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01-10-2019 | Diabetes Prevention | Review

What should governments be doing to prevent diabetes throughout the life course?

Authors: Patrick Timpel, Lorenz Harst, Doreen Reifegerste, Susann Weihrauch-Blüher, Peter E. H. Schwarz

Published in: Diabetologia | Issue 10/2019

Abstract

Health systems and governments are increasingly required to implement measures that target at-risk populations to prevent noncommunicable diseases. In this review we lay out what governments should be doing to prevent diabetes throughout the life course. The following four target groups were used to structure the specific recommendations: (1) pregnant women and young families, (2) children and adolescents, (3) working age population, and (4) the elderly. The evidence to date supports the effectiveness of some known government policy measures, such as sugar taxes and regulatory measures in the (pre-)school setting for children and adolescents. Many of these appear to be more effective if they are part of a bundle of strategies and if they are supplemented by communication strategies. Although there is a current focus on strategies that target the individual, governments can make use of evidence-based population-level prevention strategies. More research and continuous evaluation of the overall and subgroup-specific effectiveness of policy strategies using high-quality longitudinal studies are needed.

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International Diabetes Federation (2017) IDF Diabetes Atlas, 8th edn. International Diabetes Federation, Brussels, Belgium

The Emerging Risk Factors Collaboration (2010) Diabetes mellitus, fasting blood glucose concentration, and risk of vascular disease: a collaborative meta-analysis of 102 prospective studies. Lancet 375(9733):2215–2222. https://doi.org/10.1016/S0140-6736(10)60484-9 CrossRefPubMedCentral

The GBD 2015 Obesity Collaborators (2017) Health effects of overweight and obesity in 195 countries over 25 years. N Engl J Med 377(1):13–27. https://doi.org/10.1056/NEJMoa1614362 CrossRef

Huang ES, Laiteerapong N, Liu JY, John PM, Moffet HH, Karter AJ (2014) Rates of complications and mortality in older patients with diabetes mellitus: the diabetes and aging study. Complications in elderly diabetes patients. JAMA Intern Med 174(2):251–258. https://doi.org/10.1001/jamainternmed.2013.12956 CrossRefPubMedPubMedCentral

Mason CC, Hanson RL, Knowler WC (2007) Progression to type 2 diabetes characterized by moderate then rapid glucose increases. Diabetes 56(8):2054–2061. https://doi.org/10.2337/db07-0053 CrossRefPubMed

Ferrannini E, Nannipieri M, Williams K, Gonzales C, Haffner SM, Stern MP (2004) Mode of onset of type 2 diabetes from normal or impaired glucose tolerance. Diabetes 53(1):160–165. https://doi.org/10.2337/diabetes.53.1.160 CrossRefPubMed

Feliu A, Filippidis FT, Joossens L et al (2019) Impact of tobacco control policies on smoking prevalence and quit ratios in 27 European Union countries from 2006 to 2014. Tob Control 28(1):101. https://doi.org/10.1136/tobaccocontrol-2017-054119 CrossRefPubMed

OECD (2015) Cardiovascular disease and diabetes: policies for better health and quality of care. OECD Publishing, Paris. https://doi.org/10.1787/9789264233010-en CrossRef

UK Prospective Diabetes Study (UKPDS) Group (1998) Intensive blood-glucose control with sulphonylureas or insulin compared with conventional treatment and risk of complications in patients with type 2 diabetes (UKPDS 33). Lancet 352(9131):837–853CrossRef

10.

Action to Control Cardiovascular Risk in Diabetes Study Group (2008) Effects of intensive glucose lowering in type 2 diabetes. N Engl J Med 358(24):2545–2559. https://doi.org/10.1056/NEJMoa0802743 CrossRef

11.

Group AC, Patel A, Macmahon S et al (2008) Intensive blood glucose control and vascular outcomes in patients with type 2 diabetes. N Engl J Med 358(24):2560–2572. https://doi.org/10.1056/NEJMoa0802987 CrossRef

12.

Duckworth W, Abraira C, Moritz T et al (2009) Glucose control and vascular complications in veterans with type 2 diabetes. N Engl J Med 360(2):129–139. https://doi.org/10.1056/NEJMoa0808431 CrossRefPubMed

13.

