at least 5% to 7% of their body weight to prevent diabetes. […] People in one large study lowered their risk of developing type 2 diabetes by almost 60% over three years.

• #4 Type 2 Diabetes Prevention Program | ECHN

  https://www.echn.org/services/center-for-healthy-living/diabetes/diabetes-prevent-t2-program/

  Did you know that having prediabetes means your blood sugar level is higher than normal, increasing your risk of getting Type 2 diabetes? Without weight loss or moderate physical activity, many people with prediabetes can develop Type 2 diabetes within 5 years. […] People with prediabetes who take part in a structured lifestyle change program can reduce their risk of developing type 2 diabetes by 58%. For people over 60 years old, it is reduced by 71%. […] PreventT2 is a small-group coaching program that uses a research-based CDC approved curriculum that has been proven to be an effective lifestyle change program to help delay or prevent type 2 diabetes. […] Investing in this program can bring positive changes to your health by creating new habits, gaining new skills and building confidence.

• #5 Diabetes – The Nutrition Source

  https://nutritionsource.hsph.harvard.edu/disease-prevention/diabetes-prevention/

  Type 2 diabetes (and prediabetes) can be prevented. […] Recommendations to prevent this early stage of diabetes are similar to those for type 2 diabetes: weight loss of 5-10% of starting weight if overweight, exercise, and a healthful, balanced diet. […] The good news is that type 2 diabetes (as well as prediabetes) are largely preventable. About 9 in 10 cases in the U.S. can be avoided by healthy lifestyle practices, including controlling your weight, following a healthy diet, staying active, and not smoking.

• #6 Prevention of Type 2 Diabetes by Lifestyle Changes: A Systematic Review and Meta-Analysis

  https://pmc.ncbi.nlm.nih.gov/articles/PMC6893436/

  Prevention of type 2 diabetes (T2D) is a great challenge worldwide. […] We conclude that T2D is preventable by changing lifestyle and the risk reduction is sustained for many years after the active intervention (high certainty of evidence). Healthy dietary changes based on the current recommendations and the Mediterranean dietary pattern can be recommended for the long-term prevention of diabetes. […] We have a high certainty of evidence that T2D is preventable by changing lifestyle, i.e., weight reduction by diet change according to the current recommendations in terms of quality of fat, fiber intake, increased use of whole grain products, fruit, and vegetables, and increasing physical activity. The risk reduction of T2D is strongly related to the degree of long-term weight loss and adherence to lifestyle changes, and this preventive effect has been demonstrated to sustain for many years after active intervention. […] There is still limited/insufficient evidence that the prevention of T2D by changing lifestyle may also prevent CVD or microvascular diseases.

• #7 Diabetes prevention: 5 tips for taking control

  https://www.mayoclinic.org/diseases-conditions/type-2-diabetes/in-depth/diabetes-prevention/art-20047639

  Changing your lifestyle could be a big step toward diabetes prevention and it’s never too late to start. […] Lifestyle changes can help prevent type 2 diabetes, the most common form of the disease. Prevention is especially important if you have a higher risk of type 2 diabetes. […] If you’ve been diagnosed with prediabetes high blood sugar that doesn’t reach the level of a diabetes diagnosis lifestyle changes can prevent or delay type 2 diabetes. […] Making a few changes in your lifestyle now may help you avoid serious diabetes health complications in the future. […] Losing weight lowers the risk of diabetes. The American Diabetes Association recommends that people with prediabetes lose at least 5% to 7% of their body weight to prevent diabetes. […] People in one large study lowered their risk of developing type 2 diabetes by almost 60% over three years.

• #8 Preventing Type 2 Diabetes – NIDDK

  https://www.niddk.nih.gov/health-information/diabetes/overview/preventing-type-2-diabetes

  Perhaps you have learned that you have a high chance of developing type 2 diabetes, the most common type of diabetes. […] The good news is that type 2 diabetes can be delayed or even prevented. […] You can help prevent or delay type 2 diabetes by losing a modest amount of weight by following a reduced-calorie eating plan and being physically active most days of the week. […] Research such as the Diabetes Prevention Program shows that you can do a lot to reduce your chances of developing type 2 diabetes. […] You may be able to prevent or delay diabetes by losing 5 to 7 percent of your starting weight. […] Get at least 30 minutes of physical activity 5 days a week. […] Eat smaller portions to reduce the amount of calories you eat each day and help you lose weight. […] Ask your health care professional about what other changes you can make to prevent or delay type 2 diabetes.

• #9 Diabetes prevention: 5 tips for taking control

  https://www.mayoclinic.org/diseases-conditions/type-2-diabetes/in-depth/diabetes-prevention/art-20047639

  Changing your lifestyle could be a big step toward diabetes prevention and it’s never too late to start. […] Lifestyle changes can help prevent type 2 diabetes, the most common form of the disease. Prevention is especially important if you have a higher risk of type 2 diabetes. […] If you’ve been diagnosed with prediabetes high blood sugar that doesn’t reach the level of a diabetes diagnosis lifestyle changes can prevent or delay type 2 diabetes. […] Making a few changes in your lifestyle now may help you avoid serious diabetes health complications in the future. […] Losing weight lowers the risk of diabetes. The American Diabetes Association recommends that people with prediabetes lose at least 5% to 7% of their body weight to prevent diabetes. […] People in one large study lowered their risk of developing type 2 diabetes by almost 60% over three years.

• #10 Diabetes Prevention | ADA

  https://diabetes.org/about-diabetes/diabetes-prevention

  With early detection and awareness, you can take steps to prevent or delay the onset of type 2 diabetes. […] Small changes to your lifestyle can help to prevent or delay diabetes, even if you’ve been diagnosed with prediabetes. […] Losing just 10-15 pounds can make a big difference. […] If you’re at risk of developing type 2 diabetes, there’s no better time to turn things around.

• #11 Take Steps to Prevent Type 2 Diabetes – MyHealthfinder | odphp.health.gov

  https://odphp.health.gov/myhealthfinder/health-conditions/diabetes/take-steps-prevent-type-2-diabetes

  Diabetes is a leading cause of disability and death in the United States. The good news is that you can do a lot to prevent or delay getting type 2 diabetes, including: […] Reaching and staying at a healthy weight […] Staying active […] Eating healthy […] Quitting smoking. You’re more likely to get type 2 diabetes if you have overweight or obesity, don’t get enough physical activity, or have prediabetes. Prediabetes increases your risk of developing type 2 diabetes and other serious health problems, like heart disease and stroke. The good news about prediabetes is that healthy life changes, like losing weight and getting enough physical activity, can prevent or delay type 2 diabetes. Eating healthy can help you control your weight and help prevent or delay type 2 diabetes. If you have overweight or obesity, losing weight can help lower your risk for type 2 diabetes. Eating healthy and getting active are great ways to help you lose weight. Quitting smoking is hard, but millions of people have done it successfully.

• #12 Prediabetes: Which Treatment Should I Use to Prevent Type 2 Diabetes? | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.prediabetes-which-treatment-should-i-use-to-prevent-type-2-diabetes.abp5563

  Making major lifestyle changes or taking metformin works very well to delay or prevent type 2 diabetes in: People who have a BMI of 35 or more. […] Many people age 60 and older benefit more from making major lifestyle changes. And many people younger than 60 benefit more from taking metformin. […] For some people, making major lifestyle changes or taking metformin can help delay or prevent type 2 diabetes for up to 15 years. […] Some people may choose to take metformin and also make major lifestyle changes. Doing both of these things may give you the best chance of delaying or preventing type 2 diabetes over the long term. […] Studies show that making these three major lifestyle changes make getting type 2 diabetes less likely: Losing 7% or more of your weight, if you are overweight.

• #13 Take Steps to Prevent Type 2 Diabetes – MyHealthfinder | odphp.health.gov

  https://odphp.health.gov/myhealthfinder/health-conditions/diabetes/take-steps-prevent-type-2-diabetes

  Diabetes is a leading cause of disability and death in the United States. The good news is that you can do a lot to prevent or delay getting type 2 diabetes, including: […] Reaching and staying at a healthy weight […] Staying active […] Eating healthy […] Quitting smoking. You’re more likely to get type 2 diabetes if you have overweight or obesity, don’t get enough physical activity, or have prediabetes. Prediabetes increases your risk of developing type 2 diabetes and other serious health problems, like heart disease and stroke. The good news about prediabetes is that healthy life changes, like losing weight and getting enough physical activity, can prevent or delay type 2 diabetes. Eating healthy can help you control your weight and help prevent or delay type 2 diabetes. If you have overweight or obesity, losing weight can help lower your risk for type 2 diabetes. Eating healthy and getting active are great ways to help you lose weight. Quitting smoking is hard, but millions of people have done it successfully.

