The prevention program began in January 2008 with the goal to prevent type 2 diabetes and cardiovascular disease among Montanans who are at high risk. This project is coordinated by the MDP using funds allocated by the 2007 State Legislature. Continued funding was granted during the 2009 legislative session. The program is a translation of the highly successful NIH sponsored Diabetes Prevention Program, that reported a 58% reduction in the incidence of diabetes among participants who were enrolled in a lifestyle change intervention.

In the DPP, participants with pre-diabetes were randomized into three groups: lifestyle intervention, metformin, or placebo. Participants in the intensive lifestyle intervention take part in a 16 session individual lifestyle change program followed by monthly contact for six months. The curriculum focuses on diet, exercise and behavior change while working towards the goals of 7% weight loss and 150 minutes/week of physical activity. In Montana, groups of participants attend the same 16 week curriculum that was used in the DPP, as well as a six monthly follow-up classes while working to achieve the same weight loss and physical activity goals as the DPP.

The original four sites have been enrolling participants since January 2008, and four additional sites were added in February 2009. The results of the first round on of the progam have been published in the March/April 2009 edition of The Diabetes Educator, as well as presented and the Centers for Disease Control and Prevention (CDC) Division of Diabetes Translation Conference 2009 and the American Diabetes Association 2009 Scientific Sessions.

If you are interested in more information about the MT Cardiovascular Disease and Diabetes Prevention Program  check out our blog:  www.mtdpp.blogspot.com

Data from the first group of participants demonstrates:

• 820 participants have completed the 16 week program
• Average weight loss has been 15lbs
• 45% of program participants met the DPP weight loss goal (7% of their starting weight).
• 66% of program participants lost met the physical activity goal
• Improvements seen in blood glucose, blood pressure, LDL, triglycerides and total cholesterol.

To access more information related to type 2 diabetes risk factors and prevention visit one of the following web sites:

• American Diabetes Association          
• Centers for Disease Control and Prevention
• National Diabetes Information Clearinghouse