Tuomilehto J, Lindstrom J, Eriksson JG et al (2001) Prevention of type 2 diabetes mellitus by changes in lifestyle among subjects with impaired glucose tolerance. N Engl J Med 344(18):1343–1350. https://doi.org/10.1056/NEJM200105033441801 CrossRefPubMed

14.

Piepoli MF, Hoes AW, Agewall S et al (2016) 2016 European guidelines on cardiovascular disease prevention in clinical practice: the Sixth Joint Task Force of the European Society of Cardiology and Other Societies on Cardiovascular Disease Prevention in Clinical Practice (constituted by representatives of 10 societies and by invited experts) developed with the special contribution of the European Association for Cardiovascular Prevention & Rehabilitation (EACPR). Eur Heart J 37(29):2315–2381. https://doi.org/10.1093/eurheartj/ehw106 CrossRefPubMedPubMedCentral

15.

Worley CG, Mohrman SA, Nevitt JA (2011) Large group interventions: an empirical field study of their composition, process, and outcomes. J Appl Behav Sci 47(4):404–431. https://doi.org/10.1177/0021886311410837 CrossRef

16.

Rose G (1985) Sick individuals and sick populations. Int J Epidemiol 14(1):32–38. https://doi.org/10.1093/ije/14.1.32 CrossRefPubMed

17.

Rose G (1981) Strategy of prevention: lessons from cardiovascular disease. Br Med J (Clin Res Ed) 282(6279):1847–1851. https://doi.org/10.1136/bmj.282.6279.1847 CrossRef

18.

OECD (2018) OECD regulatory policy outlook 2018. OECD Publishing, Paris. https://doi.org/10.1787/9789264303072-en CrossRef

19.

Kirch W (2008) Encyclopedia of public health. Springer, New York. https://doi.org/10.1007/978-1-4020-5614-7 CrossRef

20.

Last JM (2007) A dictionary of public health. Oxford University Press, Oxford; New York

21.

Atkin CK (2001) Chapter 3: theory and principles of media health campaigns. In: Atkin RERCK (ed) Public communication campaigns. SAGE Publications, Inc., Thousand Oaks, California. https://doi.org/10.4135/9781452233260.n3 CrossRef

22.

McGuire WJ (2001) Public communication campaigns. In: Atkin RERCK (ed) Chapter 2: input and output variables currently promising for constructing persuasive communications. SAGE Publications, Inc., Thousand Oaks, California

23.

Lühnen J, Albrecht M, Hanßen K, Hildebrandt J, Steckelberg A (2015) Leitlinie evidenzbasierte Gesundheitsinformation: Einblick in die Methodik der Entwicklung und Implementierung. Z Evid Fortbild Qual Gesundhwes 109(2):159–165. https://doi.org/10.1016/j.zefq.2015.03.004 CrossRefPubMed

24.

Kowall B, Rathmann W, Stang A et al (2017) Perceived risk of diabetes seriously underestimates actual diabetes risk: the KORA FF4 study. PLoS One 12(1):e0171152. https://doi.org/10.1371/journal.pone.0171152 CrossRefPubMedPubMedCentral

25.

Kennedy MPT, Cheyne L, Darby M et al (2018) Lung cancer stage-shift following a symptom awareness campaign. Thorax 73(12):1128–1136. https://doi.org/10.1136/thoraxjnl-2018-211842 CrossRefPubMed

26.

Janssen E, Ruiter RAC, Waters EA (2018) Combining risk communication strategies to simultaneously convey the risks of four diseases associated with physical inactivity to socio-demographically diverse populations. J Behav Med 41(3):318–332. https://doi.org/10.1007/s10865-017-9894-3 CrossRefPubMed

27.

Rohani H, Bidkhori M, Eslami AA, Sadeghi E, Sadeghi A (2018) Psychological factors of healthful diet promotion among diabetics: an application of health action process approach. Electron Physician 10(4):6647–6654. https://doi.org/10.19082/6647 CrossRefPubMedPubMedCentral

28.

