Maria L. Alva (
Rosette J. Chakkalakal, Emory University, Atlanta, Georgia.
Health Aff (Millwood). 2022 Jul;41(7):971-979. doi: 10.1377/hlthaff.2022.00259. Epub 2022 Jun 27.
To understand the current state of prediabetes burden and treatment in the US, we examined recent trends in prediabetes prevalence, testing, and access to preventive resources. We estimated 13.5 percent prevalence of diagnosed prediabetes in the overall US adult population, using national survey data. Although prediabetes prevalence increased by 4.8 percentage points from 2010 to 2020, access to preventive resources remained low. The most effective intervention for diabetes prevention, known as the National Diabetes Prevention Program, remained woefully undersupplied and underused. There are only 2,098 National Diabetes Prevention Program-recognized providers nationally, and only 3 percent of adults with prediabetes have participated in the program. We suggest three actions to augment prevention efforts: increase payment for prevention interventions to avoid supply distortions, improve data integration and patient follow-up, and extend coverage and broaden access for preventive interventions. These actions, which would require policy-level changes, could lower the barriers to prevention.
为了了解美国目前糖尿病前期负担和治疗的情况，我们研究了糖尿病前期患病率、检测和获得预防资源的最新趋势。我们使用国家调查数据估计，美国成年人口的总体糖尿病前期患病率为 13.5%。尽管糖尿病前期的患病率从 2010 年到 2020 年增加了 4.8 个百分点，但获得预防资源的机会仍然很低。预防糖尿病最有效的干预措施，即国家糖尿病预防计划，仍然严重供应不足且未得到充分利用。全国只有 2098 个得到国家糖尿病预防计划认可的提供者，而只有 3%的糖尿病前期患者参加了该计划。我们建议采取三项行动来加强预防工作：增加对预防干预措施的支付，以避免供应扭曲；改善数据整合和患者随访；扩大预防干预措施的覆盖范围和途径。这些需要政策层面改变的行动，可以降低预防的障碍。