• #14

  https://www.who.int/health-topics/diabetes

  Type 1 diabetes cannot currently be prevented. Effective approaches are available to prevent type 2 diabetes and to prevent the complications and premature death that can result from all types of diabetes. These include policies and practices across whole populations and within specific settings (school, home, workplace) that contribute to good health for everyone, regardless of whether they have diabetes, such as exercising regularly, eating healthily, avoiding smoking, and controlling blood pressure and lipids. […] A series of cost-effective interventions can improve patient outcomes, regardless of what type of diabetes they may have. These interventions include blood glucose control through a combination of diet, physical activity and, if necessary, medication; control of blood pressure and lipids to reduce cardiovascular risk and other complications; and regular screening for damage to the eyes, kidneys and feet to facilitate early treatment.

• #15 Preventing Type 2 Diabetes | Diabetes | CDC

  https://www.cdc.gov/diabetes/prevention-type-2/index.html

  Prediabetes is a serious health condition, and 1 in 3 US adults has it. […] With early action, you can reverse prediabetes to prevent or delay type 2 diabetes. […] You can reverse prediabetes to prevent or delay type 2 diabetes with proven, achievable lifestyle changes such as losing a small amount of weight, making healthy eating choices, and getting more physically active. […] If your doctor confirms you have prediabetes, join the CDC-recognized National Diabetes Prevention Program (National DPP) lifestyle change program. You’ll learn how to make lasting lifestyle changes to prevent or delay type 2 diabetes.

• #16 Preventing Type 2 Diabetes – NIDDK

  https://www.niddk.nih.gov/health-information/diabetes/overview/preventing-type-2-diabetes

  Perhaps you have learned that you have a high chance of developing type 2 diabetes, the most common type of diabetes. […] The good news is that type 2 diabetes can be delayed or even prevented. […] You can help prevent or delay type 2 diabetes by losing a modest amount of weight by following a reduced-calorie eating plan and being physically active most days of the week. […] Research such as the Diabetes Prevention Program shows that you can do a lot to reduce your chances of developing type 2 diabetes. […] You may be able to prevent or delay diabetes by losing 5 to 7 percent of your starting weight. […] Get at least 30 minutes of physical activity 5 days a week. […] Eat smaller portions to reduce the amount of calories you eat each day and help you lose weight. […] Ask your health care professional about what other changes you can make to prevent or delay type 2 diabetes.

• #17 Type 2 diabetes – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/type-2-diabetes/symptoms-causes/syc-20351193

  Healthy lifestyle choices can help prevent type 2 diabetes. If you have prediabetes, lifestyle changes may slow the condition or keep it from becoming diabetes. […] A healthy lifestyle includes the following: Eat healthy foods. Choose foods lower in fat and calories and higher in fiber. Focus on fruits, vegetables and whole grains. […] Be active. Aim for 150 or more minutes a week of moderate to vigorous aerobic activity, such as brisk walking, bicycling, running or swimming. […] Lose weight. If you are overweight, losing some weight and keeping it off may slow prediabetes from becoming type 2 diabetes. If you have prediabetes, losing 7% to 10% of your body weight may lower the risk of diabetes. […] Don’t sit for long. Sitting for long periods can raise the risk of type 2 diabetes. Get up every 30 minutes and move around for at least a few minutes. […] People with prediabetes may take metformin (Fortamet, Glumetza, others), a diabetes medicine, to lower the risk of type 2 diabetes. This is most often prescribed for older adults who are obese and who can’t lower blood sugar levels with lifestyle changes.

• #18

  https://www.who.int/news-room/fact-sheets/detail/diabetes

  A healthy diet, regular physical activity, maintaining a normal body weight and avoiding tobacco use are ways to prevent or delay the onset of type 2 diabetes. […] Lifestyle changes are the best way to prevent or delay the onset of type 2 diabetes. […] To help prevent type 2 diabetes and its complications, people should: reach and keep a health body weight, stay physically active with at least 150 minutes of moderate exercise each week, eat a healthy diet and avoid sugar and saturated fat, not smoke tobacco. […] Type 2 diabetes is often preventable. Factors that contribute to developing type 2 diabetes include being overweight, not getting enough exercise, and genetics. […] Early diagnosis is important to prevent the worst effects of type 2 diabetes. The best way to detect diabetes early is to get regular check-ups and blood tests with a healthcare provider.

• #19 Prevention or Delay of Type 2 Diabetes Mellitus: Recommendations From the American Diabetes Association | AAFP

  https://www.aafp.org/pubs/afp/issues/2022/0400/p438.html

  Prediabetes is not a diagnosis but rather an opportunity to prevent or delay a future diagnosis of type 2 diabetes. […] Intensive lifestyle programs are the most effective intervention for preventing or delaying a diagnosis of diabetes in patients with prediabetes. […] Strong evidence supports lifestyle interventions to delay or prevent diabetes. Programs that include diet, weight loss, and exercise reduce type 2 diabetes diagnoses by up to 58% over three years. […] Programs should be modeled after the National Diabetes Prevention Program, which targets sustained weight loss of at least 7% of body weight and at least 150 minutes of moderate-intensity exercise weekly. […] Although weight loss is considered the most important factor for lowering the risk of type 2 diabetes, achieving the physical activity goal of at least 150 minutes per week can reduce diabetes incidence by 44% without weight loss.

• #20 Simple Steps to Preventing Diabetes – The Nutrition Source

  https://nutritionsource.hsph.harvard.edu/disease-prevention/diabetes-prevention/preventing-diabetes-full-story/

  Keeping weight in check, being active, and eating a healthy diet can help prevent most cases of type 2 diabetes. […] The good news is that prediabetes and type 2 diabetes are largely preventable. About 9 in 10 cases in the U.S. can be avoided by making lifestyle changes. These same changes can also lower the chances of developing heart disease and some cancers. The key to prevention can be boiled down to five words: Stay lean and stay active. […] Losing weight can help if your weight is above the healthy-weight range. Losing 7-10% of your current weight can cut your chances of developing type 2 diabetes in half. […] Inactivity promotes type 2 diabetes. […] Findings from the Nurses Health Study and Health Professionals Follow-up Study suggest that walking briskly for a half hour every day reduces the risk of developing type 2 diabetes by 30%.

• #21 Prevention of Type 2 Diabetes

  https://www.e-jcpp.org/journal/view.php?doi=10.36011/cpp.2020.2.e10

  The interventions for diabetes prevention include lifestyle modification such as diet and exercise therapies as well as drug therapy. For the primary prevention of diabetes, it is crucial to determine which individuals belong to the high-risk group. […] The incidence of obesity, in particular, has recently shown an exponential increase, in association with the increase in the risk of diabetes. […] Thus, visceral fat reduction and the consequent weight reduction can prevent progression to diabetes in patients with impaired glucose tolerance. […] Physical exercise directly increases the insulin-mediated glucose uptake in the skeletal muscle, thereby improving insulin resistance. […] The diabetes preventive effect of lifestyle modification has been verified in multiple studies, with an additional benefit of cost-effectiveness. […] Hence, screening must be performed in the high-risk group, followed by education on active lifestyle modification. The administration of metformin for diabetes prevention may be considered in obese patients aged 60 years with a history of gestational diabetes.

• #22 Type 2 diabetes – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/type-2-diabetes/symptoms-causes/syc-20351193

  Healthy lifestyle choices can help prevent type 2 diabetes. If you have prediabetes, lifestyle changes may slow the condition or keep it from becoming diabetes. […] A healthy lifestyle includes the following: Eat healthy foods. Choose foods lower in fat and calories and higher in fiber. Focus on fruits, vegetables and whole grains. […] Be active. Aim for 150 or more minutes a week of moderate to vigorous aerobic activity, such as brisk walking, bicycling, running or swimming. […] Lose weight. If you are overweight, losing some weight and keeping it off may slow prediabetes from becoming type 2 diabetes. If you have prediabetes, losing 7% to 10% of your body weight may lower the risk of diabetes. […] Don’t sit for long. Sitting for long periods can raise the risk of type 2 diabetes. Get up every 30 minutes and move around for at least a few minutes. […] People with prediabetes may take metformin (Fortamet, Glumetza, others), a diabetes medicine, to lower the risk of type 2 diabetes. This is most often prescribed for older adults who are obese and who can’t lower blood sugar levels with lifestyle changes.

• #23 Prevention of Type 2 Diabetes by Lifestyle Changes: A Systematic Review and Meta-Analysis

  https://pmc.ncbi.nlm.nih.gov/articles/PMC6893436/

  Prevention of type 2 diabetes (T2D) is a great challenge worldwide. […] We conclude that T2D is preventable by changing lifestyle and the risk reduction is sustained for many years after the active intervention (high certainty of evidence). Healthy dietary changes based on the current recommendations and the Mediterranean dietary pattern can be recommended for the long-term prevention of diabetes. […] We have a high certainty of evidence that T2D is preventable by changing lifestyle, i.e., weight reduction by diet change according to the current recommendations in terms of quality of fat, fiber intake, increased use of whole grain products, fruit, and vegetables, and increasing physical activity. The risk reduction of T2D is strongly related to the degree of long-term weight loss and adherence to lifestyle changes, and this preventive effect has been demonstrated to sustain for many years after active intervention. […] There is still limited/insufficient evidence that the prevention of T2D by changing lifestyle may also prevent CVD or microvascular diseases.

