An outpatient-based clinical program for type 2 diabetes prevention

Sophie Bersoux, Kara L. Asbury, Curtiss B. Cook, Joseph L. Verheijde, Marcia H. Larson, Ruth T. Aponte-Furlow, Sandra S. Flatten, Susan A. Hooley, Carolyn S. LaRosa, Karen M. Seifert, Patricia M. Verona, Janna C. Castro, Kimberly A. Jameson

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Objective: To review first-year results of a clinic-based type 2 diabetes prevention program. Methods: From January through December 2007, patients with a diagnosis of prediabetes participated in the Diet-Exercise-Activity-Lifestyle program for instruction in lifestyle changes. Physical therapy assessments were retrospectively reviewed to search for symptoms or findings of physical impairments. Changes in weight and 2-hour glucose tolerance test results were assessed at 6 months. Patient satisfaction with the program was evaluated. Results: Ninety-two patients qualified for the program. Mean baseline fasting glucose concentration was 108 mg/dL, and 2-hour glucose concentration was 134 mg/dL. Mean age was 62 years, and 66% were women. Review of physical therapy assessments demonstrated gait/balance disturbances in 47% of patients, peripheral neuropathy in 43%, and musculoskeletal problems in 63%. Among 47 patients who had 6-month follow-up visits, 72% lost weight. Fasting glucose levels improved in 58% in persons with impaired fasting glucose, and 2-hour glucose values decreased in patients who had impaired glucose tolerance. Seventy-eight percent graded the program as either "very good" or "excellent." Conclusions: Programs geared toward type 2 diabetes prevention can be feasibly implemented on an outpatient basis. Preliminary data suggest that improvements in weight and glucose values can be achieved. As the prevalence of prediabetes increases, health care systems must gain further experience with effective outpatient diabetes prevention strategies.

Original languageEnglish (US)
Pages (from-to)21-29
Number of pages9
JournalEndocrine Practice
Volume16
Issue number1
DOIs
StatePublished - Jan 2010

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Type 2 Diabetes Mellitus
Outpatients
Glucose
Prediabetic State
Fasting
Weights and Measures
Life Style
Glucose Intolerance
Peripheral Nervous System Diseases
Glucose Tolerance Test
Patient Satisfaction
Gait
Exercise
Diet
Delivery of Health Care
Therapeutics

ASJC Scopus subject areas

  • Endocrinology
  • Endocrinology, Diabetes and Metabolism

Cite this

Bersoux, S., Asbury, K. L., Cook, C. B., Verheijde, J. L., Larson, M. H., Aponte-Furlow, R. T., ... Jameson, K. A. (2010). An outpatient-based clinical program for type 2 diabetes prevention. Endocrine Practice, 16(1), 21-29. https://doi.org/10.4158/EP09151.OR

An outpatient-based clinical program for type 2 diabetes prevention. / Bersoux, Sophie; Asbury, Kara L.; Cook, Curtiss B.; Verheijde, Joseph L.; Larson, Marcia H.; Aponte-Furlow, Ruth T.; Flatten, Sandra S.; Hooley, Susan A.; LaRosa, Carolyn S.; Seifert, Karen M.; Verona, Patricia M.; Castro, Janna C.; Jameson, Kimberly A.

In: Endocrine Practice, Vol. 16, No. 1, 01.2010, p. 21-29.

Research output: Contribution to journalArticle

Bersoux, S, Asbury, KL, Cook, CB, Verheijde, JL, Larson, MH, Aponte-Furlow, RT, Flatten, SS, Hooley, SA, LaRosa, CS, Seifert, KM, Verona, PM, Castro, JC & Jameson, KA 2010, 'An outpatient-based clinical program for type 2 diabetes prevention', Endocrine Practice, vol. 16, no. 1, pp. 21-29. https://doi.org/10.4158/EP09151.OR
Bersoux S, Asbury KL, Cook CB, Verheijde JL, Larson MH, Aponte-Furlow RT et al. An outpatient-based clinical program for type 2 diabetes prevention. Endocrine Practice. 2010 Jan;16(1):21-29. https://doi.org/10.4158/EP09151.OR
Bersoux, Sophie ; Asbury, Kara L. ; Cook, Curtiss B. ; Verheijde, Joseph L. ; Larson, Marcia H. ; Aponte-Furlow, Ruth T. ; Flatten, Sandra S. ; Hooley, Susan A. ; LaRosa, Carolyn S. ; Seifert, Karen M. ; Verona, Patricia M. ; Castro, Janna C. ; Jameson, Kimberly A. / An outpatient-based clinical program for type 2 diabetes prevention. In: Endocrine Practice. 2010 ; Vol. 16, No. 1. pp. 21-29.
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