Diabetes prevention and treatment strategies: are we doing enough?

Backholer, Kathryn, Peeters, Anna, Herman, William H., Shaw, Jonathan E., Liew, Danny, Ademi, Zanfina and Magliano, Dianna J. 2013, Diabetes prevention and treatment strategies: are we doing enough?, Diabetes care, vol. 36, no. 9, pp. 2714-2719, doi: 10.2337/DC12-2501.

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Title Diabetes prevention and treatment strategies: are we doing enough?
Author(s) Backholer, KathrynORCID iD for Backholer, Kathryn orcid.org/0000-0002-3323-575X
Peeters, AnnaORCID iD for Peeters, Anna orcid.org/0000-0003-4340-9132
Herman, William H.
Shaw, Jonathan E.
Liew, Danny
Ademi, Zanfina
Magliano, Dianna J.
Journal name Diabetes care
Volume number 36
Issue number 9
Start page 2714
End page 2719
Total pages 6
Publisher American Diabetes Association
Place of publication Alexandria, Va.
Publication date 2013-09
ISSN 1935-5548
Keyword(s) Australia
Diabetes Mellitus
Models, Theoretical
Science & Technology
Life Sciences & Biomedicine
Endocrinology & Metabolism
Summary OBJECTIVE: Effective interventions to prevent, delay, or remit diabetes are currently available. However, their impact on the prevalence of diabetes at the population level is unknown. This study aimed to estimate the impact of a range of diabetes interventions on the population prevalence of diabetes for Australian adults between 2010 and 2025. RESEARCH DESIGN AND METHODS: We used the Australian Diabetes Projection Model to estimate the impact of a population-wide strategy, high-risk prevention, surgical diabetes treatment, and a combination strategy on the future population prevalence of diabetes and to estimate the number of diabetes cases that could be potentially prevented in the year 2025. RESULTS: We estimate that a population-wide strategy would reduce the number of diabetes cases by 60,000-85,000 in 2025 from an estimated 2 million cases under the status quo scenario. A high-risk prevention strategy would result in 106,000 to 150,000 fewer cases of diabetes in 2025, and surgically induced weight loss would result in 3,000-6,000 fewer cases. No single intervention, or combination of interventions, reversed the increasing trend in diabetes prevalence over the next 15 years. CONCLUSIONS: To reverse upward trends in diabetes prevalence in future years, it is essential that current approaches to diabetes prevention and treatment are optimized and implemented and that alternative approaches to reduce the prevalence of diabetes at a population level are developed.
Language eng
DOI 10.2337/DC12-2501
Field of Research 111799 Public Health and Health Services not elsewhere classified
Socio Economic Objective 920499 Public Health (excl. Specific Population Health) not elsewhere classified
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2013, American Diabetes Association
Persistent URL http://hdl.handle.net/10536/DRO/DU:30081141

Document type: Journal Article
Collections: Faculty of Health
School of Health and Social Development
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