• #24 Diabetes prevention: 5 tips for taking control

  https://www.mayoclinic.org/diseases-conditions/type-2-diabetes/in-depth/diabetes-prevention/art-20047639

  You can gain many benefits from getting regular physical activity, such as lowering your blood sugar. […] Fiber-rich foods promote weight loss and lower the risk of diabetes. […] Dietary fiber, also called roughage or bulk, is the part of plant foods your body can’t digest or absorb. […] Avoid carbohydrates that are high in sugar with little fiber or nutrients. […] To help lose and manage weight, your diet should include a variety of foods with unsaturated fats. […] Your goal for your diet should be to lose weight and then keep a healthier weight moving forward. […] Share your concerns about diabetes prevention with your healthcare professionals.

• #25 Simple Steps to Preventing Diabetes – The Nutrition Source

  https://nutritionsource.hsph.harvard.edu/disease-prevention/diabetes-prevention/preventing-diabetes-full-story/

  Four dietary changes can have a big impact on the risk of type 2 diabetes. […] There is convincing evidence that diets rich in whole grains protect against diabetes, whereas diets rich in refined carbohydrates lead to increased risk. […] Whole grains are also rich in essential vitamins, minerals, and phytochemicals that may help reduce the risk of diabetes. […] The evidence is growing stronger that eating red meat (beef, pork, lamb) and processed red meat (bacon, hot dogs, deli meats) increases the risk of diabetes, even among people who consume only small amounts. […] The good news from this study: Swapping out red meat or processed red meat for a healthier protein source, such as nuts, low-fat dairy, poultry, or fish, or for whole grains lowered diabetes risk by up to 35%. […] Add type 2 diabetes to the long list of health problems linked with smoking. Smokers are roughly 50% more likely to develop diabetes than nonsmokers, and heavy smokers have an even higher risk.

• #26 Diabetes prevention: 5 tips for taking control

  https://www.mayoclinic.org/diseases-conditions/type-2-diabetes/in-depth/diabetes-prevention/art-20047639

  You can gain many benefits from getting regular physical activity, such as lowering your blood sugar. […] Fiber-rich foods promote weight loss and lower the risk of diabetes. […] Dietary fiber, also called roughage or bulk, is the part of plant foods your body can’t digest or absorb. […] Avoid carbohydrates that are high in sugar with little fiber or nutrients. […] To help lose and manage weight, your diet should include a variety of foods with unsaturated fats. […] Your goal for your diet should be to lose weight and then keep a healthier weight moving forward. […] Share your concerns about diabetes prevention with your healthcare professionals.

• #27 Type 2 Diabetes: Symptoms, Causes, Diagnosis, and Treatment

  https://www.webmd.com/diabetes/type-2-diabetes

  Eat more vegetables and fruits. Eating a variety of fruits, non-starchy vegetables (such as leafy greens), legumes, and whole grains can help lower your risk for diabetes. These are good sources of carbohydrates, minerals, vitamins, and fiber. They can also keep diabetes complications such as heart disease and high blood pressure at bay. […] Avoid fad diets. These diets may help you lose weight but there’s no evidence they have long-term benefits in preventing diabetes.

• #28 Diabetes prevention: 5 tips for taking control

  https://www.mayoclinic.org/diseases-conditions/type-2-diabetes/in-depth/diabetes-prevention/art-20047639

  You can gain many benefits from getting regular physical activity, such as lowering your blood sugar. […] Fiber-rich foods promote weight loss and lower the risk of diabetes. […] Dietary fiber, also called roughage or bulk, is the part of plant foods your body can’t digest or absorb. […] Avoid carbohydrates that are high in sugar with little fiber or nutrients. […] To help lose and manage weight, your diet should include a variety of foods with unsaturated fats. […] Your goal for your diet should be to lose weight and then keep a healthier weight moving forward. […] Share your concerns about diabetes prevention with your healthcare professionals.

• #29 Diabetes prevention: 5 tips for taking control

  https://www.mayoclinic.org/diseases-conditions/type-2-diabetes/in-depth/diabetes-prevention/art-20047639

  You can gain many benefits from getting regular physical activity, such as lowering your blood sugar. […] Fiber-rich foods promote weight loss and lower the risk of diabetes. […] Dietary fiber, also called roughage or bulk, is the part of plant foods your body can’t digest or absorb. […] Avoid carbohydrates that are high in sugar with little fiber or nutrients. […] To help lose and manage weight, your diet should include a variety of foods with unsaturated fats. […] Your goal for your diet should be to lose weight and then keep a healthier weight moving forward. […] Share your concerns about diabetes prevention with your healthcare professionals.

• #30 Type 2 Diabetes: Symptoms, Causes, Diagnosis, and Treatment

  https://www.webmd.com/diabetes/type-2-diabetes

  Adopting a healthy lifestyle can help you lower your risk of diabetes: […] Lose weight. Dropping just 7%-10% of your weight can cut your risk of type 2 diabetes in half. […] Get active. About 30 minutes of brisk walking a day will cut your risk by almost a third. […] Eat right. Avoid highly processed carbs, sugary drinks, and trans and saturated fats. Limit red and processed meats. […] Quit smoking. Work with your doctor to keep from gaining weight after you quit, so you don’t create one problem by solving another. […] If you have an increased risk for diabetes, making lifestyle changes can help prevent the disease. Some things you can do: […] Shed weight. Losing just 7% percent of your body weight has been shown to lower the risk for diabetes by nearly 60%. […] Increase your physical activity. In addition to helping you lose weight, exercise can lower blood sugar levels and increase your sensitivity to insulin, which keeps your blood sugar levels in a normal range.

• #31 Prevention of Type 2 Diabetes by Lifestyle Changes: A Systematic Review and Meta-Analysis

  https://pmc.ncbi.nlm.nih.gov/articles/PMC6893436/

  Prevention of type 2 diabetes (T2D) is a great challenge worldwide. […] We conclude that T2D is preventable by changing lifestyle and the risk reduction is sustained for many years after the active intervention (high certainty of evidence). Healthy dietary changes based on the current recommendations and the Mediterranean dietary pattern can be recommended for the long-term prevention of diabetes. […] We have a high certainty of evidence that T2D is preventable by changing lifestyle, i.e., weight reduction by diet change according to the current recommendations in terms of quality of fat, fiber intake, increased use of whole grain products, fruit, and vegetables, and increasing physical activity. The risk reduction of T2D is strongly related to the degree of long-term weight loss and adherence to lifestyle changes, and this preventive effect has been demonstrated to sustain for many years after active intervention. […] There is still limited/insufficient evidence that the prevention of T2D by changing lifestyle may also prevent CVD or microvascular diseases.

• #32 Preventing diabetes – Diabetes Canada

  https://www.diabetes.ca/type-2-risks/preventing-diabetes

  Following the DASH diet or Mediterranean diet can help you plan healthy meals and snacks to reduce your risk. […] Movement and exercise can also help you prevent diabetes. Just a little extra activity each day can go a long way. […] If you have pre-diabetes, an eating and exercise plan that helps with weight management can help to delay or prevent type 2 diabetes. Research shows that if you live with obesity, losing just 5% of your initial body weight can prevent type 2 diabetes from developing. […] You dont need to do it alone. […] If you have prediabetes or are at high risk for developing type 2 diabetes, you may be eligible for the Canadian Diabetes Prevention Program at no cost to you. […] The program is a personalized, wellness program with health-care professionals that empowers you to lead a healthier life and may reduce your risk of developing type 2 diabetes.

• #33 About

  https://www.cdc.gov/diabetes/prevention-type-2/type-2-diabetes-prevention-guide.html

  Within the prediabetes range, the higher your A1C, the greater your risk is for developing type 2 diabetes. […] The National Institutes of Health offers an interactive Body Weight Planner that can help you determine the number of calories you should eat each day to get you to your goal weight and to maintain it. […] If you have prediabetes, ask your doctor if joining the National DPP might be a helpful step for you. […] We hope this guide has helped you get started down the road to not only preventing type 2 diabetes, but also having more energy, better checkups, and better mental health.

• #34 Recommendation: Prediabetes and Type 2 Diabetes: Screening | United States Preventive Services Taskforce

  https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/screening-for-prediabetes-and-type-2-diabetes

  Asymptomatic adults aged 35 to 70 years who have overweight or obesity The USPSTF recommends screening for prediabetes and type 2 diabetes in adults aged 35 to 70 years who have overweight or obesity. Clinicians should offer or refer patients with prediabetes to effective preventive interventions. […] The USPSTF has lowered the starting age of screening from 40 to 35 years. […] Clinicians should consider screening at an earlier age in persons from groups with disproportionately high incidence and prevalence (American Indian/Alaska Native, Asian American, Black, Hispanic/Latino, or Native Hawaiian/Pacific Islander persons) or in persons who have a family history of diabetes, a history of gestational diabetes, or a history of polycystic ovarian syndrome, and at a lower BMI in Asian American persons.

