Implementing Programs for the Primary Prevention of Diabetes in Non-Health-Care Settings: From Evidence to Practice

Ronald T. Ackermann, David G. Marrero

Research output: Chapter in Book/Report/Conference proceedingChapter

1 Scopus citations


Extensive research demonstrates the effectiveness of two broad strategies to prevent or delay the onset of type 2 diabetes in adults: pharmacological therapy and structured lifestyle interventions. To date, however, high-quality preventive services have proved particularly challenging to deliver in health care settings, even when there is compelling evidence for their clinical cost-effectiveness. Conversely, resources and policies to support modest weight loss and moderate physical activity behaviors have a stronger capacity to reach vast segments of the population when offered in non-healthcare community settings. This chapter considers the current evidence base for cost-effective prevention of diabetes and explores implications and emerging research for implementing policies and programs to prevent type 2 diabetes in non-healthcare settings.

Original languageEnglish (US)
Title of host publicationDiabetes Public Health
Subtitle of host publicationFrom Data to Policy
PublisherOxford University Press
ISBN (Electronic)9780199871544
ISBN (Print)9780195317060
StatePublished - Jan 1 2011



  • Community programs
  • Diabetes prevention
  • Intervention strategies
  • Lifestyle change
  • Type 2 diabetes

ASJC Scopus subject areas

  • Medicine(all)

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