Turner JW, Tian Y, Neustadtl A, Mun SK, Levine B (2019) The relationship between emotional and esteem social support messages and health AU - Robinson, James D. Health Commun 34(2):220–226. https://doi.org/10.1080/10410236.2017.1405476 CrossRef

29.

Calderón JL, Beltrán RA (2004) Pitfalls in health communication: healthcare policy, institution, structure, and process. Medscape Gen Med 6(1):9–9

30.

World Health Organization (2017) WHO strategic communications framework for effective communications. WHO, Geneva, p 56

31.

Ludwig J, Sanbonmatsu L, Gennetian L et al (2011) Neighborhoods, obesity, and diabetes-a randomized social experiment. N Engl J Med 365(16):1509–1519. https://doi.org/10.1056/NEJMsa1103216 CrossRefPubMedPubMedCentral

32.

Martin GP, Kocman D, Stephens T, Peden CJ, Pearse RM (2017) Pathways to professionalism? Quality improvement, care pathways, and the interplay of standardisation and clinical autonomy. Sociol Health Illn 39(8):1314–1329. https://doi.org/10.1111/1467-9566.12585 CrossRefPubMed

33.

Alla K, Hall WD, Whiteford HA, Head BW, Meurk CS (2017) How do we define the policy impact of public health research? A systematic review. Health Res Policy Syst 15(1):84–84. https://doi.org/10.1186/s12961-017-0247-z

34.

Laupacis A, Straus S (2007) Systematic reviews: time to address clinical and policy relevance as well as methodological rigor relevance and rigor of systematic reviews. Ann Intern Med 147(4):273–274. https://doi.org/10.7326/0003-4819-147-4-200708210-00180 CrossRefPubMed

35.

Lavis JN, Posada FB, Haines A, Osei E (2004) Use of research to inform public policymaking. Lancet 364(9445):1615–1621. https://doi.org/10.1016/S0140-6736(04)17317-0 CrossRefPubMed

36.

OECD (2018) OECD labour force statistics 2018. OECD Publishing, Paris

37.

National Institute for Health and Care Excellence (2018) National strategy and policy to prevent type 2 diabetes. Available from https://pathways.nice.org.uk/pathways/preventing-type-2-diabetes/national-strategy-and-policy-to-prevent-type-2-diabetes, accessed 5 Feb 2019

38.

Mansfield JL, Savaiano DA (2017) Effect of school wellness policies and the Healthy, Hunger-Free Kids Act on food-consumption behaviors of students, 2006–2016: a systematic review. Nutr Rev 75(7):533–552. https://doi.org/10.1093/nutrit/nux020 CrossRefPubMed

39.

Schwarz PEH, Timpel P, Harst L et al (2018) Blood sugar regulation for cardiovascular health promotion and disease prevention: JACC health promotion series. J Am Coll Cardiol 72(15):1829–1844. https://doi.org/10.1016/j.jacc.2018.07.081 CrossRefPubMedPubMedCentral

40.

Raine KD, Atkey K, Olstad DL et al (2018) Healthy food procurement and nutrition standards in public facilities: evidence synthesis and consensus policy recommendations. Health Promot Chronic Dis Prev Can 38(1):6–17. https://doi.org/10.24095/hpcdp.38.1.03 CrossRefPubMed

41.

von Philipsborn P, Stratil JM, Burns J et al (2019) Environmental interventions to reduce the consumption of sugar-sweetened beverages and their effects on health. Cochrane Database Syst Rev (6). https://doi.org/10.1002/14651858.CD012292.pub2

42.

George KS, Roberts CB, Beasley S, Fox M, Rashied-Henry K (2016) Our health is in our hands: a social marketing campaign to combat obesity and diabetes. Am J Health Promot 30(4):283–286. https://doi.org/10.1177/0890117116639559 CrossRefPubMed

43.

Luehnen J, Albrecht M, Mühlhauser I, Steckelberg A (2017) Leitlinie evidenzbasierte Gesundheitsinformation. Hamburg. Available from https://www.leitlinie-gesundheitsinformation.de/wp-content/uploads/2017/07/Leitlinie-evidenzbasierte-Gesundheitsinformation.pdf

44.