• #35 Prevention of type 2 diabetes mellitus – UpToDate

  https://www.uptodate.com/contents/prevention-of-type-2-diabetes-mellitus

  Prevention of type 2 diabetes mellitus […] individuals at high risk, including those with impaired fasting glucose (IFG), impaired glucose tolerance (IGT), obesity, close relatives with type 2 diabetes, or who are members of certain ethnic groups (Asian, Hispanic, African American), are appropriate candidates for preventive interventions. […] The goals of diabetes prevention include: […] Preventing or delaying the onset of diabetes […] Preserving beta cell function.

• #36 What doctors wish patients knew about type 2 diabetes prevention | American Medical Association

  https://www.ama-assn.org/delivering-care/diabetes/what-doctors-wish-patients-knew-about-type-2-diabetes-prevention

  Type 2 diabetes risk isnt simple and straightforward, but we know that people have a higher risk of developing type 2 diabetes if they have prediabetes, said Dr. Kirley. That means they already have somewhat elevated blood-glucose levels, but not yet high enough to have type 2 diabetes. […] People who have a strong family history of type 2 diabetes are at much higher risk as well as people who struggle with obesity, said Dr. Kirley. […] Other people who are at risk include people who had gestational diabetes when they were pregnant, said Dr. Kirley. […] If a person can identify that they have prediabetes or some of those other risk factors such as obesity, then we still encourage people to examine whether there are changes that they can make that would help decrease their risk. […] Diabetes risk is really complicated, and theres a genetic component that people have no control over, said Dr. Kirley, adding that how peoples environment influences their risk of type 2 diabetes is an area that is still only partially understood.

• #37 Recommendation: Prediabetes and Type 2 Diabetes: Screening | United States Preventive Services Taskforce

  https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/screening-for-prediabetes-and-type-2-diabetes

  Asymptomatic adults aged 35 to 70 years who have overweight or obesity The USPSTF recommends screening for prediabetes and type 2 diabetes in adults aged 35 to 70 years who have overweight or obesity. Clinicians should offer or refer patients with prediabetes to effective preventive interventions. […] The USPSTF has lowered the starting age of screening from 40 to 35 years. […] Clinicians should consider screening at an earlier age in persons from groups with disproportionately high incidence and prevalence (American Indian/Alaska Native, Asian American, Black, Hispanic/Latino, or Native Hawaiian/Pacific Islander persons) or in persons who have a family history of diabetes, a history of gestational diabetes, or a history of polycystic ovarian syndrome, and at a lower BMI in Asian American persons.

• #38 What doctors wish patients knew about type 2 diabetes prevention | American Medical Association

  https://www.ama-assn.org/delivering-care/diabetes/what-doctors-wish-patients-knew-about-type-2-diabetes-prevention

  Type 2 diabetes risk isnt simple and straightforward, but we know that people have a higher risk of developing type 2 diabetes if they have prediabetes, said Dr. Kirley. That means they already have somewhat elevated blood-glucose levels, but not yet high enough to have type 2 diabetes. […] People who have a strong family history of type 2 diabetes are at much higher risk as well as people who struggle with obesity, said Dr. Kirley. […] Other people who are at risk include people who had gestational diabetes when they were pregnant, said Dr. Kirley. […] If a person can identify that they have prediabetes or some of those other risk factors such as obesity, then we still encourage people to examine whether there are changes that they can make that would help decrease their risk. […] Diabetes risk is really complicated, and theres a genetic component that people have no control over, said Dr. Kirley, adding that how peoples environment influences their risk of type 2 diabetes is an area that is still only partially understood.

• #39

  https://www.who.int/news-room/fact-sheets/detail/diabetes

  A healthy diet, regular physical activity, maintaining a normal body weight and avoiding tobacco use are ways to prevent or delay the onset of type 2 diabetes. […] Lifestyle changes are the best way to prevent or delay the onset of type 2 diabetes. […] To help prevent type 2 diabetes and its complications, people should: reach and keep a health body weight, stay physically active with at least 150 minutes of moderate exercise each week, eat a healthy diet and avoid sugar and saturated fat, not smoke tobacco. […] Type 2 diabetes is often preventable. Factors that contribute to developing type 2 diabetes include being overweight, not getting enough exercise, and genetics. […] Early diagnosis is important to prevent the worst effects of type 2 diabetes. The best way to detect diabetes early is to get regular check-ups and blood tests with a healthcare provider.

• #40 Recommendation: Prediabetes and Type 2 Diabetes: Screening | United States Preventive Services Taskforce

  https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/screening-for-prediabetes-and-type-2-diabetes

  Asymptomatic adults aged 35 to 70 years who have overweight or obesity The USPSTF recommends screening for prediabetes and type 2 diabetes in adults aged 35 to 70 years who have overweight or obesity. Clinicians should offer or refer patients with prediabetes to effective preventive interventions. […] The USPSTF has lowered the starting age of screening from 40 to 35 years. […] Clinicians should consider screening at an earlier age in persons from groups with disproportionately high incidence and prevalence (American Indian/Alaska Native, Asian American, Black, Hispanic/Latino, or Native Hawaiian/Pacific Islander persons) or in persons who have a family history of diabetes, a history of gestational diabetes, or a history of polycystic ovarian syndrome, and at a lower BMI in Asian American persons.

• #41 Type 2 Diabetes Prevention Programs—From Proof-of-Concept Trials to National Intervention and Beyond

  https://www.mdpi.com/2077-0383/12/5/1876

  The prevention of type 2 diabetes (T2D) in high-risk people with lifestyle interventions has been demonstrated by several randomized controlled trials. […] In 2000, Finland launched the national T2D prevention plan. […] The US congress authorized public funding for a national diabetes prevention program (NDPP) in 2010. […] Despite the convincing results from RCTs in China and India, no translation to the national level was introduced there. […] Health disparities by socioeconomic status exist for T2D and its risk factors and form a challenge for preventive interventions. […] It seems that a stronger commitment to T2D prevention is needed, such as the successful WHO Framework Convention on Tobacco Control, which legally binds the countries to act. […] Successful prevention of any disease requires several essential prerequisites: agreed diagnostic criteria, knowledge about risk factors and natural history of the disease, affordable and acceptable screening methods to identify high-risk individuals, and acceptable and efficient methods to influence modifiable risk factors.

• #42 Type 2 Diabetes Prevention Programs—From Proof-of-Concept Trials to National Intervention and Beyond

  https://www.mdpi.com/2077-0383/12/5/1876

  The proof-of-concept RCTs have unequivocally shown that the onset of T2D in high-risk people can be successfully postponed. […] The main funding for the FIN-D2D program came from the Ministry of Social Affairs and Health, which contributed 8.4 million Euros. […] The FINDRISC was used in primary healthcare and occupational healthcare clinics nationwide. […] The long-term results of the FIN-D2D with an average follow-up time of 7.4 years showed that the risk reduction of drug-treated diabetes remained significantly reduced (approximately 30%) in individuals with a weight reduction >2.5% after one year. […] The US National DPP (NDPP) was established around the scientific principles established by the prevention trials, including the importance of multi-disciplinary behavioral support, aiming for goals of moderate weight loss, a healthy diet, and increasing physical activity levels.

• #43 Diabetes Prevention Alliance | ADA

  https://professional.diabetes.org/clinical-support/national-diabetes-prevention-program

  The National DPP is a lifestyle change program that has been shown to reduce the risk of developing type 2 diabetes by 58% (71% in those 60 and older) for people with prediabetes. […] Our goal is to reduce or delay the onset of type 2 diabetes through evidence-based lifestyle change programs. […] As part of its commitment to reduce the incidence of type 2 diabetes, the ADA provides back bone support to the Diabetes Prevention Alliance, providing technology, infrastructure, resources, and support for the multi-sectoral network of partners aimed to scale and sustain the National DPP. […] Share the ADAs 60-Second Type 2 Diabetes Risk Test with the people you see so they can understand their risk and receive actionable next steps they can take towards a healthier life. […] The National DPP uses a researched-based curriculum that combines nutrition, physical activity, and stress management techniques into one program.

• #44 National Diabetes Prevention Program Overview – National DPP Coverage Toolkit

  https://coveragetoolkit.org/about-national-dpp/ndpp-overview/

  Research has shown that investing in type 2 diabetes prevention can slow or prevent the development of type 2 diabetes in adults with prediabetes or who are at risk for developing type 2 diabetes resulting in reduced costs and healthier populations. […] To address this problem, CDC established the National Diabetes Prevention Program (National DPP), which is a partnership of public and private organizations that provide the framework for type 2 diabetes prevention efforts in the U.S. […] Research shows that people with prediabetes who take part in this structured lifestyle change program can cut their risk of developing type 2 diabetes by 58% (71% for people over 60 years old). This is the result of the program helping people lose 5% to 7% of their body weight through healthier eating and 150 minutes of physical activity a week. […] The National DPP lifestyle change program is designed for people 18 years or older who have prediabetes or who are at risk for type 2 diabetes, but who do not already have type 2 diabetes.

