National Model for Diabetes Prevention and Treatment Program in Civilian and Military Healthcare Beneficiary Populations

摘要

Reduction in the incidence of diabetes and alleviation of its complications has become a national public health priority. The University of Pittsburgh Medical Center, in partnership with the United States Air Force, sought to determine the best methods for preventing diabetes and improving diabetes care. We hypothesized that evidence-based pediatric and adult primary prevention and management programs would reduce risk for diabetes and its complications in civilian and military populations. For these respective populations, we (1) delivered a comprehensive 5-year strategic plan (2) implemented a primary prevention and management system for childhood obesity; (3) implemented primary prevention by disseminating the modified Diabetes Prevention Program strategies through different modalities; (4) implemented diabetes programs based on the Chronic Care Model and (5) investigated and evaluated implementation of glycemic management protocols inpatient setting. A multifaceted approach was used with a comprehensive multifaceted approach was used with a comprehensive analysis plan.