Stefanik-Sidener K (2013) Nature, nurture, or that fast food hamburger: media framing of diabetes in the New York Times from 2000 to 2010. Health Commun 28(4):351–358. https://doi.org/10.1080/10410236.2012.688187 CrossRefPubMed

45.

Huffman JC, Celano CM, Malloy LM, Wexler DJ, Freedman ME, Millstein RA (2018) The role of spousal support for dietary adherence among type 2 diabetes patients: a narrative review AU - Albanese, Ariana M. Social work in health care 1–20. https://doi.org/10.1080/00981389.2018.1563846

46.

Farrar D, Simmonds M, Susan G et al (2016) The identification and treatment of women with hyperglycaemia in pregnancy: an analysis of individual participant data, systematic reviews, meta-analyses and an economic evaluation. Health Technol Assess 20(86):348–348. https://doi.org/10.3310/hta20860 CrossRef

47.

Koivusalo SB, Rönö K, Klemetti MM et al (2016) Gestational diabetes mellitus can be prevented by lifestyle intervention: the Finnish Gestational Diabetes Prevention Study (RADIEL). Diabetes Care 39(1):24–30. https://doi.org/10.2337/dc15-0511 CrossRefPubMed

48.

Rönö K, Stach-Lempinen B, Klemetti MM et al (2014) Prevention of gestational diabetes through lifestyle intervention: study design and methods of a Finnish randomized controlled multicenter trial (RADIEL). BMC Pregnancy Childbirth 14(1):70. https://doi.org/10.1186/1471-2393-14-70 CrossRefPubMedPubMedCentral

49.

Zalewski BM, Patro B, Veldhorst M et al (2017) Nutrition of infants and young children (one to three years) and its effect on later health: a systematic review of current recommendations (EarlyNutrition project). Crit Rev Food Sci Nutr 57(3):489–500. https://doi.org/10.1080/10408398.2014.888701 CrossRefPubMed

50.

Kamali S, Ahmadian L, Khajouei R, Bahaadinbeigy K (2018) Health information needs of pregnant women: information sources, motives and barriers. Health Inf Libr J 35(1):24–37. https://doi.org/10.1111/hir.12200 CrossRef

51.

Khooshehchin TE, Keshavarz Z, Afrakhteh M, Shakibazadeh E, Faghihzadeh S (2016) Perceived needs in women with gestational diabetes: a qualitative study. Electron Physician 8(12):3412–3420. https://doi.org/10.19082/3412 CrossRefPubMedPubMedCentral

52.

Morton KL, Atkin AJ, Corder K, Suhrcke M, van Sluijs EMF (2016) The school environment and adolescent physical activity and sedentary behaviour: a mixed-studies systematic review. Obes Rev 17(2):142–158. https://doi.org/10.1111/obr.12352 CrossRefPubMed

53.

Singh A, Bassi S, Nazar GP et al (2017) Impact of school policies on non-communicable disease risk factors – a systematic review. BMC Public Health 17(1):292. https://doi.org/10.1186/s12889-017-4201-3 CrossRefPubMedPubMedCentral

54.

Effertz T, Garlichs D, Gerlach S et al (2015) Wirkungsvolle Prävention chronischer Krankheiten: Strategiepapier der NCD-Allianz zur Primärprävention. Präv Gesundheitsf 10(1):95–100. https://doi.org/10.1007/s11553-014-0483-9 CrossRef

55.

Communication) ECD-Gf (2017) Weissbuch zur Zukunft Europas In: Die EU der 27 im Jahr 2025 - Überlegungen und Szenarien. Europäische Kommission, Brussels

56.

Backholer K, Boelsen-Robinson T, Peeters A (2015) Digital marketing of unhealthy foods to Australian children and adolescents. Health Promot Int 31(3):523–533. https://doi.org/10.1093/heapro/dav008 CrossRefPubMed

57.

Deylami R, Townson J, Mann M, Gregory JW (2017) Systematic review of publicity interventions to increase awareness amongst healthcare professionals and the public to promote earlier diagnosis of type 1 diabetes in children and young people. Pediatr Diabetes 19(3):566–573. https://doi.org/10.1111/pedi.12565 CrossRefPubMed

58.