• #45 Diabetes Prevention Alliance | ADA

  https://professional.diabetes.org/clinical-support/national-diabetes-prevention-program

  The National DPP is a lifestyle change program that has been shown to reduce the risk of developing type 2 diabetes by 58% (71% in those 60 and older) for people with prediabetes. […] Our goal is to reduce or delay the onset of type 2 diabetes through evidence-based lifestyle change programs. […] As part of its commitment to reduce the incidence of type 2 diabetes, the ADA provides back bone support to the Diabetes Prevention Alliance, providing technology, infrastructure, resources, and support for the multi-sectoral network of partners aimed to scale and sustain the National DPP. […] Share the ADAs 60-Second Type 2 Diabetes Risk Test with the people you see so they can understand their risk and receive actionable next steps they can take towards a healthier life. […] The National DPP uses a researched-based curriculum that combines nutrition, physical activity, and stress management techniques into one program.

• #46 Diabetes Prevention Program Coverage

  https://www.medicare.gov/coverage/medicare-diabetes-prevention-program

  The Medicare Diabetes Prevention Program is a health behavior change program to help you prevent type 2 diabetes. […] The program begins with 16 weekly core sessions offered in a group setting over a 6-month period. […] Once you complete the core sessions, you’ll get 6 monthly follow-up sessions to help you maintain healthy habits.

• #47 Diabetes Prevention Alliance | ADA

  https://professional.diabetes.org/clinical-support/national-diabetes-prevention-program

  The 12-month National DPP lifestyle change program is approved by the CDC and is led by a trained lifestyle coach. Participants may attend in-person, virtually, through distance learning, or a combination of the three. […] The first half of the program provides a foundation to set your patient up for success. […] Participants discover ways to enjoy a tasty and balanced nutrition that incorporates foods traditional to their culture. […] Participants learn ways to incorporate physical activity into their everyday routine to reach 150 minutes per week. […] Participants discover ways to overcome stress and challenges that disrupt a healthy lifestyle. […] The second phase reinforces what theyve learned and includes monthly meetings to set goals and track progress.

• #48 Diabetes Prevention Alliance | ADA

  https://professional.diabetes.org/clinical-support/national-diabetes-prevention-program

  The 12-month National DPP lifestyle change program is approved by the CDC and is led by a trained lifestyle coach. Participants may attend in-person, virtually, through distance learning, or a combination of the three. […] The first half of the program provides a foundation to set your patient up for success. […] Participants discover ways to enjoy a tasty and balanced nutrition that incorporates foods traditional to their culture. […] Participants learn ways to incorporate physical activity into their everyday routine to reach 150 minutes per week. […] Participants discover ways to overcome stress and challenges that disrupt a healthy lifestyle. […] The second phase reinforces what theyve learned and includes monthly meetings to set goals and track progress.

• #49 National Diabetes Prevention Program Overview – National DPP Coverage Toolkit

  https://coveragetoolkit.org/about-national-dpp/ndpp-overview/

  Research has shown that investing in type 2 diabetes prevention can slow or prevent the development of type 2 diabetes in adults with prediabetes or who are at risk for developing type 2 diabetes resulting in reduced costs and healthier populations. […] To address this problem, CDC established the National Diabetes Prevention Program (National DPP), which is a partnership of public and private organizations that provide the framework for type 2 diabetes prevention efforts in the U.S. […] Research shows that people with prediabetes who take part in this structured lifestyle change program can cut their risk of developing type 2 diabetes by 58% (71% for people over 60 years old). This is the result of the program helping people lose 5% to 7% of their body weight through healthier eating and 150 minutes of physical activity a week. […] The National DPP lifestyle change program is designed for people 18 years or older who have prediabetes or who are at risk for type 2 diabetes, but who do not already have type 2 diabetes.

• #50 NHS England » NHS Diabetes Prevention Programme (NHS DPP)

  https://www.england.nhs.uk/diabetes/diabetes-prevention/

  Whilst type 1 diabetes cannot be prevented, type 2 diabetes is largely preventable through lifestyle changes. […] The Healthier You NHS Diabetes Prevention Programme, also known as the Healthier You programme, identifies people at risk of developing type 2 diabetes and refers them onto a nine-month, evidence-based lifestyle change programme. […] People on the face-to-face group service receive personalised support to manage their weight, eat more healthily and be more physically active which together have been proven to reduce a persons risk of developing type 2 diabetes. […] Research shows the Healthier You NHS Diabetes Prevention Programme has reduced new diagnoses of type 2 diabetes in England, saving thousands of people from the potentially serious consequences of the condition. It cuts the risk of developing type 2 diabetes by more than a third for people completing the programme. […] You can get help to make positive changes to your diet, weight and physical activity to significantly reduce your risk of developing type 2 diabetes. […] If you are at risk, you may be eligible for referral to the Healthier You NHS Diabetes Prevention Programme by your GP Practice.

• #51 Type 2 Diabetes Prevention Programs—From Proof-of-Concept Trials to National Intervention and Beyond

  https://www.mdpi.com/2077-0383/12/5/1876

  The proof-of-concept RCTs have unequivocally shown that the onset of T2D in high-risk people can be successfully postponed. […] The main funding for the FIN-D2D program came from the Ministry of Social Affairs and Health, which contributed 8.4 million Euros. […] The FINDRISC was used in primary healthcare and occupational healthcare clinics nationwide. […] The long-term results of the FIN-D2D with an average follow-up time of 7.4 years showed that the risk reduction of drug-treated diabetes remained significantly reduced (approximately 30%) in individuals with a weight reduction >2.5% after one year. […] The US National DPP (NDPP) was established around the scientific principles established by the prevention trials, including the importance of multi-disciplinary behavioral support, aiming for goals of moderate weight loss, a healthy diet, and increasing physical activity levels.

• #52

  https://link.springer.com/article/10.1007/s11892-019-1200-z

  This article highlights foundational evidence, translation studies, and current research behind type 2 diabetes prevention efforts worldwide, with focus on high-risk populations, and whole-population approaches as catalysts to global prevention. […] Successful type 2 diabetes prevention strategies are being realized in the USA through the National Diabetes Prevention Program and elsewhere in the world. A multi-tiered approach involving appropriate risk targeting and whole-population efforts is essential to curb the global diabetes epidemic. […] Type 2 diabetes can be prevented or delayed through mitigation of modifiable risk factors, such as healthier eating, weight loss, and increased physical activity. […] Public health interventions using glycemic risk stratification to target individuals at very high risk (having obesity and impaired glucose tolerance (IGT)) and high risk (being overweight with IGT) have proven to significantly reduce conversion to type 2 diabetes.

• #53

  https://link.springer.com/article/10.1007/s11892-019-1200-z

  Population-level policies, systems, and environmental approaches, along with lifestyle intervention for those at high risk, are likely optimal to achieve the greatest level of impact. […] The purpose of this review is to highlight the foundational and current research and translation studies which underlie high-risk population and whole-population strategies for type 2 diabetes prevention worldwide, with particular focus on the U.S. National Diabetes Prevention Program, as catalysts for global prevention efforts. […] The evidence is clear: lifestyle interventions can prevent or delay type 2 diabetes among various races, ethnicities, genders, and regions. Additionally, type 2 diabetes prevention program interventions continue to demonstrate cost-effectiveness/cost savings in real-world settings over time.

• #54 Diabetes Prevention Alliance | ADA

  https://professional.diabetes.org/clinical-support/national-diabetes-prevention-program

  The National DPP is a lifestyle change program that has been shown to reduce the risk of developing type 2 diabetes by 58% (71% in those 60 and older) for people with prediabetes. […] Our goal is to reduce or delay the onset of type 2 diabetes through evidence-based lifestyle change programs. […] As part of its commitment to reduce the incidence of type 2 diabetes, the ADA provides back bone support to the Diabetes Prevention Alliance, providing technology, infrastructure, resources, and support for the multi-sectoral network of partners aimed to scale and sustain the National DPP. […] Share the ADAs 60-Second Type 2 Diabetes Risk Test with the people you see so they can understand their risk and receive actionable next steps they can take towards a healthier life. […] The National DPP uses a researched-based curriculum that combines nutrition, physical activity, and stress management techniques into one program.

