Diabetes Prevention Program

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. To be eligible for referral to the National DPP lifestyle change program, individuals must meet the following requirements:

• All of a program’s participants must be 18 years of age or older. The program is intended for adults at high risk of developing type 2 diabetes.
• All of a program’s participants must have a body mass index (BMI) of ≥25 kg/m2 (≥23 kg/m2, if Asian American).
• All of a program’s participants must be considered eligible based on either:
• A blood test result within one year of participant enrollment. Blood test results may be self-reported for CDC recognition purposes. Participants enrolled in the Medicare Diabetes Prevention Program (MDPP) cannot self-report blood test results; lab results must be provided. Blood test results must meet one of the following specifications:
• Fasting glucose of 100 to 125 mg/dl (Centers for Medicare and Medicaid Services-CMS- eligibility requirement for MDPP participants is 110 to 125 mg/dl);
• Plasma glucose of 140 to 199 mg/dl measured 2 hours after a 75 gm glucose load;
• HbA1C of 5.7 to 6.4; or,
• Clinically diagnosed gestational diabetes mellitus (GDM) during a previous pregnancy (allowed for CDC recognition and may be self-reported; not allowed for MDPP participants); or
• A positive screening for prediabetes based on the Prediabetes Risk Test online. Note: The risk test is not an option for eligibility for MDPP participants.
• Participants cannot have a previous diagnosis of type 1 or type 2 diabetes prior to enrollment.
• Participants cannot be pregnant at time of enrollment.
• A health care professional may refer potential participants to the program, but a referral is not required for participation in a CDC-recognized program.

To be eligible for the National DPP lifestyle change program, individuals must have one of the blood test results described above, be previously diagnosed with gestational diabetes, or score positive for prediabetes on the CDC/ADA Prediabetes Risk Test. The CDC DPRP standards require that at least 35% of a program’s participants be diagnosed with prediabetes through blood testing (or have a history of gestational diabetes). The remaining participants in the group can be considered eligible for the program based on their scores on the CDC/ADA Prediabetes Risk Test. The CDC/ADA Prediabetes Risk Test is a brief seven question survey that allows one to gauge their risk of having prediabetes. Regularly scheduled biometric screenings may be an opportunity to determine if an individual is eligible.

The National DPP lifestyle change program is an evidence-based program focused on helping participants make positive lifestyle changes such as eating healthier, reducing stress, and getting more physical activity.

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. For a person who weighs 200 pounds, 5% to 7% of their body weight is equivalent to 10 to 14 pounds.

• It is a year-long program that is delivered in person, online, or through a combination approach. The program includes at least 16 weekly sessions during the first 6 months and at least 6 monthly sessions during the second 6 months.
• The program is taught by trained Lifestyle Coaches. Coaches can be health professionals or non-licensed personnel.
• The program includes group support (recommended group size ranges between 10 and 25 participants, online groups may be larger).
• CDC-recognized organizations offering the program can use a curriculum developed by CDC, can develop their own curriculum and submit it to CDC for approval, or can receive permission to use another organization’s curriculum as long as it is CDC approved.
• The newly developed CDC curriculum (PreventT2) is available in both English and Spanish. The Spanish version is culturally adapted. You can also find translated curriculum here.
• There are thousands of CDC-recognized organizations across the 50 states and D.C. To find a program near you, click here.

For more information, see the CDC’s National Diabetes Prevention Program and Research-Based Prevention Program.