Hafez D, Fedewa A, Moran M, O'Brien M, Ackermann R, Kullgren JT (2017) Workplace interventions to prevent type 2 diabetes mellitus: a narrative review. Curr Diab Rep 17(2):9–14. https://doi.org/10.1007/s11892-017-0840-0 CrossRefPubMedPubMedCentral

59.

Shrestha A, Karmacharya BM, Khudyakov P, Weber MB, Spiegelman D (2017) Dietary interventions to prevent and manage diabetes in worksite settings: a meta-analysis. J Occup Health 60(1):31–45. https://doi.org/10.1539/joh.17-0121-RA CrossRefPubMedPubMedCentral

60.

Rautio N, Varanka-Ruuska T, Vaaramo E et al (2017) Accumulated exposure to unemployment is related to impaired glucose metabolism in middle-aged men: a follow-up of the Northern Finland Birth Cohort 1966. Prim Care Diabetes 11(4):365–372. https://doi.org/10.1016/j.pcd.2017.03.010 CrossRefPubMed

61.

Richardson E, Zaletel J, Nolte E, on behalf of Joint Action CHRODIS (2016) National Diabetes Plans in Europe: what lessons are there for the prevention and control of chronic diseases in Europe? In: Richardson E (ed) Policy brief, ISSN 1997–8065. National Institute of Public Health ; Copenhagen; World Health Organization, Regional Office for Europe, Ljubljana

62.

Fuchs S, Henschke C, Blümel M, Busse R (2014) Disease management programs for type 2 diabetes in Germany: a systematic literature review evaluating effectiveness. Dtsch Arztebl Int 111(26):453–463. https://doi.org/10.3238/arztebl.2014.0453 CrossRefPubMedPubMedCentral

63.

Bergis-Jurgan N, Ehrmann D, Haak T, Kulzer B, Hermanns N (2014) Ambulante Schulung bei Typ-2-Diabetes. Diabetologe 10(4):293–299. https://doi.org/10.1007/s11428-013-1185-1 CrossRef

64.

Mehring M, Donnachie E, Bonke FC, Werner C, Schneider A (2017) Disease management programs for patients with type 2 diabetes mellitus in Germany: a longitudinal population-based descriptive study. Diabetol Metab Syndr 9(1):37. https://doi.org/10.1186/s13098-017-0236-y CrossRefPubMedPubMedCentral

65.

Cartmill B, Wall LR, Ward EC, Hill AJ, Porceddu SV (2016) Computer literacy and health locus of control as determinants for readiness and acceptability of telepractice in a head and neck cancer population. Int J Telerehabil 8(2):49–60. https://doi.org/10.5195/ijt.2016.6203 CrossRefPubMedPubMedCentral

66.

Ong SE, Koh JJK, Toh S-AES et al (2018) Assessing the influence of health systems on type 2 diabetes mellitus awareness, treatment, adherence, and control: a systematic review. PLoS One 13(3):e0195086–e0195086. https://doi.org/10.1371/journal.pone.0195086 CrossRefPubMedPubMedCentral

67.

Martin A, Bland RM, Connelly A, Reilly JJ (2016) Impact of adherence to WHO infant feeding recommendations on later risk of obesity and non-communicable diseases: systematic review. Matern Child Nutr 12(3):418–427. https://doi.org/10.1111/mcn.12201 CrossRefPubMed

68.

Micha R, Karageorgou D, Bakogianni I et al (2018) Effectiveness of school food environment policies on children’s dietary behaviors: a systematic review and meta-analysis. PLoS One 13(3):e0194555. https://doi.org/10.1371/journal.pone.0194555 CrossRefPubMedPubMedCentral

69.

Jourdan D, Christensen JH, Darlington E et al (2016) The involvement of young people in school- and community-based noncommunicable disease prevention interventions: a scoping review of designs and outcomes. BMC Public Health 16(1):1123–1123. https://doi.org/10.1186/s12889-016-3779-1 CrossRefPubMedPubMedCentral

70.

Wolfenden L, Nathan NK, Sutherland R et al (2017) Strategies for enhancing the implementation of school-based policies or practices targeting risk factors for chronic disease. Cochrane Database Syst Rev (11). https://doi.org/10.1002/14651858.CD011677.pub2

71.