• #55 Type 2 Diabetes Prevention Programs—From Proof-of-Concept Trials to National Intervention and Beyond

  https://www.mdpi.com/2077-0383/12/5/1876

  The first published findings from the US NDPP showed a median weight loss of 5% among participants, with a clear dose response relationship between the number of sessions attended and the magnitude of weight loss. […] The European Diabetes Prevention Study (EDIPS) collaboration applied the DPS protocol in other European countries, e.g., the SLIM study in Maastricht, The Netherlands, and the EDIPS Newcastle study in Newcastle upon Tyne, UK. […] The DE-PLAN project aimed at developing and testing models of efficient identification of individuals at high risk of T2D diabetes in the community using the FINDRISC. […] A comprehensive review of barriers and facilitators related to the management of diabetes, hypertension, and dyslipidemia, considering patient, health provider, and health system perspectives that exist in high-income countries but especially in LMCIs.

• #56 Type 2 Diabetes Prevention Programs—From Proof-of-Concept Trials to National Intervention and Beyond

  https://www.mdpi.com/2077-0383/12/5/1876

  The proof-of-concept RCTs have unequivocally shown that the onset of T2D in high-risk people can be successfully postponed. […] The main funding for the FIN-D2D program came from the Ministry of Social Affairs and Health, which contributed 8.4 million Euros. […] The FINDRISC was used in primary healthcare and occupational healthcare clinics nationwide. […] The long-term results of the FIN-D2D with an average follow-up time of 7.4 years showed that the risk reduction of drug-treated diabetes remained significantly reduced (approximately 30%) in individuals with a weight reduction >2.5% after one year. […] The US National DPP (NDPP) was established around the scientific principles established by the prevention trials, including the importance of multi-disciplinary behavioral support, aiming for goals of moderate weight loss, a healthy diet, and increasing physical activity levels.

• #57

  https://link.springer.com/article/10.1007/s11892-019-1200-z

  Population-level policies, systems, and environmental approaches, along with lifestyle intervention for those at high risk, are likely optimal to achieve the greatest level of impact. […] The purpose of this review is to highlight the foundational and current research and translation studies which underlie high-risk population and whole-population strategies for type 2 diabetes prevention worldwide, with particular focus on the U.S. National Diabetes Prevention Program, as catalysts for global prevention efforts. […] The evidence is clear: lifestyle interventions can prevent or delay type 2 diabetes among various races, ethnicities, genders, and regions. Additionally, type 2 diabetes prevention program interventions continue to demonstrate cost-effectiveness/cost savings in real-world settings over time.

• #58

  https://link.springer.com/article/10.1007/s11892-019-1200-z

  Population-level policies, systems, and environmental approaches, along with lifestyle intervention for those at high risk, are likely optimal to achieve the greatest level of impact. […] The purpose of this review is to highlight the foundational and current research and translation studies which underlie high-risk population and whole-population strategies for type 2 diabetes prevention worldwide, with particular focus on the U.S. National Diabetes Prevention Program, as catalysts for global prevention efforts. […] The evidence is clear: lifestyle interventions can prevent or delay type 2 diabetes among various races, ethnicities, genders, and regions. Additionally, type 2 diabetes prevention program interventions continue to demonstrate cost-effectiveness/cost savings in real-world settings over time.

• #59 Type 2 diabetes – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/type-2-diabetes/symptoms-causes/syc-20351193

  Healthy lifestyle choices can help prevent type 2 diabetes. If you have prediabetes, lifestyle changes may slow the condition or keep it from becoming diabetes. […] A healthy lifestyle includes the following: Eat healthy foods. Choose foods lower in fat and calories and higher in fiber. Focus on fruits, vegetables and whole grains. […] Be active. Aim for 150 or more minutes a week of moderate to vigorous aerobic activity, such as brisk walking, bicycling, running or swimming. […] Lose weight. If you are overweight, losing some weight and keeping it off may slow prediabetes from becoming type 2 diabetes. If you have prediabetes, losing 7% to 10% of your body weight may lower the risk of diabetes. […] Don’t sit for long. Sitting for long periods can raise the risk of type 2 diabetes. Get up every 30 minutes and move around for at least a few minutes. […] People with prediabetes may take metformin (Fortamet, Glumetza, others), a diabetes medicine, to lower the risk of type 2 diabetes. This is most often prescribed for older adults who are obese and who can’t lower blood sugar levels with lifestyle changes.

• #60 Recommendation: Prediabetes and Type 2 Diabetes: Screening | United States Preventive Services Taskforce

  https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/screening-for-prediabetes-and-type-2-diabetes

  Both lifestyle interventions that focus on diet, physical activity, or both and metformin have demonstrated efficacy in preventing or delaying progression to diabetes in persons with prediabetes. […] In the Diabetes Prevention Program (DPP) study (which serves as a model for many lifestyle intervention programs in the US), lifestyle intervention was more effective than metformin in preventing or delaying diabetes. […] The Community Preventive Services Task Force recommends diet and physical activity promotion programs to prevent type 2 diabetes among persons at increased risk.

• #61 Prediabetes: Which Treatment Should I Use to Prevent Type 2 Diabetes? | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.prediabetes-which-treatment-should-i-use-to-prevent-type-2-diabetes.abp5563

  Make major lifestyle changes to help prevent type 2 diabetes. […] Take the medicine metformin (Glucophage) to help prevent type 2 diabetes. […] Major lifestyle changes can help prevent type 2 diabetes in people with prediabetes. These changes include losing weight, eating healthier foods, and getting more exercise. […] The medicine metformin can also help prevent type 2 diabetes in people with prediabetes. […] Even if you take metformin, it is important to make as many healthy lifestyle changes as you can. Doing both of these things may give you the best chance of delaying or preventing type 2 diabetes over the long term. […] The main way to prevent type 2 diabetes is to lower blood sugar with healthy lifestyle changes. The medicine metformin can also lower blood sugar. […] For many people, making major lifestyle changes works better than taking metformin to help delay or prevent type 2 diabetes for up to 10 years.

• #62

  https://www.healio.com/clinical-guidance/type-2-diabetes/prevention-of-type-2-diabetes-prevention

  By the end of the study, 32% of patients in the acarbose group and 42% of those in the placebo group developed diabetes, corresponding to a risk reduction of ~25%. […] After 4 years treatment, the cumulative incidence of diabetes was 9.0% with placebo and 6.2% with orlistat, corresponding to a risk reduction of 37%. […] The primary outcome was a composite of incident diabetes or death. […] Conversion to diabetes was confirmed on the basis of the results of repeat testing of fasting glucose and oral glucose tolerance. […] The 2022 ADA guidelines recommend that MET therapy for prevention be considered in patients with prediabetes, especially in patients aged 25-59 years with BMI 35 kg/m2, higher fasting plasma glucose (e.g., 110 mg/dL) and higher A1C (e.g., 6.0%), as well as in women with a history of gestational diabetes.

• #63 Recommendation: Prediabetes and Type 2 Diabetes: Screening | United States Preventive Services Taskforce

  https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/screening-for-prediabetes-and-type-2-diabetes

  Both lifestyle interventions that focus on diet, physical activity, or both and metformin have demonstrated efficacy in preventing or delaying progression to diabetes in persons with prediabetes. […] In the Diabetes Prevention Program (DPP) study (which serves as a model for many lifestyle intervention programs in the US), lifestyle intervention was more effective than metformin in preventing or delaying diabetes. […] The Community Preventive Services Task Force recommends diet and physical activity promotion programs to prevent type 2 diabetes among persons at increased risk.

• #64

  https://www.healio.com/clinical-guidance/type-2-diabetes/prevention-of-type-2-diabetes-prevention

  By the end of the study, 32% of patients in the acarbose group and 42% of those in the placebo group developed diabetes, corresponding to a risk reduction of ~25%. […] After 4 years treatment, the cumulative incidence of diabetes was 9.0% with placebo and 6.2% with orlistat, corresponding to a risk reduction of 37%. […] The primary outcome was a composite of incident diabetes or death. […] Conversion to diabetes was confirmed on the basis of the results of repeat testing of fasting glucose and oral glucose tolerance. […] The 2022 ADA guidelines recommend that MET therapy for prevention be considered in patients with prediabetes, especially in patients aged 25-59 years with BMI 35 kg/m2, higher fasting plasma glucose (e.g., 110 mg/dL) and higher A1C (e.g., 6.0%), as well as in women with a history of gestational diabetes.

• #65 Prevention or Delay of Type 2 Diabetes Mellitus: Recommendations From the American Diabetes Association | AAFP

  https://www.aafp.org/pubs/afp/issues/2022/0400/p438.html

  The National Diabetes Prevention Program brings evidence-based lifestyle change programs into communities. […] Medications can delay or prevent type 2 diabetes but are less effective than lifestyle programs. […] In patients with previous gestational diabetes, metformin reduces diabetes incidence by 50%, equivalent to lifestyle changes. […] Because diabetes increases cardiovascular risk, identifying prediabetes provides an opportunity to reduce that risk. […] Annual laboratory monitoring is recommended for patients with prediabetes to track treatment effectiveness and the development of type 2 diabetes.

