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COMMENTARY
Year : 2011  |  Volume : 2  |  Issue : 1  |  Page : 1

Primary Prevention of Type 2 Diabetes in practice


Abteilung Pravention und Versorgung des Diabetes, Medizinische Klinik III, Universitatsklinikum Carl Gustav Carus der Technischen Universitat Dresden, Germany

Correspondence Address:
P.E.H. Schwarz
Abteilung Pravention und Versorgung des Diabetes, Medizinische Klinik III, Universitatsklinikum Carl Gustav Carus der Technischen Universitat Dresden, Germany

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Source of Support: None, Conflict of Interest: None


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The prevention of type 2 Diabetes is reaching its mature stages. First of all, research to establish the necessary data base for the evidence-based prevention has accum ulated large amount of data from observational studies around the world. Secondly, simple and efficient risk scores for screening for Type 2 Diabetes risk have been developed and used in public health settings. Thirdly, randomised controlled trials have demonstrated that lifestyle interventions, targeting main modifiable risk factors for Type 2 Diabetes in high risk individuals are highly effective, reducing the incidence of Type 2 diabetes by about 50%. Further, nationwide or regional Type 2 Diabetes prevention programmes have been set up in order to translate the research findings into the real-life settings - Finland was the first country to establish such a programme, 10 years ago followed by others. What is needed now, is the implementation of the state of the art diabetes prevention into population based practice with adaptation into local conditions. The IMAGE project is a landmark project developing the state of the art material for the implementation of diabetes prevention into practice. As an output of the IMAGE project, a practical toolkit for diabetes prevention, together with evidence based guidelines and a curriculum for prevention managers has been developed , which needs to be implemented now. This can be achieved, if various bodies and networks of international experts lay down the ground and support the implementation. There actions will be introduced in this article.


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