Wolfenden L, Jones J, Williams CM et al (2016) Strategies to improve the implementation of healthy eating, physical activity and obesity prevention policies, practices or programmes within childcare services. Cochrane Database Syst Rev (10). https://doi.org/10.1002/14651858.CD011779.pub2

72.

Goyal S, Nunn CA, Rotondi M et al (2017) A mobile app for the self-management of type 1 diabetes among adolescents: a randomized controlled trial. JMIR Mhealth Uhealth 5(6):e82. https://doi.org/10.2196/mhealth.7336 CrossRefPubMedPubMedCentral

73.

Martinez-Millana A, Jarones E, Fernandez-Llatas C, Hartvigsen G, Traver V (2018) App features for type 1 diabetes support and patient empowerment: systematic literature review and benchmark comparison. JMIR Mhealth Uhealth 6(11):e12237–e12237. https://doi.org/10.2196/12237 CrossRefPubMedPubMedCentral

74.

Fang R, Deng X (2018) Electronic messaging intervention for management of cardiovascular risk factors in type 2 diabetes mellitus: a randomised controlled trial. J Clin Nurs 27(3–4):612–620. https://doi.org/10.1111/jocn.13962 CrossRefPubMed

75.

Kent K, Goetzel RZ, Roemer EC, Prasad A, Freundlich N (2016) Promoting healthy workplaces by building cultures of health and applying strategic communications. J Occup Environ Med 58(2):114–122. https://doi.org/10.1097/JOM.0000000000000629 CrossRefPubMed

76.

Dadaczynski K, Baumgarten K, Hartmann T (2016) Settingbasierte Gesundheitsförderung und Prävention. Prävention und Gesundheitsförderung 11(4):214–221. https://doi.org/10.1007/s11553-016-0562-1 CrossRef

77.

Panter JC, Andersen PT, Aro AR, Samara A (2018) Obesity prevention: a systematic review of setting-based interventions from Nordic countries and the Netherlands. J Obes 2018:34–34. https://doi.org/10.1155/2018/7093260 CrossRef

78.

Reed JL, Prince SA, Elliott CG et al (2017) Impact of workplace physical activity interventions on physical activity and cardiometabolic health among working-age women. Circ Cardiovasc Qual Outcomes 10(2):e003516. https://doi.org/10.1161/CIRCOUTCOMES.116.003516 CrossRefPubMed

79.

Choi YJ, Smaldone AM (2017) Factors associated with medication engagement among older adults with diabetes: systematic review and meta-analysis. Diabetes Educ 44(1):15–30. https://doi.org/10.1177/0145721717747880 CrossRefPubMed

80.

Gourzoulidis G, Kourlaba G, Stafylas P, Giamouzis G, Parissis J, Maniadakis N (2017) Association between copayment, medication adherence and outcomes in the management of patients with diabetes and heart failure. Health Policy 121(4):363–377. https://doi.org/10.1016/j.healthpol.2017.02.008 CrossRefPubMed

81.

Hunt J, Rozenfeld Y, Shenolikar R (2009) Effect of patient medication cost share on adherence and glycemic control. Manag Care 18(7):47–53PubMed

82.

Welschen LMC, Bot SDM, Kostense PJ et al (2012) Effects of cardiovascular disease risk communication for patients with type 2 diabetes on risk perception in a randomized controlled trial: the @RISK study. Diabetes Care 35(12):2485–2492. https://doi.org/10.2337/dc11-2130 CrossRefPubMedPubMedCentral

83.

Kayyali R, Slater N, Sahi A, Mepani D, Lalji K, Abdallah A (2019) Type 2 diabetes: how informed are the general public? A cross-sectional study investigating disease awareness and barriers to communicating knowledge in high-risk populations in London. BMC Public Health 19(1):138. https://doi.org/10.1186/s12889-019-6460-7 CrossRefPubMedPubMedCentral

84.

Rikard RV, Thompson MS, McKinney J, Beauchamp A (2016) Examining health literacy disparities in the United States: a third look at the National Assessment of Adult Literacy (NAAL). BMC Public Health 16(1):975. https://doi.org/10.1186/s12889-016-3621-9 CrossRefPubMedPubMedCentral

85.