• #66 Prediabetes: Which Treatment Should I Use to Prevent Type 2 Diabetes? | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.prediabetes-which-treatment-should-i-use-to-prevent-type-2-diabetes.abp5563

  Getting at least 2 hours (150 minutes) of moderate activity a week. […] Eating a diet low in calories and saturated fat. […] Lifestyle changes can: Help you lower blood sugar and prevent type 2 diabetes. […] Help control or prevent high blood pressure, high cholesterol, and heart disease. […] Metformin can help you lower blood sugar and prevent type 2 diabetes. […] For some people, making major lifestyle changes or taking metformin can help delay or prevent type 2 diabetes for up to 15 years. But doing both of these things may give you the best chance of delaying or preventing type 2 diabetes over the long term. […] The American Diabetes Association (ADA) recommends making major lifestyle changes. […] The ADA also suggests taking metformin, especially if you’re younger than 60, have a body mass index (BMI) of 35 or more, or have had gestational diabetes.

• #67

  https://www.healio.com/clinical-guidance/type-2-diabetes/prevention-of-type-2-diabetes-prevention

  By the end of the study, 32% of patients in the acarbose group and 42% of those in the placebo group developed diabetes, corresponding to a risk reduction of ~25%. […] After 4 years treatment, the cumulative incidence of diabetes was 9.0% with placebo and 6.2% with orlistat, corresponding to a risk reduction of 37%. […] The primary outcome was a composite of incident diabetes or death. […] Conversion to diabetes was confirmed on the basis of the results of repeat testing of fasting glucose and oral glucose tolerance. […] The 2022 ADA guidelines recommend that MET therapy for prevention be considered in patients with prediabetes, especially in patients aged 25-59 years with BMI 35 kg/m2, higher fasting plasma glucose (e.g., 110 mg/dL) and higher A1C (e.g., 6.0%), as well as in women with a history of gestational diabetes.

• #68 Prediabetes: Which Treatment Should I Use to Prevent Type 2 Diabetes? | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.prediabetes-which-treatment-should-i-use-to-prevent-type-2-diabetes.abp5563

  Make major lifestyle changes to help prevent type 2 diabetes. […] Take the medicine metformin (Glucophage) to help prevent type 2 diabetes. […] Major lifestyle changes can help prevent type 2 diabetes in people with prediabetes. These changes include losing weight, eating healthier foods, and getting more exercise. […] The medicine metformin can also help prevent type 2 diabetes in people with prediabetes. […] Even if you take metformin, it is important to make as many healthy lifestyle changes as you can. Doing both of these things may give you the best chance of delaying or preventing type 2 diabetes over the long term. […] The main way to prevent type 2 diabetes is to lower blood sugar with healthy lifestyle changes. The medicine metformin can also lower blood sugar. […] For many people, making major lifestyle changes works better than taking metformin to help delay or prevent type 2 diabetes for up to 10 years.

• #69

  https://link.springer.com/article/10.1007/s11892-019-1200-z

  Population-level policies, systems, and environmental approaches, along with lifestyle intervention for those at high risk, are likely optimal to achieve the greatest level of impact. […] The purpose of this review is to highlight the foundational and current research and translation studies which underlie high-risk population and whole-population strategies for type 2 diabetes prevention worldwide, with particular focus on the U.S. National Diabetes Prevention Program, as catalysts for global prevention efforts. […] The evidence is clear: lifestyle interventions can prevent or delay type 2 diabetes among various races, ethnicities, genders, and regions. Additionally, type 2 diabetes prevention program interventions continue to demonstrate cost-effectiveness/cost savings in real-world settings over time.

• #70 Type 2 Diabetes Prevention Programs—From Proof-of-Concept Trials to National Intervention and Beyond

  https://www.mdpi.com/2077-0383/12/5/1876

  The WHO and others have recommended taxation as part of a comprehensive package of policy interventions to prevent diet-related NCDs. […] Population-based prevention focuses on strategies to alter the overall distribution of risk in the population. […] The analyses of the DPS indicated that the quality of the diet improved, but daily diet costs did not significantly change. […] The development of national actions for the prevention of T2D has been disappointingly slow; although RCT results are impressive, the high costs of T2D are well-documented, and the prevalence of T2D has been continuously increasing globally.

• #71 State Strategies on Preventing and Managing Type 2 Diabetes: A State Playbook – National Governors Association

  https://www.nga.org/publications/state-strategies-on-preventing-and-managing-type-2-diabetes-a-state-playbook/

  Primary prevention Prevent or delay type 2 diabetes by lowering risk factors and promoting lifestyle changes. […] Secondary Prevention Reduce the impact of diabetes through early detection and access to care. […] Tertiary prevention Help manage diabetes and prevent diabetes-related complications. […] The National DPP lifestyle change program is an affordable, high-quality program proven to help people prevent or delay type 2 diabetes. […] Governors can utilize their executive power to support increased insurance coverage for the National DPP. […] Telehealth can supplement in-person services and address health access disparities. […] To reduce the impact of type 2 diabetes on populations with low incomes, Governors can support Medicaid coverage for virtual delivery of the National DPP lifestyle change programs and DSMES services.

• #72

  https://www.gov.uk/government/publications/health-matters-preventing-type-2-diabetes/health-matters-preventing-type-2-diabetes

  A broad, structured sugar reduction programme is being led by PHE to remove sugar from the products children eat most. […] NHS England, PHE and Diabetes UK launched the first Diabetes Prevention Week in April 2018. The week-long campaign raised awareness of Type 2 diabetes, the complications associated with it, high-risk groups, and how to prevent it. […] To achieve this, the number of GP referrals must be realistic so that demand matches the providers supply capacity. […] Primary care engagement is crucial for the effective implementation of the NHS DPP, as primary care professionals are required to identify individuals at high risk of developing Type 2 diabetes and refer them into the Programme. […] Commissioners have a key role to play in ensuring that patients identified through the programme are offered lifestyle advice to achieve: a healthy weight, dietary recommendations, CMO physical activity recommendations. […] In the long term, it remains the case that to address obesity and therefore reduce the risk of Type 2 diabetes, local health economies must work together in implementing population-level approaches.

• #73 State Strategies on Preventing and Managing Type 2 Diabetes: A State Playbook – National Governors Association

  https://www.nga.org/publications/state-strategies-on-preventing-and-managing-type-2-diabetes-a-state-playbook/

  Governors can support HIAs by funding chronic disease and environmental health departments to work together on a HIA or supporting legislation that requires HIAs. […] DSMES or diabetes self-management education and support services are designed to give people with diabetes the knowledge and skills to responsibly manage a diabetes diagnosis. […] Governors can champion policies that improve transparency in the pharmaceutical supply chain, which establishes accountability for the players in the supply chain and can lead to less price increases. […] Type 2 diabetes affects millions of people across the United States, and the prevalence of diabetes is increasing each year. Social determinants of health are primary factors affecting ones ability to manage diabetes and reduce risk of severe complications.

• #74 Treatment for type 2 diabetes – NHS

  https://www.nhs.uk/conditions/type-2-diabetes/treatment/

  If you have type 2 diabetes or have been told that you may get it in the future (prediabetes), lifestyle changes can help lower your blood glucose (sugar) levels. This can help to manage diabetes and possibly avoid having to take medicine. […] Lifestyle changes can sometimes lower your blood glucose to a normal level and stop diabetes (remission). […] Diabetes courses are recommended for everyone with type 2 diabetes. Theyre designed to give you the confidence and skills you need to manage diabetes. […] If you have type 2 diabetes or have prediabetes and are at risk of developing type 2 diabetes, you may be eligible for an NHS programme that can help you. […] Speak to your doctor or nurse about the NHS: Diabetes Prevention Programme (NHS DPP).

• #75 Type 2 Diabetes Prevention Program | ECHN

  https://www.echn.org/services/center-for-healthy-living/diabetes/diabetes-prevent-t2-program/

  Did you know that having prediabetes means your blood sugar level is higher than normal, increasing your risk of getting Type 2 diabetes? Without weight loss or moderate physical activity, many people with prediabetes can develop Type 2 diabetes within 5 years. […] People with prediabetes who take part in a structured lifestyle change program can reduce their risk of developing type 2 diabetes by 58%. For people over 60 years old, it is reduced by 71%. […] PreventT2 is a small-group coaching program that uses a research-based CDC approved curriculum that has been proven to be an effective lifestyle change program to help delay or prevent type 2 diabetes. […] Investing in this program can bring positive changes to your health by creating new habits, gaining new skills and building confidence.

