Debra S. Torres, MPH

Debra S. Torres, MPH Associate Director, Primary Prevention Division of Diabetes Translation Centers for Disease Control and Prevention Memphis Busine...
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Debra S. Torres, MPH Associate Director, Primary Prevention Division of Diabetes Translation Centers for Disease Control and Prevention Memphis Business Group on Health September 6, 2012

National Center for Chronic Disease Prevention and Health Promotion Division of Diabetes Translation

www.cdc.gov/diabetes

26 million with Diabetes

79 million with Prediabetes

1 in 3 U.S. Adults Will Have Diabetes in 2050 … 

If current trends continue  Americans will live longer  People with diabetes also are living longer  Increases in minority groups at high risk for type 2 diabetes  New cases of diabetes



1 in 10 U.S. adults have diabetes now

Boyle, Thompson, Gregg, Barker, Williamson. Population Health Metrics 2010: 8:29 (22 October 2010)

Tennessee 

Tennessee is located in the “diabetes belt”  Prevalence rate for diabetes - 10.2 %  Adults (18 years or >) reporting prediabetes – 10.2%  Adults(aged 18 years or >) with diabetes that are overweight or obese - 87.1%  Physically inactive adults(aged 18 years or >) with diabetes 44.2%

DPP Research Study 

Can type 2 diabetes be prevented/delayed through a lifestyle intervention or metformin in people with impaired glucose tolerance?



Lifestyle goal 7% weight loss and 150 min PA/wk



Lifestyle group reduced risk of type 2 diabetes by 58% (71% in those over age 60) and this was true for all participating ethnic groups and for both men and women



Metformin reduced diabetes risk by 31%



10-year f/u incidence of diabetes was reduced by 34% in lifestyle group and 18% in those taking metformin

Percent developing diabetes DPP Incidence of Diabetes All Placebo (n=1082)

Metformin (n=1073, p