Liu PJ, Wisdom J, Roberto CA, Liu LJ, Ubel PA (2013) Using behavioral economics to design more effective food policies to address obesity. Appl Econ Perspect Policy 36(1):6–24. https://doi.org/10.1093/aepp/ppt027 CrossRef

86.

Crockett RA, King SE, Marteau TM et al (2018) Nutritional labelling for healthier food or non-alcoholic drink purchasing and consumption. Cochrane Database Syst Rev 2(2):CD009315–CD009315. https://doi.org/10.1002/14651858.CD009315.pub2 CrossRefPubMed

87.

Schwarz PEH, Riemenschneider H (2016) Slowing down the progression of type 2 diabetes: we need fair, innovative, and disruptive action on environmental and policy levels! Diabetes Care 39(Supplement 2):S121–S126. https://doi.org/10.2337/dcS15-3001 CrossRefPubMed

88.

Baumann E, Czerwinski F (2015) Erst mal Doktor Google fragen? Nutzung Neuer Medien zur Information und zum Austausch über Gesundheitsthemen. In: J. Böcken BB, Meierjürgen R (eds) Gesundheitsmonitor 2015: Bürgerorientierung im Gesundheitswesen. Bertelsmann Stiftung., Gütersloh, pp 57–79

89.

Baig AA, Benitez A, Quinn MT, Burnet DL (2015) Family interventions to improve diabetes outcomes for adults. Ann N Y Acad Sci 1353(1):89–112. https://doi.org/10.1111/nyas.12844 CrossRefPubMedPubMedCentral

90.

Gunn KL, Seers K, Posner N, Coates V (2012) ‘Somebody there to watch over you’: the role of the family in everyday and emergency diabetes care. Health Soc Care Community 20(6):591–598. https://doi.org/10.1111/j.1365-2524.2012.01073.x CrossRefPubMed

91.

Reifegerste D, Hartleib S (2016) Hypoglycemia-related information seeking among informal caregivers of type 2 diabetes patients: implications for health education. J Clin Transl Endocrinol 4:7–12. https://doi.org/10.1016/j.jcte.2016.02.001 CrossRefPubMedPubMedCentral

92.

Wijayaratne SP, Reid M, Westberg K, Worsley A, Mavondo F (2018) Food literacy, healthy eating barriers and household diet. Eur J Mark 52(12):2449–2477. https://doi.org/10.1108/EJM-10-2017-0760 CrossRef

93.

Strom JL, Egede LE (2012) The impact of social support on outcomes in adult patients with type 2 diabetes: a systematic review. Curr Diab Rep 12(6):769–781. https://doi.org/10.1007/s11892-012-0317-0 CrossRefPubMedPubMedCentral

94.

August KJ, Rook KS, Franks MM, Parris Stephens MA (2013) Spouses’ involvement in their partners’ diabetes management: associations with spouse stress and perceived marital quality. J Fam Psychol 27(5):712–721. https://doi.org/10.1037/a0034181 CrossRefPubMed

95.

Edwards M, Wood F, Davies M, Edwards A (2015) ‘Distributed health literacy’: longitudinal qualitative analysis of the roles of health literacy mediators and social networks of people living with a long-term health condition. Health Expect 18(5):1180–1193. https://doi.org/10.1111/hex.12093 CrossRefPubMed

96.

Kuske S, Schiereck T, Grobosch S et al (2017) Diabetes-related information-seeking behaviour: a systematic review. Syst Rev 6(1):212. https://doi.org/10.1186/s13643-017-0602-8 CrossRefPubMedPubMedCentral

97.

Swinburn BA, Kraak VI, Allender S et al (2019) The global syndemic of obesity, undernutrition, and climate change: the Lancet Commission report. Lancet 393(10173):791–846. https://doi.org/10.1016/S0140-6736(18)32822-8

98.

Morton S, Kirkwood S, Thangaratinam S (2014) Interventions to modify the progression to type 2 diabetes mellitus in women with gestational diabetes: a systematic review of literature. Curr Opin Obstet Gynecol 26(6):476–486. https://doi.org/10.1097/gco.0000000000000127 CrossRefPubMed

99.