• #76 What doctors wish patients knew about type 2 diabetes prevention | American Medical Association

  https://www.ama-assn.org/delivering-care/diabetes/what-doctors-wish-patients-knew-about-type-2-diabetes-prevention

  Type 2 diabetes is striking an ever-growing number of adults, but with rising rates of childhood obesity, it has become more common among youth too. There is good news thoughtype 2 diabetes is often preventable. In fact, many cases can be avoided by making appropriate lifestyle changes. These changes can also lower your risk for developing heart disease and other conditions. A family physician shares what to keep in mind when preventing type 2 diabetes. […] One of the reasons to raise awareness is that many people can reduce the likelihood that they will develop type 2 diabetes or reduce the likelihood that theyll get complications from it, she said. We want to make sure people are aware of it and know about it so that they can take actions that might be available to them to stay healthy.

• #77

  https://www.gov.uk/government/publications/health-matters-preventing-type-2-diabetes/health-matters-preventing-type-2-diabetes

  A broad, structured sugar reduction programme is being led by PHE to remove sugar from the products children eat most. […] NHS England, PHE and Diabetes UK launched the first Diabetes Prevention Week in April 2018. The week-long campaign raised awareness of Type 2 diabetes, the complications associated with it, high-risk groups, and how to prevent it. […] To achieve this, the number of GP referrals must be realistic so that demand matches the providers supply capacity. […] Primary care engagement is crucial for the effective implementation of the NHS DPP, as primary care professionals are required to identify individuals at high risk of developing Type 2 diabetes and refer them into the Programme. […] Commissioners have a key role to play in ensuring that patients identified through the programme are offered lifestyle advice to achieve: a healthy weight, dietary recommendations, CMO physical activity recommendations. […] In the long term, it remains the case that to address obesity and therefore reduce the risk of Type 2 diabetes, local health economies must work together in implementing population-level approaches.

• #78 What doctors wish patients knew about type 2 diabetes prevention | American Medical Association

  https://www.ama-assn.org/delivering-care/diabetes/what-doctors-wish-patients-knew-about-type-2-diabetes-prevention

  One of the main reasons we are so concerned about people who get type 2 diabetes is it is a really difficult illness on your cardiovascular system, Dr. Kirley said. […] In terms of individual actions that people can take, they may not be as dramatic as people think that they need to be, said Dr. Kirley. […] A persons risk of developing type 2 diabetes greatly increases with obesity. But there are obesity treatments that can help: bariatric surgery and anti-obesity medication. […] Diabetes tends to run in families, so interventions that help the entire family are the way to think about preventing type 2 diabetes, said Dr. Kirley, noting that family members can support each other by working together to make healthy behavior changes. […] Patients have a couple places that they can go for resources and help to reduce their risk, said Dr. Kirley. […] If you do not know your own risk for type 2 diabetes, then a health maintenance visit with a physician is a good time to discuss that and figure that out, said Dr. Kirley.

• #79 What doctors wish patients knew about type 2 diabetes prevention | American Medical Association

  https://www.ama-assn.org/delivering-care/diabetes/what-doctors-wish-patients-knew-about-type-2-diabetes-prevention

  One of the main reasons we are so concerned about people who get type 2 diabetes is it is a really difficult illness on your cardiovascular system, Dr. Kirley said. […] In terms of individual actions that people can take, they may not be as dramatic as people think that they need to be, said Dr. Kirley. […] A persons risk of developing type 2 diabetes greatly increases with obesity. But there are obesity treatments that can help: bariatric surgery and anti-obesity medication. […] Diabetes tends to run in families, so interventions that help the entire family are the way to think about preventing type 2 diabetes, said Dr. Kirley, noting that family members can support each other by working together to make healthy behavior changes. […] Patients have a couple places that they can go for resources and help to reduce their risk, said Dr. Kirley. […] If you do not know your own risk for type 2 diabetes, then a health maintenance visit with a physician is a good time to discuss that and figure that out, said Dr. Kirley.

• #80 Prevention or Delay of Type 2 Diabetes Mellitus: Recommendations From the American Diabetes Association | AAFP

  https://www.aafp.org/pubs/afp/issues/2022/0400/p438.html

  The National Diabetes Prevention Program brings evidence-based lifestyle change programs into communities. […] Medications can delay or prevent type 2 diabetes but are less effective than lifestyle programs. […] In patients with previous gestational diabetes, metformin reduces diabetes incidence by 50%, equivalent to lifestyle changes. […] Because diabetes increases cardiovascular risk, identifying prediabetes provides an opportunity to reduce that risk. […] Annual laboratory monitoring is recommended for patients with prediabetes to track treatment effectiveness and the development of type 2 diabetes.

• #81

  https://www.who.int/news-room/fact-sheets/detail/diabetes

  A healthy diet, regular physical activity, maintaining a normal body weight and avoiding tobacco use are ways to prevent or delay the onset of type 2 diabetes. […] Lifestyle changes are the best way to prevent or delay the onset of type 2 diabetes. […] To help prevent type 2 diabetes and its complications, people should: reach and keep a health body weight, stay physically active with at least 150 minutes of moderate exercise each week, eat a healthy diet and avoid sugar and saturated fat, not smoke tobacco. […] Type 2 diabetes is often preventable. Factors that contribute to developing type 2 diabetes include being overweight, not getting enough exercise, and genetics. […] Early diagnosis is important to prevent the worst effects of type 2 diabetes. The best way to detect diabetes early is to get regular check-ups and blood tests with a healthcare provider.

• #82 Diabetes prevention: 5 tips for taking control

  https://www.mayoclinic.org/diseases-conditions/type-2-diabetes/in-depth/diabetes-prevention/art-20047639

  Changing your lifestyle could be a big step toward diabetes prevention and it’s never too late to start. […] Lifestyle changes can help prevent type 2 diabetes, the most common form of the disease. Prevention is especially important if you have a higher risk of type 2 diabetes. […] If you’ve been diagnosed with prediabetes high blood sugar that doesn’t reach the level of a diabetes diagnosis lifestyle changes can prevent or delay type 2 diabetes. […] Making a few changes in your lifestyle now may help you avoid serious diabetes health complications in the future. […] Losing weight lowers the risk of diabetes. The American Diabetes Association recommends that people with prediabetes lose at least 5% to 7% of their body weight to prevent diabetes. […] People in one large study lowered their risk of developing type 2 diabetes by almost 60% over three years.

• #83 Prevention of Type 2 Diabetes by Lifestyle Changes: A Systematic Review and Meta-Analysis

  https://pmc.ncbi.nlm.nih.gov/articles/PMC6893436/

  Prevention of type 2 diabetes (T2D) is a great challenge worldwide. […] We conclude that T2D is preventable by changing lifestyle and the risk reduction is sustained for many years after the active intervention (high certainty of evidence). Healthy dietary changes based on the current recommendations and the Mediterranean dietary pattern can be recommended for the long-term prevention of diabetes. […] We have a high certainty of evidence that T2D is preventable by changing lifestyle, i.e., weight reduction by diet change according to the current recommendations in terms of quality of fat, fiber intake, increased use of whole grain products, fruit, and vegetables, and increasing physical activity. The risk reduction of T2D is strongly related to the degree of long-term weight loss and adherence to lifestyle changes, and this preventive effect has been demonstrated to sustain for many years after active intervention. […] There is still limited/insufficient evidence that the prevention of T2D by changing lifestyle may also prevent CVD or microvascular diseases.

• #84

  https://link.springer.com/article/10.1007/s11892-019-1200-z

  To achieve large-scale type 2 diabetes prevention, interventions directed to both high-risk populations and the general population are necessary. There is strong evidence for the prevention of type 2 diabetes from RCTs and subsequent translation studies in which people at high risk engage in a structured lifestyle intervention that addresses nutrition, physical activity, and behavior change strategies resulting in a weight loss of 5%. […] Whole-population strategies also show promise in reaching large numbers of people and include multi-sector and multi-policy approaches, most successfully in combination.

• #85

  https://link.springer.com/article/10.1007/s11892-019-1200-z

  To achieve large-scale type 2 diabetes prevention, interventions directed to both high-risk populations and the general population are necessary. There is strong evidence for the prevention of type 2 diabetes from RCTs and subsequent translation studies in which people at high risk engage in a structured lifestyle intervention that addresses nutrition, physical activity, and behavior change strategies resulting in a weight loss of 5%. […] Whole-population strategies also show promise in reaching large numbers of people and include multi-sector and multi-policy approaches, most successfully in combination.

• #86 Preventing Type 2 Diabetes – NIDDK

  https://www.niddk.nih.gov/health-information/diabetes/overview/preventing-type-2-diabetes

  Most often, your best chance for preventing type 2 diabetes is to make lifestyle changes that work for you long term. […] If you have prediabetes, you can lower your chance of developing type 2 diabetes. […] Lose weight if you need to, become more physically active, and follow a reduced-calorie eating plan. […] Even if your gestational diabetes goes away, you still have a greater chance of developing type 2 diabetes within 5 to 10 years. […] Making healthy choices helps the whole family and may protect your child from becoming obese or developing diabetes. […] Be more active and make healthy food choices to get back to a healthy weight. […] Ask your doctor if you should take the diabetes drug metformin to help prevent type 2 diabetes.

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