Cowell AJ, Farrelly MC, Chou R, Vallone DM (2009) Assessing the impact of the national ‘truth’ antismoking campaign on beliefs, attitudes, and intent to smoke by race/ethnicity. Ethn Health 14(1):75–91. https://doi.org/10.1080/13557850802257715 CrossRefPubMed

100.

Marmot M, Atkinson T, Bell J, Black C, Broadfoot P, Cumberlege J (2017) Fair society, healthy lives: strategic review of health inequalities in England post-2010. The Marmot Review. 2010. London, Institute of Health Equity

101.

Röttger J, Blümel M, Busse R (2017) Selective enrollment in disease management programs for coronary heart disease in Germany - an analysis based on cross-sectional survey and administrative claims data. BMC Health Serv Res 17(1):246–246. https://doi.org/10.1186/s12913-017-2162-y CrossRefPubMedPubMedCentral

102.

de Barra M, Scott CL, Scott NW et al (2018) Pharmacist services for non-hospitalised patients. Cochrane Database Syst Rev (9). https://doi.org/10.1002/14651858.CD013102

103.

Bashshur RL, Howell JD, Krupinski EA, Harms KM, Bashshur N, Doarn CR (2016) The empirical foundations of telemedicine interventions in primary care. Telemed J E Health 22(5):342–375. https://doi.org/10.1089/tmj.2016.0045 CrossRefPubMedPubMedCentral

104.

Parker SM, Stocks N, Nutbeam D et al (2018) Preventing chronic disease in patients with low health literacy using eHealth and teamwork in primary healthcare: protocol for a cluster randomised controlled trial. BMJ Open 8(6):e023239. https://doi.org/10.1136/bmjopen-2018-023239 CrossRefPubMedPubMedCentral

105.

Ali MK, Wharam F, Kenrik Duru O et al (2018) Advancing health policy and program research in diabetes: findings from the natural experiments for translation in diabetes (NEXT-D) network. Curr Diab Rep 18(12):146. https://doi.org/10.1007/s11892-018-1112-3 CrossRefPubMed

106.

Hu FB, Satija A, Manson JE (2015) Curbing the diabetes pandemic: the need for global policy solutions. JAMA 313(23):2319–2320. https://doi.org/10.1001/jama.2015.5287 CrossRefPubMedPubMedCentral

Title: What should governments be doing to prevent diabetes throughout the life course?
Authors: Patrick Timpel
Lorenz Harst
Doreen Reifegerste
Susann Weihrauch-Blüher
Peter E. H. Schwarz
Publication date: 01-10-2019
Publisher: Springer Berlin Heidelberg
Keyword: Diabetes Prevention
Published in: Diabetologia / Issue 10/2019
Print ISSN: 0012-186X
Electronic ISSN: 1432-0428
DOI: https://doi.org/10.1007/s00125-019-4941-y

Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

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STEP AAG HeroTeaserCollection image/© Tarek / Generated with AI / Stock.adobe.com, ACC 2024 Pediatric and Congenital Heart Disease: Year in Review/© 2024 American College of Cardiology, ACC 2024 Pulmonary Vascular Disease: Year in Review/© 2024 American College of Cardiology, ACC 2024 Valvular Heart Disease: Year in Review/© 2024 American College of Cardiology, ACC 2024 HF and Cardiomyopathies: Year in Review/© 2024 American College of Cardiology, Woman out walking/© Seventyfour / stock.adobe.com (symbolic image with model), Woman checking smartwatch /© saltdium / stock.adobe.com (symbolic image with model), Cardiac catheterization/© Damian / stock.adobe.com

At a glance: The STEP trials

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Differential expression and release of exosomal miRNAs by human islets under inflammatory and hypoxic stress

Environmental neglect: endocrine disruptors as underappreciated but potentially modifiable diabetes risk factors

Racial/ethnic differences in the burden of type 2 diabetes over the life course: a focus on the USA and India

The diabesity epidemic in the light of evolution: insights from the capacity–load model

Developmental overnutrition and obesity and type 2 diabetes in offspring

Sex differences in the burden of type 2 diabetes and cardiovascular risk across the life course

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